Conservative Dentistry goal is to preserve the natural teeth through the reconstruction of parts of the enamel and dentin worn or damaged by decay processes or as a result of trauma (direct and indirect fillings). It consists in the elimination of decayed tissue and subsequent recreation of the natural form aesthetics and functionality according to the minimally invasive concept.
The concept of minimal invasiveness
The modern Conservative dentistry is based on the concept of minimal invasiveness, ie the removal of only carious tissue and its replacement with a restorative material, which is coated to healthy tissue. Aesthetic materials are used that allow the reconstruction of the teeth while preserving the natural color and ensuring greater resistance.
Direct and indirect restorations
The reconstructions can be direct (made directly in the mouth in a single session) or indirect (inlays, in two sessions with the technician’s help). The one or the technical choice is dictated by the extent of the carious lesion. If the tooth is severely compromised using the data from media inlays made in the laboratory starting from the impression of the patient’s mouth and then cemented in the studio.
Abandonment of silver fillings, the use of Composites
Consistent with the concept of minimum invasiveness you go abandoning the idea of the silver amalgam fillings which meant in addition to a longer phase of preparation also the use of materials not in line with the modern requirements of healthiness (mercury). Today Composites are made from resinous matrices with low viscosity, organic fillers, molecules and composite resins.
Frequently asked questions on the Conservative Dentistry
Tooth decay is a destructive process at the expense of hard tissues of the tooth (enamel and dentin) caused by multiple factors: microorganisms, diet rich in fermentable carbohydrates by the bacteria, and individual susceptibility. The bacteria (which feed mainly sugars) are the main responsible for this disease.
The key issue is the role played by Streptococcus mutans given the ability to bind and adhere closely to the layer of salivary proteins which is deposited on the surface of the tooth (salivary film acquired), then other microbial forms (lactobacilli, spirochetes), adhere to the tooth using the bridges produced by Streptococcus.
Tooth decay can develop both in the teeth with healthy tooth substance both in the private ones of the pulp, which have thus undergone a “root canal therapy”.
The post-operative sensitivity consists of a pain when chewing or sensitivity to hot, cold and sweet foods. The persistence time can last up to one to two weeks after treatment, and occurs especially for very large fillings and then next to the pulp chamber of the tooth