3.8 Article

Tunnel Restoration: A Minimally Invasive Dentistry Practice

Journal

CLINICAL COSMETIC AND INVESTIGATIONAL DENTISTRY
Volume 14, Issue -, Pages 207-216

Publisher

DOVE MEDICAL PRESS LTD
DOI: 10.2147/CCIDE.S372165

Keywords

minimally invasive; tunnel restoration; proximal caries; tunnel preparation; restorative dentistry

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With advances in technology, dentists are now focusing on minimally invasive dentistry for managing dental caries. Tunnel restoration, as a conservative alternative to the conventional box preparation, is more conservative and can increase tooth integrity and strength. However, it requires advanced operative skills and careful case selection and attention to detail.
With advances in technology, dentists nowadays manage dental caries with the philosophy of minimally invasive dentistry. Dental restoration is now performed most conservatively with minimal destruction of tooth structure when operative dentistry is indicated. Some operative dentists suggested using tunnel restoration for treating proximal caries as a conservative alternative to the conventional box preparation. The main advantage of tunnel restoration over the conventional box or slot preparation includes being more conservative and increasing tooth integrity and strength by preserving the marginal ridge. However, tunnel restoration is technique sensitive and requires advanced operative skills. Tunnel restoration can be an option to restore proximal caries if the dentist selects the proper case and pays attention to the details of the restorative procedures. With the dentist's advanced training, advanced light-emitting diode handpieces, magnifying loupes, precise digital imaging and new generation restorative materials, good results can be obtained in selected cases. This study reviews the literature on tunnel restoration and provides updated techniques and clinical data that can be used in tunnel restoration to oversee its limitations and the perspective on restorative treatment.

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