The non-operative resin treatment of proximal caries lesions

Kim Ekstrand, Stefania Martignon Biermann, Azam Bakhshandeh, David N J Ricketts

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)614-622
Number of pages7
JournalDental Update
Volume39
Issue number9
Publication statusPublished - Nov 2012

Keywords

  • Clinical Trials as Topic
  • Dental Caries
  • Dental Restoration, Permanent
  • Humans
  • Resin Cements

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