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Dental materials - is the future now?

A minimum intervention approach to oral health in an ageing population

Key points

  • The adoption of a comprehensive minimum intervention (MI) approach is imperative to address the challenges posed by demographic changes. Education of dental professionals as well as patients plays a crucial role in the successful integration of MI techniques into practice.

  • Maintaining the tooth vitality is important for an optimal prognosis and should be considered when selecting the proper materials and caries removal techniques.

  • There is growing evidence that glass hybrids are a cost-effective and durable option for a minimally invasive restoration of teeth.

  • Conscientious material selection, with a focus on cost-effective, pulp-friendly choices like glass hybrids, recognises the delicate equilibrium between intervention and preservation.

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References

  1. Ten Cate D M, van Duinen R N. Hypermineralization of dentinal lesions adjacent to glass-ionomer cement restorations. J Dent Res 1995; 74: 1266-1271.

  2. Knight G M, McIntyre J M, Craig G G, Mulyani. Electron probe microanalysis of ion exchange of selected elements between dentine and adhesive restorative materials. Aust Dent J 2007; 52: 128-132.

  3. Mickenautsch S, Mount G, Yengopal V. Therapeutic effect of glass-ionomers: an overview of evidence. Aust Dent J 2011; 56: 10-15.

  4. Miletić I, Baraba A, Krmek S J et al. Clinical performance of a glass-hybrid system in comparison with a resin composite in two-surface class II restorations: a 5-year randomised multi-centre study. Clin Oral Investig 2024; 28: 104.

  5. Schwendicke F, Rossi J G, Krois J et al. Cost-effectiveness of glass hybrid versus composite in a multi-country randomized trial. J Dent 2021; 107: 103614.

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Correspondence to Bart Dopheide.

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Dopheide, B. A minimum intervention approach to oral health in an ageing population. Br Dent J 236, 457 (2024). https://doi.org/10.1038/s41415-024-7183-4

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  • DOI: https://doi.org/10.1038/s41415-024-7183-4

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