Advancements in Restorative Techniques for Caries Management

A special issue of Dentistry Journal (ISSN 2304-6767). This special issue belongs to the section "Restorative Dentistry and Traumatology".

Deadline for manuscript submissions: closed (10 June 2026) | Viewed by 1264

Editor


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Guest Editor
Department of Restorative Dentistry & Prosthodontics, School of Dentistry, University of Texas Health Science Center, Houston, TX 77030, USA
Interests: cariology; restorative dentistry; prosthodontics; dentin–pulp
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Special Issue Information

Dear Colleagues,

This Special Issue, titled “Advancements in Restorative Techniques for Caries Management,” will feature original research, systematic reviews, clinical trials, and case-based evidence addressing, but not limited to, the following areas:

  1. Recent Advances in Caries Prevention

This section emphasizes emerging strategies for reducing caries incidence and progression through preventive science and public health approaches. Topics include the following:

  • Novel remineralization therapies and bioactive agents.
  • Fluoride and non-fluoride-based preventive technologies.
  • Saliva diagnostics, microbiome modulation, and personalized prevention.
  • Preventive strategies in high-risk and special-needs populations.
  • Integration of behavioral science, health policy, and community-based interventions in caries prevention.
  1. Advancements in Restorative Techniques for Caries Management

This section highlights breakthrough innovations in operative dentistry aimed at preserving tooth structure, preserving pulp vitality, and improving long-term outcomes. Topics include, but are not limited to, the following:

  • Minimally invasive restorative approaches and biomimetic techniques.
  • Advances in adhesive systems and composite resin technology.
  • Use of bioactive and nanomaterial-based restorative materials.
  • Digital dentistry applications in caries diagnosis and restoration (CAD/CAM, 3D printing, and AI-driven tools).
  • Longevity, clinical performance, and patient-centered outcomes of restorative interventions.

By bridging preventive science and restorative innovation, this Special Issue provides a comprehensive platform for clinicians, researchers, educators, and policymakers to share cutting-edge knowledge that will shape the future of caries management.

We look forward to receiving your contributions.

Dr. Hamid Nurrohman
Guest Editor

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Keywords

  • dental caries
  • caries management
  • caries prevention
  • remineralization therapies
  • minimally invasive restorative techniques
  • biomimetic dentistry
  • adhesive systems
  • restorative materials

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Published Papers (2 papers)

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Research

13 pages, 635 KB  
Article
Selective Caries Removal as a Restorative Strategy for Caries Management: Residual Dentin Quality After Chemomechanical and Mechanical Excavation
by Gustavo Gerardo Ramirez-Martinez, Christian Andrea Lopez-Ayuso, Rogelio Jose Scougall-Vilchis, Silvia Rojas-Rueda, Carlos A. Jurado, Abdulrahman Alshabib, Hamid Nurrohman and Rene Garcia-Contreras
Dent. J. 2026, 14(7), 419; https://doi.org/10.3390/dj14070419 (registering DOI) - 8 Jul 2026
Abstract
Background/Objectives: Advances in restorative caries management have shifted operative dentistry from complete caries excavation toward selective, tissue-preserving strategies that maintain remineralizable dentin and support adhesive restoration. Chemomechanical systems and self-limiting burs may reduce unnecessary dentin removal, but their effects on residual dentin quality [...] Read more.
Background/Objectives: Advances in restorative caries management have shifted operative dentistry from complete caries excavation toward selective, tissue-preserving strategies that maintain remineralizable dentin and support adhesive restoration. Chemomechanical systems and self-limiting burs may reduce unnecessary dentin removal, but their effects on residual dentin quality remain relevant to restorative decision-making. This in vitro study compared Carisolv™, Papacarie®, Smart Burs™, and conventional tungsten carbide burs with respect to caries removal time, residual bacterial load, laser fluorescence, Vickers microhardness, and scanning electron microscopy (SEM) features of residual dentin. Methods: Forty-eight extracted permanent molars were selected. Standardized class I cavities were prepared and subjected to an artificial caries protocol using a demineralizing solution for 240 h. A cariogenic biofilm model was then established using Streptococcus mutans. Specimens were allocated to four excavation groups: Carisolv™, Papacarie®, Smart Burs™, and conventional carbide burs. Caries removal was performed according to each system, and the operative time was recorded. Residual bacterial contamination was estimated through colony-forming unit counts. Residual dentin was assessed using DIAGNOdent™ laser fluorescence, Vickers microhardness testing, and SEM at multiple magnifications. Results: Mean removal times were 2.82 ± 1.64 min for Carisolv™, 2.50 ± 1.15 min for Papacarie®, 2.05 ± 0.70 min for Smart Burs™, and 0.61 ± 0.44 min for carbide burs. Residual bacterial growth was detected in all groups. Vickers microhardness values were 79.2 ± 24.66 VHN for Carisolv™, 79.6 ± 22.30 VHN for Papacarie®, 83.4 ± 28.73 VHN for Smart Burs™, and 92.9 ± 24.66 VHN for intact dentin control. SEM revealed dentin morphology closer to the control after carbide bur excavation, partially obliterated tubules after Carisolv™, and more evident tubular obliteration after Papacarie® and Smart Burs™. Conclusions: Chemomechanical excavation, particularly Carisolv™, generated a residual dentin substrate with microhardness values compatible with a conservative restorative approach, although with longer operative time than conventional burs. The findings support the role of selective caries removal in minimally invasive restorative protocols and highlight the need to connect residual dentin characteristics with adhesive performance, bioactive materials, and long-term restoration outcomes. Full article
(This article belongs to the Special Issue Advancements in Restorative Techniques for Caries Management)
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12 pages, 588 KB  
Article
Indirect Pulp Treatment for Deep Carious Lesions in Mature Permanent Teeth: A Preventive, Minimally Invasive Clinical Approach
by Liana Beresescu, Alexandra Mihaela Stoica, Csinszka Andrea Kovacs-Ivacson, Timea Dakó, Alexandru Vlasa, Csilla Benedek, Gabriela Felicia Beresescu and Andrea Bors
Dent. J. 2026, 14(4), 200; https://doi.org/10.3390/dj14040200 - 1 Apr 2026
Cited by 1 | Viewed by 799
Abstract
Background: Indirect pulp treatment (IPT) is a conservative approach aimed at preserving pulp vitality in teeth with deep carious lesions. In adult patients, however, evidence comparing different liner materials remains limited. Objectives: To assess the 12-month clinical and radiographic outcomes of IPT performed [...] Read more.
Background: Indirect pulp treatment (IPT) is a conservative approach aimed at preserving pulp vitality in teeth with deep carious lesions. In adult patients, however, evidence comparing different liner materials remains limited. Objectives: To assess the 12-month clinical and radiographic outcomes of IPT performed with Biodentine and resin-modified glass ionomer cement (RMGIC) in mature permanent teeth. Methods: A split-mouth clinical study was conducted in adult patients presenting with deep carious lesions in vital permanent teeth. Following selective caries removal, IPT was completed using Biodentine or RMGIC under a standardized operative protocol. Clinical and radiographic evaluations were performed at baseline and after 12 months. Outcomes included pulp vitality, postoperative pain, and radiographic changes. Results: At 12 months, pulp vitality was preserved in over 90% of treated teeth in both groups, with no statistically significant differences between materials. Teeth treated with Biodentine showed lower postoperative pain scores at 24 h compared with those treated with RMGIC, although this difference resolved within the first postoperative week. Radiographic outcomes were comparable between groups, with a low incidence of periapical changes. Conclusions: Within the limits of this interim analysis, IPT performed with either Biodentine or RMGIC resulted in similar clinical and radiographic outcomes in mature permanent teeth. These findings indicate that pulp vitality preservation can be achieved using different liner materials when minimally invasive principles and effective coronal sealing are applied. Extended follow-up is required to evaluate long-term durability. Full article
(This article belongs to the Special Issue Advancements in Restorative Techniques for Caries Management)
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