AI Article Synopsis
- Epidemiological data indicates a high prevalence of caries in proximal surfaces globally, affecting both primary and permanent teeth.
- The article introduces two new treatment methods—proximal sealing and proximal infiltration—for managing advancing proximal caries lesions near the enamel-dentine junction.
- While some studies show significant benefits of these treatments over traditional methods, further long-term research is needed to confirm their effectiveness in reducing caries progression.
Article Abstract
Unlabelled: Epidemiological data show that the prevalence of caries on proximal surfaces in need of operative treatment is very high around the world, both in the primary and the permanent dentition. This article presents two new treatment methods: proximal sealing and proximal infiltration. The indications are progressing proximal caries lesions, radiographically with a depth around the enamel-dentine junction. A small number of studies regarding the effect of sealing and infiltration on proximal caries versus the use of fluoride varnish, placebo treatment and flossing instructions have been carried out. About half of the studies disclose a not significant difference between test and control treatment. In the other half, the therapeutic effect is significant and corresponds to about 30% reduction in lesion progression. However, longitudinal studies of longer duration are lacking.
Clinical Relevance: Proximal sealing and proximal infiltration may have a place in the treatment of non-cavitated proximal lesions. Proximal caries is a problem in both primary and permanent dentitions. Proximal sealants or lesion infiltration are possible treatments.
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| http://dx.doi.org/10.12968/denu.2012.39.9.614 | DOI Listing |
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