Proximal caries: seal or infiltrate early lesions?

shutterstock_34500700 - caries sign

This review of micro-invasive treatments for proximal caries included 13 split-mouth RCTs. There was moderate quality evidence to support sealing in infiltration of early proximal caries compared with non-invasive treatments such as diet and bio-film management and topical fluorides.

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Micro-invasive treatments can slow caries progression

shutterstock_54584944  - mixed dentition

8 trials involving a total of 365 patients were included in this Cochrane review of micro-invasive treatments for proximal caries. Micro-invasive treatment significantly reduced the odds of lesion progression compared with non-invasive treatment (e.g fluoride varnish) or oral hygiene advice (e.g to floss) OR=0.24, (95% CI; 0.14 to 0.41).

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