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Minimally Invasive Restorative Dentistry: A Biomimetic Approach

When providing dental treatment for a given patient, the practitioner should use a minimally invasive technique that conserves sound tooth structure as a clinical imperative.  Biomimetics is a tenet that guides the author’s practice and is generally described as the mimicking of natural life.  This can be accomplished in many cases using contemporary composite resins and adhesive dental procedures.  Both provide clinical benefits and support the biomimetic philosophy for treatment. This podcast discusses a minimally invasive approach for the restoration of carious cervical defects created by poor hygiene exacerbated by the presence of orthodontic brackets.

*Private practice, St. Paul, MN 


Learning Objectives:

This podcast discusses minimally invasive procedures for treating and restoring damaged teeth due to cavitated carious lesions.  Upon completing this podcast, the listener should:

  • Become familiar with a variety of treatment options that are available and their varying levels of invasiveness
  • Understand the importance of conserving as much natural tooth structure as possible and how this can benefit subsequent treatments.


Related Reading:

  1. Kressin NR, Boehmer U, Nunn ME, Spiro A 3rd. Increased preventive practices lead to greater tooth retention. J Dent Res 2003;82(3):223-227.
  2. Widstrom E. Prevention and dental health services. Oral Health Prev Dent 2004;2(Suppl1):255-258.
  3. Greenwell L. Bleaching techniques in restorative dentistry: An Illustrated Guide. London, UK: Martin Dunitz, 2001:1-23.
  4. Loesche WJ. Chemotherapy of dental plaque infections. Oral Sci Rev 1976;9:65-107.
  5. Steinberg S. A paradigm shift for caries diagnosis and treatment—Part I: Diagnosis. J Pract Hygiene 2004;13(2):27-30.
  6. Christensen GJ. The advantages of minimally invasive dentistry. J Am Dent Assoc 2005;136(11):1563-1565.
  7. White JM, Eakle WS. Rationale and treatment approach in minimally invasive dentistry. J Am Dent Assoc 2000;131(9):1250, 1252.
  8. Rainey JT. Understanding the applications of microdentistry. Compend Contin Educ Dent 2001;22(11A):1018-1025.
  9. Brantley CF, Bader JD, Shugars DA, Nesbit SP. Does the cycle of rerestoration lead to larger restorations? 1995;126(10):1407-1413.
  10. Lutz F, Krejci I, Besek M. Operative dentistry: the missing clinical standards. Pract Periodont Aesthet Dent 1997;9(5):541-548.
  11. Additional aids to the remineralization of tooth structure. In: Reynolds EC, Walsh LJ. Preservation and Restoration of Teeth. 2nd ed. 2005, p111-118.
  12. Manhart J, Mehl A, Schroeter R, et al. Bond strength of composite to dentin treated by air abrasion. Oper Dent 1999;24(4):223-232.
  13. Berry EA 3rd, Ward M. Bond strength of resin composite to air-abraded enamel. Quintessence Int 1995;26(8):559-562.
  14. Rosenberg SP. Air abrasion in the aesthetic restorative practice. Pract Periodontics Aesthet Dent 1999;11(7):843-844.
  15. Bryant CL. The role of air abrasion in preventing and treating early pit and fissure caries. J Can Dent Assoc 1999;65(10);566-569.
  16. Okuda WH. Achieving optimal aesthetics for direct and indirect restorations with microhybrid composite resins. Pract Proced Aesthet Dent 2005;17(3):177-184.
  17. Mitra SB, Wu D, Holmes BN. An application of nanotechnology in advanced dental materials. J Am Dent Assoc 2003;134(10):1382-1390.
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