engleski

Minimum Intervention Treatment Plan - Putting MI into practice Part 2 - MI Prevent: Stop caries and prevent it from progressing

Introduction & objectives: The Minimum Intervention (MI) concept is well described in the literature and summarizes the clinical rationale for the preventive and cause-related approach in cariology. The aim of the Pan-European group of academics and GPs - the GC Europe MI Advisory Board – is to present an evidence-based treatment approach for the clinical dental practice. Materials & methods: Evidence-based literature review Results & discussion: MI Prevent deals with “ preventive care” and “ dental recall frequency” . Depending on the susceptibility and the risk factors of the patient, preventive treatment regimens are instituted. The standard approach for all includes oral hygiene recommendations, dietary advice, patient motivation and maintenance. This standard approach is not sufficient alone to control caries for patients with a high susceptibility. Those patients with more risk factors need active preventive care. This includes decontamination (professional mechanical tooth cleaning, antimicrobial gels and rinses, transitional restoration placement), remineralisation (fluoride, casein-phosphopeptide amorphous calcium phosphate), xylitol and salivary stimulation, dental sealants (composite or glass ionomer cement). Repeated diagnosis of the risk factors will be used to assess the need for the precise level of preventive measures and the amount of recall sessions individualised for each patient.

minimum intervention; caries risk; remineralization

nije evidentirano