Minimal Intervention Dentistry

Question 1

Defination of MID

Answer 1

Is the philosophy of professional care concerned with the first occurrence, earliest detection and earliest cure of the disease on a molecular level followed by minimally invasive and patient-friendly treatment to repair irreversible damage caused by such disease.

Question 2

Topical fluoride MOA

Answer 2

1. Increase resistance of tooth structure to demineralisation
2. Enhance process of remineralisation
3. Reduce cariogenic potential of plaque

Question 3

Sources of fouoride

Answer 3

Systemic

• water fluoridation
• drops
• lozenges
• tablets
• diet: milk, salt, sugar, flour

Topical

• Professional: varnish, gel solution, foam
• home application: toothpastes and mouthwash

Question 4

Tooth mouse and MI paste + short notes

Answer 4

• CPP-ACP: casein phosphopeptide - amorphous calcium phosphate
• MI+ level of fluoride is 900 ppm equal to that in adult toothpaste
• it binds to biofilm, plaque, bacteria, hydroxyapatite and soft tissue localising calcium, phosphate and fluoride
• It is applied after flossing and brushing
• it is used for
  Hypersensitivity
  Ortho treatment
  Xerostomia
  Special needs patients