Răzvan-Constantin Brânzan, Emilia Bologa, Andrei Georgescu, Simona Stoleriu, Ionuț Tărăboanță, Alexandru Iovan, Claudiu Topoliceanu, Sorin Andrian
The traditional view, that consider the carious disease as an infectious disease where the therapeutic strategy requires the removal of bacteria and affected tissues, is no longer valid today. Alternative therapies involving the control of causative factors (carbohydrate restrictions, biofilm removal) or to rebalance de- and remineralization processes (fluoride and other remineralization strategies or sealing placement) have become the cornerstone of “the tooth decay management”. These new therapies allow “the inactivation / control of the caries process, preservation of dental hard tissues, avoidance of repetitive restorative cycle, and maintenance of the tooth throughout the patient’s life “.
Today we have techniques for the selective removal of decayed the carious tissues that maintain a minimal area of soft or firm dentin near to the pulp and create a sealing area on the periphery in which healthy dentin and enamel on the walls and borders of the cavity provide an effective substrate for bio-adhesive restorations.