THE ROLE OF PREVENTIVE RESIN RESTORATIONS IN MANAGING OCCLUSAL CARIES

Abstract

Preventive Resin Restorations (PRRs) are a crucial technique in managing occlusal caries, combining preventive and restorative strategies to enhance dental health. PRRs involve the selective removal of carious tissues and the application of a resin-based composite, which is sealed to prevent further decay. This approach conserves more of the natural tooth structure compared to traditional fillings and is particularly beneficial in teeth with deep grooves susceptible to decay. PRRs stand out for their effectiveness in reducing occlusal caries when compared to other preventive methods such as sealants, fluoride treatments, and conventional amalgam restorations. Sealants, while effective in preventing decay, do not support teeth with significant carious changes. Fluoride treatments strengthen enamel but do not provide the protective physical barrier that PRRs offer for teeth at high risk of decay. Amalgam restorations, known for their durability, require more extensive tooth preparation, which conflicts with the conservative goals of modern dentistry. However, the success of PRRs is not without challenges. The technique's sensitivity requires precise application and removal of decay to prevent issues like microleakage, which can lead to secondary caries. Moreover, the longevity and effectiveness of PRRs can be compromised by factors such as patient dietary habits, oral hygiene practices, and the physical properties of the resin materials used. In sum, while PRRs provide a valuable option for occlusal caries management, their effectiveness is highly dependent on careful clinical practice and patient compliance. Ensuring the proper application of PRRs and educating patients on maintaining oral hygiene are essential for maximizing the benefits of this treatment and improving dental health outcomes.