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Microdentistry? Traditional dentistry is based on principles developed by Dr. GV Black over a century ago with the goal of using amalgam filling material. When composite as a filling material was introduced to dentistry, the same principles of tooth preparation were followed as for amalgam. Recently new thinking concerning restoring teeth has led to an alternative to traditional dentistry termed Microdentistry. Based on current research, microdentistry views the tooth as a living organism that can decay (demineralize) and heal (remineralize). The outer layer of the tooth (enamel) is the primary defense measure against decay. Fortunately this outer layer has the ability to heal, if the decay does not penetrate to the second layer (dentin). The toothpaste Enamelon was developed to help promote remineralization. If the decay has advanced to the dentin some form of restoration is necessary. Microdentistry's goal is to remove decay with as little collateral damage to the tooth as possible. This is done by making minimally invasive preparations in the tooth, while leaving as many solid structures intact preserving the structural integrity of the tooth. In many respects this is a minimalist approach to dentistry. Decay detecting stain is used to find the decay, followed by placement of a composite filling. To achieve this degree of precision an important aspect of microdentistry is the use of magnification by the dentist. This is achieved with either loops or a microscope. Dental care is a changing field, with a new understanding of the biology of tooth decay. Fortunately patients will benefit from Microdentistry with longer lasting restorations, more comfortable treatment, and more beautiful smiles. John
V. Reitz, D.D.S., F.A.G.D. Copyright
2010. All rights reserved. |
