Conservative dentistry doesn’t necessarily mean less drilling of a tooth. While the primary goal of conservative dentistry is to preserve as much natural tooth structure as possible, there are situations where drilling or removal of a certain amount of tooth structure is necessary to effectively treat dental issues, In cases where a tooth is significantly weakened due to damage or decay, preserving its structural integrity might require removing compromised portions of the tooth. This step is essential to prevent future fractures or breakage of the tooth.
For certain restorations like dental crowns or inlays/onlays, a precise fit is crucial to ensure proper function and longevity, This may necessitate the removal of all weakly supported enamel which can seem aggressively not conservative approach .
It’s important to note that the goal of conservative dentistry isn’t to avoid all drilling, but rather to strike a balance between preserving healthy tooth structure and effectively treating dental issues .
References :
1-Posterior indirect adhesive restorations (PIAR): preparation designs and adhesthetics clinical protocol.
Ferraris F.Int J Esthet Dent. 2017;12(4):482-502.
3-selection defines design .
extensive caries criss-cross upper first premolar ,patient came in with severe pain , Radiograph shows a periapical radiolucency .
here's how conservative dentistry doesn't mean to remove less of tooth structure , to preserve structural integrity might require removing compromised portions of the tooth, This step is essential to prevent future fractures or breakage of the tooth.
intracanal medication was placed for 1 week .
Indirect restoration was cemented by heated composite .
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