id author title date pages extension mime words sentences flesch summary cache txt cord-284546-cbbtrksq Foxton, Richard M. Current concepts for operatively managing carious lesions extending into dentine using bioactive and adhesive direct restorative materials 2020-09-20 .txt text/plain 6037 216 40 It looks sequentially at the operative steps involved including remineralisation with bioactive cements, bonding to caries-affected dentine including smear-layer modification using HOCl, creation of an acid-base resistance zone,steps to optimise the performance of all-in-one adhesives, and incremental placement of direct composite resin to improve bond strengths to cavity floor dentine. The following topics will be discussed: operative management of caries extending into dentine, remineralisation with bioactive cements, bonding to caries-affected dentine including smear-layer modification using HOCl, creation of an acid-base resistance zone, steps to optimise the performance of all-in-one adhesives and incremental placement of direct composite resin to improve bond strengths to cavity floor dentine. Having now discussed how we could provide "painless" dentistry by careful removal of soft, caries-infected dentine, seal the cavity and prevent caries progression by adhesive enamel bonding and how the hybrid layer and an acid-base resistant zone offer the ability to prevent primary and secondary caries, it is clear that carefully applied adhesive direct composite resin restorations can offer the patient additional benefits by their ability to fill minimally prepared cavities, offer aesthetically pleasing results and good long-term durability [8] . ./cache/cord-284546-cbbtrksq.txt ./txt/cord-284546-cbbtrksq.txt