New clinical practice guideline on caries restorations now available

Dental Tribune International

Fri. 14 July 2023

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CHICAGO, US: To improve the clinical decision-making of dentists, the American Dental Association (ADA) has recently released a new clinical practice guideline on restorative treatments for carious lesions. The guideline suggests that employing more conservative approaches to removing carious tissue may reduce adverse events. However, dental professionals are advised to use clinical judgement to determine when the recommended course of action may not be appropriate and consider potential deviations from it.

The guideline was developed by the ADA Council on Scientific Affairs and the ADA Science and Research Institute and is the second guideline in a series of clinical practice guidelines on caries treatment, the first having been published in February. The guideline provides 16 recommendations for the treatment of moderate to advanced carious lesions in primary and permanent teeth that have not received endodontic treatment.

According to the guideline, selective carious tissue removal is an effective treatment option in most cases of moderate to advanced caries in primary and permanent teeth. Additionally, the guideline has affirmed the efficacy of the most common restorative materials for treating moderate to advanced caries and suggests specific materials for primary and permanent teeth, depending on the extent of the decay.

Lead author Dr Vineet Dhar, a clinical professor and the chair of the Department of Orthodontics and Pediatric Dentistry at the University of Maryland School of Dentistry in Baltimore in the US, said the recommendations reflect the two main objectives of restorative dentistry, namely, maintaining healthy tooth structure and protecting the soft tissue inside the tooth.

“While research had already confirmed that selectively removing decayed tissue is an effective approach to treating early tooth decay, dentists needed an evidence-based guideline to provide them with a range of treatment choices for patients with moderate to advanced tooth decay,” Prof. Dhar commented in a press release. “These recommendations can now inform restorative care strategies in the US and on a global level,” he added.

More information about the guideline can be found here.

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