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Minimally Invasive Dentistry

Buch | Softcover
208 Seiten
2025 | 1st Edition
Wiley-Blackwell (Verlag)
9781119215066 (ISBN)
CHF 68,45 inkl. MwSt
A helpful introduction to the Minimally Invasive Dentistry concept for patient care in the treatment of dental disease
Minimally Invasive Dentistry provides a practical introduction to holistic patient care across all the dental specialties. Beginning with the definitions and key principles of MID, the following chapters focus on the concepts of MID, including saliva as a natural product, risk assessments, the early detection of diseases, management of dental caries, futuristic materials, innovative techniques, and the implementation of preventative strategies with health education for patients. In this way, this book offers a comprehensive and evidence-based look at this important branch of dentistry.

Minimally Invasive Dentistry readers will also find:

  • A unique approach to minimally invasive dentistry across all dental disciplines
  • A companion website with case studies and interactive MCQs to test your knowledge
  • Coverage of MID factors in the prevention, control and treatment of disease

Edited by leading figures, and with contributions from a diverse group of international authors, Minimally Invasive Dentistry is a useful reference for undergraduate and postgraduate dental students. It is also a practical guide for the whole dental team.

Aylin Baysan, BDS, MSc, PhD, MFDS RCS (Edin), FHEA, is a Clinical Senior Lecturer (Specialist Registrar) at Queen Mary University of London.

Paul Anderson, BSc, PhD, is Professor of Oral Biology at Queen Mary University of London.

List of Contributors ix

Foreword xi

Preface xiii

About the Companion Website xiv

1 Introduction to Minimally Invasive Dentistry: History of Minimally Invasive Dentistry and Key Concepts 1
Aylin Baysan and Kenneth Eaton

Key Topics 1

Learning Objectives 1

Introduction 1

The Epidemiology of Dental Caries Worldwide 2

The Epidemiology of Periodontitis Worldwide 4

The Epidemiology of Tooth Wear 5

The Epidemiology of Tooth Loss 5

The Concept of Minimally Invasive Dentistry (MID) 7

Principles of Minimally Invasive Dentistry (MID) with Advantages and Disadvantages 7

The History of Minimally Invasive Dentistry (MID) 8

Summary 8

Further Reading 9

References 9

2 Where Are We with the Evidence for Minimally Invasive Dentistry? 11
Derek Richards and Valeria Marinho

Key Topics 11

Learning Objectives 11

Introduction 11

Clinical Experiences and Patient Values 12

Evidence 12

Clinical Experience 13

Patients Values 13

The Evidence-based Approach 13

Asking Answerable Questions 14

Searching for the Best Evidence 14

Evidence-based Computerised Decision Support Systems 15

Evidence-based Guidelines 15

Systematic Reviews 15

Individual Studies 16

Critical Appraisal 16

Applying the Evidence 17

Evaluating the Outcome 17

High Quality Evidence in Relation to MID 17

Cochrane Reviews on the Effects of Minimal Intervention Approaches in Caries Management 18

The Main Findings/Conclusions from Each Review Were 19

Cochrane Reviews on the Effects of Other MID Approaches (Consequences of Dental Caries) 21

Summary 22

Further Reading 22

References 23

3 Molecular Dentistry: Role of Salivary Proteins in Dental Hard Tissue Protection 25
Paul Anderson

Key Topics 25

Learning Objectives 25

Introduction 25

Protein Control of Enamel Formation 26

The Inorganic Chemistry of Dental Hard Tissue Mineral Loss 27

The Role of the Organic Proteins of Saliva in Enamel Mineral Preservation 30

Biomineralisation and Bio-demineralisation/remineralisation 31

The Potential Roles of Protein Engineered Salivas in Minimally Invasive Dentistry 32

Overall Conclusion 33

References 33

4 Dental Caries Risk Assessment and Early Caries Detection 35
Bennett T. Amaechi

Key Topics 35

Learning Objectives 35

Introduction 35

What Is Caries Risk Assessment and Its Benefits? 37

The Components and Uses of Caries Risk Assessment Tools 38

The Caries Risk Likelihood Matrix 45

Identification of Factors Predictive of Risk 46

Caries Detection, Activity Assessment, Staging, and Diagnosis in Caries Risk Assessment 47

Visual Caries Detection 47

Detecting Early Lesions on Buccal, Lingual and Root Surfaces 49

Detecting Early Caries in Pits and Fissures on Tooth Surface 51

Detecting Lesions on Tooth Proximal Surfaces 52

Detecting Early Caries around Restorations 53

Assessing Caries Lesion Activity 53

Staging of the Caries Process 54

Radiographic Detection of Early Caries 56

Diagnosis of Dental Caries 57

Clinical Application of Caries Risk Assessment 57

Summary 57

Further Reading 58

References 58

5 Management of Dental Caries: Minimally Invasive Dentistry vs. Conventional Strategies 65
John Featherstone

Key Topics 65

Learning Objectives 65

Introduction 65

Clinical Challenges to Manage Dental Caries 66

Caries Risk Assessment and the Process 67

Disease Indicators 68

Biological and Environmental Risk Factors 70

Protective Factors 70

Determining the Caries Risk as Low, Moderate, High, or Extreme 71

Levels of Chemical Therapy Needed According to the Caries Risk Assessment 71

Low Caries Risk Chemical Therapy 72

Moderate Caries Risk Chemical Therapy 72

High Caries Risk Chemical Therapy 72

Extreme Caries Risk Chemical Therapy 73

Anticaries Agents and Delivery Systems 73

Bioactive Materials and the Future 74

When to Consider Conventional Treatment in High Risk Patients? 74

Summary 74

Further Reading 75

References 75

6 Intraoral Vaccine and Their Potential Clinical Use 77
Lesley Ann Bergmeier

Key Topics 77

Learning Objectives 77

Introduction 77

A Brief History of Vaccination 78

Principals of Vaccination 78

Types of Vaccine Preparations 80

Immunisation 83

The Structure and Function of the Oral Cavity 84

Immune Responses in the Oral Cavity 85

Inflammation and the Immune Response: Defending the Barricades 85

Inductive and Effector Sites in the Oral Cavity 88

Mucosal Immunisation and Oral Tolerance 89

Oral Diseases and Vaccination 89

Dental Caries 90

Periodontal Disease 91

Behçet’s Disease (BD) 92

Sublingual and Buccal Vaccine Delivery 92

‘Biologics’-passive Immunotherapy with Monoclonal Antibodies 93

Cancer 95

Summary 95

References 96

7 Can Minimally Invasive Strategies Be Applicable in Restorative Dentistry? 101
Sevil Gurgan, Zeynep Bilge Kutuk, and Aylin Baysan

Key Topics 101

Learning Objectives 101

Introduction 101

Evolution of Minimally Invasive (MI) Strategies in Restorative Dentistry 102

mi Operative Management Strategies in Anterior and Posterior Dentition 103

mi Management of Early Carious Lesions 103

Fissure Sealants 103

Preventive Resin Restoration (PRR) 104

Resin Infiltration Technique 104

mi Restorations in Non-Carious Cervical Lesions 105

mi Management for Deep Carious Lesions 105

Remineralisation of Demineralised Dentine 105

Cavity Design and Principles for MID 106

Appropriate Excavation Methods 106

mi Restorations in Posterior Teeth 107

mi Restorations in The “Aesthetic Zone” 107

“No-Prep” Adhesive Restorations: Another Way to Deal with Problems Related to Aesthetics 108

Management of Tooth Discoloration with MI Approach 108

Tooth Whitening/Bleaching 108

Management of Tooth Wear with MI Approaches 111

Tooth Loss and MI Restorative Approaches 113

An Alternative Replacement Approach to Tooth Loss: Resin Bonded Bridges 113

Repair of Defective Restorations 115

Summary 116

Further Reading 117

References 117

8 Dental Materials and Their Clinical Implications in Minimally Invasive Dentistry 123
Saroash Shahid and Robert Hill

Key Topics 123

Learning Objectives 123

Introduction 123

Glass Ionomer Cements and the Atraumatic Restorative Treatment (ART) 124

Bioactive Dental Composites 126

Cention N 126

Activa Bioactive 127

Bioactive Glass as Remineralizing Agent 127

Original Studies by Hench and Spilman on Incorporating Fluoride 129

New Fluoride- Containing Bioactive Glasses 129

Sol=Gel Fluoride- Containing Bioactive Glasses 130

Chloride- Containing Bioactive Glasses 131

Incorporating Bioactive Glasses into Resin Matrices 131

Summary 135

Further Reading 135

References 136

9 Where Are We with a Minimally Invasive Approach in Periodontology? 141
David Gillam, Nik Pandya, and Wendy Turner

Key Topics 141

Learning Objectives 141

Introduction 141

Changing Concepts: Dynamic Paradigm Shifts in Dentistry and in Periodontology 142

Non-surgical and Surgical Procedures in Periodontology 143

Non-surgical Procedures 144

Surgical Procedures in Minimally Invasive Periodontal Surgery (mips/mist) 146

Advantages of Minimally Invasive Periodontal Surgery 146

Disadvantages of Minimally Invasive Periodontal Surgery 147

Example of Applying the Principles of Minimal Invasive Periodontal Surgery in a Periodontal Practice 148

Relevant Medical and Dental History 148

Clinical Examination 148

Main Complaint 149

Surgical Procedure 149

Post-operative Instructions 150

Patient Outcomes 151

Post Script 152

Concluding Remarks 152

Glossary 153

Further Reading 155

References 155

10 Pulp and Endodonic Regeneration 158
Alastair J. Sloan

Key Topics 158

Learning Objectives 158

Introduction 158

The Dentin-Pulp Complex 159

Dental Pulp Stem Cells and Regeneration of the Dentine-Pulp Complex 161

Vital Pulp Therapy 163

Regenerative Endodontics 165

Summary 167

References 168

11 Minimally Invasive Dentistry in Paediatric Dentistry 173
Paul Ashley and Ferranti Wong

Key Topics 173

Learning Objectives 173

Introduction 173

Differences between Primary and Permanent Teeth and How This Will Influence the MI Approach 174

Eruption and Exfoliation 174

Thinner Enamel and Dentine 175

Pulp Chamber and Canals 175

Dental Materials for Primary Teeth 176

Differences between Treating Children and Adults and How This Will Influence the MI Approach 177

Managing Behaviour 177

Health Promotion for Children 177

mi Therapies for Children 178

Silver Diamine Fluoride 178

Sealing in Caries 178

Atraumatic Restorative Technique 180

Summary 180

References 180

12 Minimally Invasive Dentistry in Orthodontics 182
Tarek EL-Bialy

Key Topics 182

Learning Objectives 182

Introduction 182

New Technologies in Orthodontics (Diagnosis and Treatment Options) 183

How New Technologies in Orthodontics Help Achieving Minimally Invasive Orthodontics 185

Anchorage 186

Dentofacial Orthopedics 186

Accelerated Tooth Movement 187

Summary 187

References 188

Index 190

Erscheinungsdatum
Verlagsort Hoboken
Sprache englisch
Maße 170 x 244 mm
Gewicht 408 g
Einbandart kartoniert
Themenwelt Medizin / Pharmazie Zahnmedizin Klinik und Praxis
Medizin / Pharmazie Zahnmedizin Studium der Zahnmedizin
ISBN-13 9781119215066 / 9781119215066
Zustand Neuware
Informationen gemäß Produktsicherheitsverordnung (GPSR)
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