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    How to use minimal intervention for maximum effectiveness

    By using the Microcopy 1300 FS bur in combination with resin materials, clinicians can provide minimal intervention with maximum effectiveness.

    In the days of G.V. Black dentistry, the watch-and-wait approach actually had a tremendous amount of merit. Clinicians, at times, were able to diagnose caries at an early stage; however, preparation form for amalgam restorations did not lend itself to conservative dentistry.

    Even if caries was diagnosed at an early stage, a significant amount of tooth structure would need to be removed simply to retain these restorations. In the last decade, numerous technologies have come to market, allowing practitioners to discover caries at the early stage, and the practitioner now has the ability to treat this disease through remineralization protocols or minimally invasive surgical intervention.

    More from Microcopy: How to extract teeth as atraumatically as possible

    Bur selection 

    If a practitioner chooses to remove the caries surgically from the tooth, he or she must focus on creating a conservative preparation form and maintaining as much tooth structure as possible. Resin restorations do not require specific preparation parameters, and the goal with these restorations is simply to remove the decay. In the past, the bur of choice for operative preparations was a 557 or 330 bur. While decay can most definitely be removed with these burs, unfortunately an extensive amount of healthy tooth structure is also unnecessarily removed due to the relative large size of these burs. In this day and age, one must consider using the smallest instrument possible. Hard-tissue lasers and air-abrasion units can offer a conservative means for caries removal; however, these devices require a large-to-moderate investment in equipment, and the workflow can become more complicated than necessary. 

    A simpler solution may be to simply opt for innovative and cost-efficient smaller burs that have been designed for conservative restorations. These burs tend to have appropriate cutting efficiency yet they are nearly 70 percent smaller than traditional operative burs.  

    Continue to page two for more...

     

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