Question 476 · LDEK · Minimally invasive treatment

A 20-year-old patient reported to the dental office for a check-up. During intra-oral examination dental plaque was observed in the cervix area of tooth 14 and 24. After cleansing of the teeth, white stains of chalky, opaque appearance (without disrupting the continuity of enamel) were observed, in the same regions. They were visible without drying the tooth surface. Indicate correct management:

  1. A. observation only.
  2. B. remineralisation.
  3. C. mechanical removal of stained tissue and subsequent composite filling.
  4. D. mechanical removal of stained tissue and subsequent amalgam filling.
  5. E. mechanical removal of stained tissue and subsequent temporary zinc oxide with eugenol filling.
Hint

The enamel surface is intact and the white spots are active — decide whether drilling is justified.

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