Preventive and Minimal Intervention Dentistry
The relatively recent concept of “Minimal Intervention (MI) dentistry” has assimilated a range of preventive disease management approaches. MI dentistry, integrates modern methods of ‘minimalist’ management of enamel demineralisation. This is in contrast to the traditional surgical approach of drilling and filling, which treats the observable clinical signs of the disease, with little or no emphasis on prevention, rather than dealing with the underlying causes and processes of the active disease or disorder.
Minimal Intervention dentistry has evolved as a consequence of the increasing understanding of the caries process, improved risk assessment techniques, the increased availability of new detection/diagnostic tools, as well as developments in remineralisation technologies, adhesive materials and bonding techniques. It is now recognised that “early stage” – demineralised but non-cavitated – enamel can be “healed” and that the surgical approach to treatment (along with “the extension for prevention”), as proposed by Black over a century ago, is no longer appropriate. ¹
The CALCiViS minimal intervention principle is simple:
- Screen potential demineralisation sites (ICDAS code 1, 2 & 3) lesions using accepted risk assessment methods.
- Perform a CALCiViS imaging system ‘capture’ of identified sites to aid diagnosis of active demineralisation, share and discuss the results chair side with the patient or carer.
- Recommend patient actions to minimise identified risk factors, thus aiding the prevention of further demineralisation.
- Treat identified active lesions using (non-surgical) reparative mineralising materials and/or sealing techniques to aid repair of enamel structure and help protect against further damage.
- Follow up patient to assess demineralisation status.
Implementing CALCiViS minimal intervention effectively involves all the above preventive approach elements being integrated fully.