What is stepwise dental?
Stepwise excavation is a method of managing deep/extensive/advanced dentinal caries lesions to reduce the risk of pulpal exposures and pulpal pathosis by removing the caries lesion in separate appointments with ≥ 6 month intervals.
How do you remove a deep Carie?
Deep caries may be selectively removed in either a one- or two-step process. In a one-step process, the lesion on the pulpal floor is removed until firm, leatherlike dentin is encountered. This firm, affected dentin may be remineralized18 and serves to protect pulpal health.
How do you prevent carious lesions?
Four main preventive strategies have been developed: fluorides administration, fissure sealing, dietary choice, and plaque control. Caries is a dynamic and reversible process. The initial demineralization step occurs when plaque acids on the tooth surface dissolve calcium and phosphate ions from the hydroxyapatite.
Why do we remove caries?
A main aim of carious tissue removal which applies today is to increase the longevity of the subsequently placed restoration through creating sufficient wall space to bond to. The second argument targets the bacteria which are sealed. Large numbers of bacteria may be sealed in and inactivated.
What is step wise excavation?
Stepwise excavation consists of removal of the infected dentin and preserving a layer of deeper caries-affected dentin, if pulp exposure is probable during excavation.3–5 Thus, the first step consists of partial caries removal, indirect pulp capping with calcium hydroxide and cavity sealing.
What is caries mean in English?
tooth decay
Definition of caries : a progressive destruction of bone or tooth especially : tooth decay.
What is stepwise caries removal?
Stepwise removal Stepwise removal is carious tissue removal in two stages/visits. 12,24,25 Soft carious tissue is left only over the pulp in the first visit and peripheral dentine is prepared to hard dentine, to allow a complete and durable seal of the lesion.
What is remaining dentine thickness?
Previous studies have suggested a remaining dentine thickness of 2 mm for protection of the pulp,17 others suggest 1 mm18 but a minimum of 0.5 mm is now accepted. 8 When the lesion reaches within 0.25 mm-0.3 mm of the pulp, inflammatory reactions of pulpitis and hyperaemia are initiated.
What is direct pulp capping?
Direct pulp-capping is a method for treating exposed vital pulp with dental material to facilitate the formation of reparative dentin and to maintain vital pulp.
What is a tooth excavation?
A tooth extraction is the permanent removal of a tooth from its socket and may be done manually using forceps or surgically. Extraction is recommended when the tooth cannot be saved with other treatments such as root canal treatment and to prevent infection from spreading to other areas of your mouth.
