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Operative Dentistry - Best Practices

Smooth Surface Caries Non-cavitated & Cavitated

(last modified August 8, 2014)

Overall management of smooth surface caries is best demonstrated in the algorithms below from our pre-doctoral teaching textbook -Summitt’s Fundamentals of Operative Dentistry 4th Edition, Figures 5-14 and 5-25. Note that resin infiltration techniques are only covered in the classroom and are not currently performed in our pre-doctoral clinics.

See texbook figure 5-14.  Copyright permission has been requested.
Diagram will be posted when permission has been granted.

Fig 5-14 Algorithm for diagnosis and management of caries lesions in proximal coronal surfaces of permanent teeth based on radiographic classification of lesions. (Courtesy of the Department of Comprehensive Dentistry, University of Texas Health Science Center at San Antonio.) E1—less than halfway through proximal enamel; E2—more than halfway through proximal enamel, not penetrating past the dentinoenamel junction; D1—slightly past the DEJ; D2—less that halfway through dentin toward the pulp; D3—halfway or more through dentin.

See texbook figure 5-25.  Copyright permission has been requested.
Diagram will be posted when permission has been granted.

 

Fig 5-25 Algorithm for management of initial caries lesions in nonproximal coronal smooth surfaces of permanent teeth. RMGI—resin-modified glass ionomer. (Courtesy of the Department of Comprehensive Dentistry, University of Texas Health Science Center at San Antonio.)