The concept of Minimally Invasive dentistry has evolved as a consequence of our increased understanding of the caries process and the development of adhesive restorative materials. MID aims to preserve original tissue and conserve healthy tooth structure. The philosophy or early detection of caries and treating the cause of caries to prevent the disease is an important part of minimally invasive dentistry.
The important aspects of minimally invasive dentistry are.
- Accurate diagnosis of the risk of disease and lesions
- Primary prevention
- Just in time, restoration – early diagnosis and intervention
- Less invasive operative procedures
- Secondary prevention
In pediatric dentistry the MID helps in building a more positive relationship between the dental visits and the child. It reduces their anxiety and enhances comfort and helps children become more confident and relaxed during their dental visits. The treatment is performed with minimal or no drilling. The most important aspect is early diagnosis, every 6 months dental visit is very important (it is covered by a100% with most insurances, please use your benefits).
The key components of MID are:
- Fluoride varnish – Children receiving fluoride varnish applications have 37%-43% reduction in dental caries
- Sealants – It offers up to 76% protection from pit and fissure caries
- Silver Diamine Fluoride – it can arrest upto80% of the treated lesions
- Resin infiltration technique – It can re-mineralize the proximal non cavitated lesions and coupled with fluoride can reduce the progress of proximal lesion (23%)
- SMART restorations – Use of glass ionomer restorative material after arresting with SDF and involving no or minimal drill use
- Hall Crown – Hall technique is use of stainless-steel crowns to restore the primary back teeth after arresting with SDF and no drilling.
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