Commercially Available Ion-Releasing Dental Materials and Cavitated Carious Lesions: Clinical Treatment Options.


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Slimani A., Sauro S., Gaton Hernandez P., Gurgan S., TÜRKÜN L. Ş., Miletic I., ...More

Materials (Basel, Switzerland), vol.14, no.21, 2021 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 14 Issue: 21
  • Publication Date: 2021
  • Doi Number: 10.3390/ma14216272
  • Journal Name: Materials (Basel, Switzerland)
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, Aerospace Database, CAB Abstracts, Communication Abstracts, Compendex, INSPEC, Metadex, Veterinary Science Database, Directory of Open Access Journals, Civil Engineering Abstracts
  • Keywords: ion-releasing dental materials, <p>high/low patient caries risk & nbsp;& nbsp;</p>, cavitated carious lesions, CHEMOMECHANICAL CARIES REMOVAL, GLASS-IONOMER CEMENTS, MINIMUM INTERVENTION, BOND STRENGTH, MANAGEMENT, CONSENSUS, TECHNOLOGIES, PRETREATMENT, COMPOSITES, EXCAVATION
  • Hacettepe University Affiliated: Yes

Abstract

The contemporary approach for operative caries management emphasizes personalized interventions for each patient, dependent upon the individual's caries susceptibility/risk, the stage of the carious lesion and its activity. The clinician's challenge is to optimize the extent of cavity preparation and the choice of dental restorative biomaterials, appreciating the benefits offered by ion-releasing restorative materials. There is a growing application of bioactive/bio-interactive materials in minimally invasive operative dentistry, as they may help with tissue recovery by ion release. In case of moderate or extensive occlusal cavitation, the clinical criteria include the individual caries susceptibility and carious lesion activity. In high caries risk cases, ion-releasing biomaterials (IRB) can be used, as well as for active carious lesions. In proximal lesions, the clinical criteria include the individual caries susceptibility, the lesion activity and presence of cavities with little or no enamel at the gingival margin. This article aims to discuss the restorative ion-releasing options, according to different clinical situations, and the caries susceptibility to manage cavitated carious lesions in permanent adult teeth.