Question 42 · LDEK · Minimally invasive treatment

A female patient aged 22 presented to the dental surgery in order to treat Black`s class II carious cavity on the occlusal and distal surface of tooth 45. After preparation of the cavity, a carious white spot was noted on the mesial surface of tooth 46 with an intact enamel surface. The X-ray was taken and it revealed a small demineralization just below the enamel. No more active carious cavities were present in the patient and the oral hygiene was optimal. What kind of treatment can you propose in the case of tooth 46?

  1. A. preparation of the cavity and filling with GIC.
  2. B. preparation of the cavity with the key-hole technique and filling the cavity with composite resin.
  3. C. tunnel preparation and filling the cavity with GIC.
  4. D. remineralization and clinical and radiological control.
  5. E. tooth observation.
Hint

Weigh the integrity of the enamel surface and the patient's caries risk before deciding whether drilling is justified.

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