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Stop caries can be without drilling and sealing
For those who are afraid of dental drills and dentists, there was good news. According to a 7-year study by scientists from the University of Sydney (University of Sydney), Australia, the need for dental fillings can be reduced by 30–50% thanks to preventive oral care.
Usually, the holes in the teeth, formed as a result of caries, are reamed with a drill, and then filled with filling materials.
Research by scientists from the University of Sydney showed that the process of tooth decay (at the stage of early carious decay) can be stopped and prevented without applying the traditional approach (drilling and filling), which has dominated dental practice for many decades. During the study, scientists focused on identifying caries at an early stage and stopping the process of further tooth decay.
According to the lead author of the study, Professor Wendell Evans, the use of fillings in many cases is not a mandatory procedure: “For a long time, it was widely believed that dental caries spread rapidly and the best way to prevent its development - if it is detected, immediately drill out the hole and install filling to prevent further tooth decay. However, years of research have shown that caries does not actually spread as quickly as previously thought. Thus, on average, it takes 4–8 years for the disease to go from the initial stage of destruction of the outer layer of the tooth (enamel) to destruction of the internal (dentin). This time is enough to identify and fix the problem before sealing is required. ” From the point of view of Professor W. Evans, the prophylactic approach has advantages over the current practice of caries treatment, and the tooth must be drilled when there is a hole in it, that is, when its cavity is already visible.
Scientists from the University of Sydney have developed a system for caries treatment without using a drill (focus on the treatment of early caries). Thus, in the dental practice, it is recommended that local use of dental protective fluoride in the early stages of caries development. It is also worth spending more time teaching patients how to use a toothbrush and other oral hygiene skills. Patients are advised to reduce the number of snacks and drinks containing added sugar. You should also pay more attention to those at risk.
This system has been tested in Australia for 7 years. The method showed that at the beginning of the destruction of caries can be stopped and prevented, as a result of which the need for drilling and sealing has sharply decreased. Thus, the need for filling among patients of this program was reduced by 30–50% compared with the control group.
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