Minimal Intervention Flashcards
Who is GV Black?
The founder of modern dentistry. Invented the GV Black classification system. Creator of extension for prevention philosophy
Disadvantages of extension for prevention
Cutting too much sound tooth tissue
Weakened tooth structure
Why did GV Black day that extension for prevention was necessary
To gain access and visibility
Remove all trace of caries and demineralised enamel
Make room for the restoration
Provide mechanical locking (c2 dovetail)
Extend the cavity to self cleansing areas to reduce caries
Why practice minimal intervention
Improve oral health of patients
Better restorations
Improve treatment outcomes
Less stressful dentistry
Philosophy of minimal intervention
Prevention Remineralisation Small restorations Diagnose early caries and risk factor Reduce cariogenic bacteria Arrest active lesions Preventative treatment Use radiographs Ohi&ed Durable materials
3 approaches for minimal intervention
Identify
Prevent
Restore
What is the ART technique
Atraumatic restorative treatment technique.
Soft infected dentine is removed using hand instruments. Cavities kept to a minimal design. Use GIC and resins
Usually in less industrialised countries