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Complete caries removal

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Complete caries removal and restoration

Suitable for:

a tooth where aesthetics is a concern or there is inadequate surface area for bonding with selective caries removal, for example:

  • a primary anterior tooth with an advanced lesion  
  • a permanent anterior tooth with an advanced lesion
  • a permanent tooth with a moderate lesion in occlusal or proximal surfaces

Aim: To remove all infected carious tooth tissue, and restore the tooth to function.

There is evidence that this technique can be effective. However, for primary teeth other techniques are preferable due to the risk of pulp exposure and the demanding nature of the procedure for child and clinician, as it involves use of local anaesthesia and high-speed handpieces, and requires good moisture control. For permanent teeth, this technique is not suitable for extensive lesions in premolars and molars, where selective caries removal should be used in the first instance. 

Plastic restorative material technique

Preformed metal crown technique