DEC 09, 2015 9:56 AM PST

Study Finds "No-Drill" Dentistry Stops Tooth Decay

WRITTEN BY: Julianne Chiaet
Many of us dread going to the dentist, fearing we might have to endure the painful drilling and filling that comes with tooth decay and cavities. However, a new study shows the “fill and drill” approach may not be necessary when dealing with tooth decay.

Australian researchers wanted to know whether using the Caries Management System (CMS), instead of the “fill and drill” technique, would reduce tooth decay risk and the need for restorative care. They conducted a seven-year study in which they tracked the use of the CMS at private general dental practices. They found that preventative oral care reduced the need for fillings by 30 to 50 percent.
 
Dentist drill

The CMS treatment includes four protocols. Dentists should apply high concentration fluoride varnish to early decay. Dentists should teach their patients proper oral hygiene and, in turn, patients should pay attention to their tooth brushing at home. Patients should restrict snacks between meals and beverages that contain added sugar. Lastly, the CMS requires risk-specific monitoring.

Tooth decay has varying rates of progression, slowing down, and remineralization (healing). The data shows that tooth decay can be slowed down, reversed, and prevented without drilling and filling. Thus, fillings are often not required cases of dental decay. It's unnecessary for patients to have them, said lead study author Wendell Evans. Dentists could reduce over-treatment of tooth decay if they decide to not surgically intervene unless there is a cavity.
?

"This research signals the need for a major shift in the way tooth decay is managed by dentists,” Evans said. The surgical approach has been the prevailing method of handling tooth decay since the 1960s, despite the overwhelming research in tooth decay prevention and treatment. A half-decade of research shows that tooth decay develops more slowly than previously believed. For instance, it takes four to eight years on average for tooth decay to advance from the tooth’s outer layer to the inner layer. "That is plenty of time for the decay to be detected and treated before it becomes a cavity and requires a filling,” Evans said. The medical field needs to focus on a biological approach to tooth decay treatment that focuses on what causes it and how to control it.

The study was published on December 6 in the journal Community Dentistry and Oral Epidemiology.

Source: Journal study, press release via University of Sydney
 
About the Author
  • Julianne (@JuliChiaet) covers health and medicine for LabRoots. Her work has been published in The Daily Beast, Scientific American, and MailOnline. While primarily a science journalist, she has also covered culture and Japanese organized crime. She is the New York Board Representative for the Asian American Journalists Association (AAJA). • To read more of her writing, or to send her a message, go to Jchiaet.com
You May Also Like
MAR 09, 2021
Clinical & Molecular DX
AI Creates Space for Equality in Pain Management
MAR 09, 2021
AI Creates Space for Equality in Pain Management
Pain is experienced more intensely among certain groups of people. Indeed, studies have shown that individuals from mino ...
MAR 18, 2021
Cardiology
Searching for New Cardiovascular Biomarkers
MAR 18, 2021
Searching for New Cardiovascular Biomarkers
Do you want to know what the best medicine for cardiovascular health is? It isn't some heart-shaped pill with some m ...
MAR 18, 2021
Microbiology
How a Chronic Hepatitis B Infection Happens
MAR 18, 2021
How a Chronic Hepatitis B Infection Happens
Hepatitis B can cause a long-term and sometimes fatal disease. Princeton University researchers have learned more about ...
MAR 30, 2021
Neuroscience
Prolonged Amygdala Activity Predicts Personal Wellbeing
MAR 30, 2021
Prolonged Amygdala Activity Predicts Personal Wellbeing
Researchers have found that activity in the amygdala (the emotional center of the brain) following exposure to negative ...
APR 01, 2021
Plants & Animals
Scientists Solve Sea Lion Cancer Mystery
APR 01, 2021
Scientists Solve Sea Lion Cancer Mystery
For more than thirty years, scientists have tried to solve the mystery of the high prevalence of cancer among wild Calif ...
APR 04, 2021
Genetics & Genomics
Gene Therapy Improves Transport in Neurons
APR 04, 2021
Gene Therapy Improves Transport in Neurons
While this approach was tested on models of eye disorders, prelimary work suggested it also has potential as a dementia ...
Loading Comments...