The modern operator evaluates systematic reviews (e.g., Cochrane) before selecting materials. For instance, while amalgam remains an option for certain posterior stress-bearing areas, bulk-fill composites and glass hybrid restoratives now offer superior alternatives in many scenarios.
| Lesion type | Action | |-------------|--------| | Active white spot (smooth/proximal) | Remineralization (fluoride/CPP-ACP/SDF) + monitor | | Inactive white spot | Seal with resin infiltration or sealant | | Micro-cavitated (≤0.5mm enamel) | Resin infiltration or minimal composite | | Cavitated into dentin, no pulp symptoms | Selective caries removal + bonded composite | | Deep lesion (pulp symptoms) | Pulp capping (bioceramic) or partial caries removal + liner | | Fractured cusp / cracked tooth | Bonded composite overlay or onlay (CAD/CAM) | | Failed composite margin (leakage) | Repair only defective area – re-bond | The modern operator evaluates systematic reviews (e
For more detailed insights on these principles, you can explore the textbook Modern Operative Dentistry: Principles for Clinical Practice by Springer. textbook outline the core tenets of today's clinical
textbook outline the core tenets of today's clinical protocols. Core Principles of Modern Operative Dentistry Cochrane) before selecting materials. For instance