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Conservative dentistry
Conservative dentistry is a branch of dentistry restorative that deals with the care of teeth affected by carious processes, procedures for the elimination of caries and those relating to the closure of cavities resulting from the elimination of carious enamel and dentin.
What is conservative dentistry?
Despite enamel And dentin are not innervated, in many cases local anesthesia is required. Subsequently, the decayed dental tissue is removed and the residual cavity is shaped. The cavity is then filled with the most appropriate filling material (aesthetic composite resins).
The removal, the shaping of the cavity and the modeling of the filling are performed with the aid of burs mounted on rotating instruments (commonly recognized by patients with the term "drill").
Sometimes, to give greater stability to the restoration, pins screwed or glued into the root of the tooth can be used as an aid.
What are the alternatives to conservative dentistry?
The alternative is the reconstruction performed in the dental laboratory: on the basis of an impression of the missing area, the technician can build an inlay in composite resin or metal material which, once finished, is glued to the tooth, rehabilitating it.
Is it a risky treatment?
If the anchoring surfaces of the reconstruction are reduced, it is possible that the filling may detach. If, on the other hand, the residual walls of the tooth were very thin, there is a risk of fractures.
In the event that the caries is very extensive to affect the pulp, the need arises to have to devitalize the tooth; if, on the other hand, it was only very close to the pulp, an isolation can be applied, however running the risk that the tooth goes into necrosis leading to a subsequent devitalization.
It is important to follow a careful home oral hygiene, especially on the closing margin of the fillings without which you run the risk of seeing the filling infiltrate.
It is essential to always warn operators not to use latex gloves if you have any doubts or are certain you have an allergy to this material.