Minimal intervention dentistry principles and objectives

Walsh, L. J. and Brostek, A. M. (2013) Minimal intervention dentistry principles and objectives. Australian Dental Journal, 58 SUPPL.1: 3-16. doi:10.1111/adj.12045

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Author Walsh, L. J.
Brostek, A. M.
Title Minimal intervention dentistry principles and objectives
Journal name Australian Dental Journal   Check publisher's open access policy
ISSN 0045-0421
Publication date 2013-06
Year available 2013
Sub-type Article (original research)
DOI 10.1111/adj.12045
Open Access Status File (Author Post-print)
Volume 58
Issue SUPPL.1
Start page 3
End page 16
Total pages 14
Place of publication West Sussex, United Kingdom
Publisher Wiley-Blackwell
Collection year 2014
Language eng
Abstract Minimum intervention dentistry (MID) is the modern medical approach to the management of caries, utilizing caries risk assessment, and focusing on the early prevention and interception of disease. Moving the focus away from the restoration of teeth allows the dentist to achieve maximum intervention, with minimal invasive treatments. The four core principles of MID can be considered to be: (1) Recognition – early identification and assessment of potential caries risk factors through lifestyle analysis, saliva testing and using plaque diagnostic tests; (2) Reduction – to eliminate or minimize caries risk factors by altering diet and lifestyle habits and increasing the pH of the oral environment; (3) Regeneration – to arrest and reverse incipient lesions, using appropriate topical agents including fluorides and casein phosphopeptides-amorphous calcium phosphates (CPP-ACP); (4) Repair – when cavitation is present and surgical intervention is required, conservative caries removal is carried out to maximize the repair potential of the tooth and retain tooth structure. Bioactive materials are used to restore the tooth and promote internal healing of the dentine. Effective implementation of MID involves integrating each of these four elements into patient assessment and treatment planning. This review paper discusses the key principles of MID as a philosophy of patient care, and the practical objectives which flow into individual patient care.
Keyword Dental caries
Caries risk assessment
White spot lesion
Early intervention
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Dentistry Publications
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Citation counts: TR Web of Science Citation Count  Cited 49 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 18 times in Scopus Article | Citations
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Created: Fri, 04 Jan 2013, 14:28:47 EST by Professor Laurence Walsh on behalf of School of Dentistry