The benefits of ‘no drill’ dentistry

Natural Health News – This is good news if you’re not a fan of dentist’s drill


A new study by Australian researchers has shown that dental caries (tooth decay) can stop, reverse, and prevented without the need for traditional approach ‘and fill the hole’ that has dominated dental care for decades.

The results of the seven-year study, published in Community Dentistry and Oral Epidemiology found that the need for landfills was drastically reduced as a result of preventive oral care alone.

Fillers is not always necessary

“It is necessary that patients have fillings because they are not required in many cases of tooth decay,” said lead author of the study, associate professor Wendell Evans of the University of Sydney professor. what you need to know

Tooth decay has long been assumed that require aggressive treatment to stop its progression. This treatment consists of ‘drilling and filling’ immediate tooth.

But new research suggests that caries not always progresses rapidly and that an active” watch and wait “policy, which involves good dental hygiene can slow its progression and reduce the need for fillings up to 50%.

The authors call for a new approach, more cautious dental practice.

“This research indicates the need for a major change in the way tooth decay is managed by dentists … Our study shows that a preventive approach has important advantages compared to current practice.”

Evans goes on to say that for a long time it was believed that dental caries is a phenomenon of rapid progression and the best way to handle it was to identify early decay and removed immediately in order to prevent tooth surface rupture in the cavities. After removing decay, the tooth is restored with a filling material -. A process sometimes referred to as “perforating and filling ‘

“However, 50 years of research studies have shown that tooth decay is not always progressive and develops more slowly than previously thought. For example, an average of four to eight years of decline is needed to the progress of the outer layer of the tooth (enamel) to the inner layer (dentin). that’s a lot of time to decay that is detected and treated before it becomes a cavity and requires a filling, “says Evans .

“partnership” between the dentist and the patient

In response to this Evans and his team have developed the System Management caries (CMS) – a set of protocols that help dentists to assess the risk of caries, interpret dental radiographs, and initiate specific treatment incipient caries (tooth decay is still not a cavity).

This system has four key points:

  • Application of high concentration fluoride varnish by dentists to sites of early decay
  • attention to teeth brushing skills at home
  • Restriction snacking between meals and beverages containing added sugar
  • monitoring specific risk.

tested in high-risk patients showed that early decay could stop and reverse, and that the need for drilling and filling was reduced by 30-50% compared with the control group.

“A tooth must be drilled and filled where a hole-in-the-tooth (caries) real is already evident,” Evans said.

he adds that the reduced risk and less need for fillings cavities was understandably received by patients. However, it is emphasized that patients play an important role in the success of treatment and calls for dentists and patients must work together to be more successful.

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