How to heal a cavity without fillings
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Healing a Cavity Without Fillings: Insights from Recent Research
Introduction to Non-Filling Cavity Treatments
Cavities, or dental caries, are traditionally treated with fillings. However, recent research explores alternative methods to heal cavities without the need for conventional fillings. This article synthesizes findings from multiple studies to present potential non-filling treatments for cavities.
Tricalcium Phosphate and Polyvinyl Resin Diaket
Healing with Diaket and Tricalcium Phosphate
A study evaluated the healing of periradicular tissues using Diaket, a polyvinyl resin, with and without tricalcium phosphate as a root-end filling material. The research involved non-surgical root canal treatments on mandibular premolar roots in dogs. The findings indicated that both materials promoted favorable healing of the periradicular tissues, with no significant difference in inflammation, connective tissue formation, or bone apposition between the two groups1. This suggests that tricalcium phosphate combined with Diaket can be an effective alternative to traditional fillings.
Mineral Trioxide Aggregate (MTA) and IRM
Success Rates of MTA in Endodontic Surgery
Another study assessed the success rate of Mineral Trioxide Aggregate (MTA) compared to IRM as root-end filling materials in endodontic surgery. The results showed that MTA had a high success rate, with 84% complete healing after 12 months and 92% after 24 months. Although MTA's success rate was higher than IRM, the difference was not statistically significant2. This indicates that MTA is a viable option for promoting healing in endodontic treatments without traditional fillings.
Management of Bone Cavities Post-Tumor Removal
Inactivation Methods and Filling Materials
Research on managing bone cavities after the removal of giant cell tumors of the bone highlights the importance of local control, cavity filling, and osteogenic induction. Methods such as anhydrous ethanol and hyperthermia therapy were found to be safe and effective for inactivating the cavity. The combination of these methods may enhance the inactivation effect, suggesting a multidisciplinary approach to cavity management3. This approach could be adapted for dental cavities, focusing on inactivation and filling to promote healing.
Cell Therapy for Bone Cavity Healing
Autologous BMMNCs for Enhanced Healing
A study explored the use of autologous bone marrow mononuclear cells (BMMNCs) for healing bone cavities. The research involved filling bone cavities with different materials, including collagen scaffolds loaded with BMMNCs. The group treated with BMMNCs showed the best healing potential, significantly outperforming other groups4. This suggests that cell therapy using autologous BMMNCs could be a promising method for healing dental cavities without traditional fillings.
Conclusion
Recent research offers promising alternatives to traditional fillings for healing cavities. Methods such as using Diaket with tricalcium phosphate, MTA, multidisciplinary approaches for cavity management, and cell therapy with autologous BMMNCs show potential in promoting cavity healing. These innovative treatments could revolutionize dental care by providing effective non-filling options for cavity management.
Sources and full results
Most relevant research papers on this topic
Periradicular healing in response to Diaket root-end filling material with and without tricalcium phosphate.
Diaket root-end filling material with tricalcium phosphate and Diaket without tricalcium phosphate both promote periradicular tissue healing, with no significant difference in inflammation, connective tissue formation, or bone apposition.
Non-RCT
Animal StudyA prospective clinical study of Mineral Trioxide Aggregate and IRM when used as root-end filling materials in endodontic surgery.
MTA has a high success rate as a root-end filling material, but is not significantly better than IRM in endodontic surgery.
RCT
Highly CitedManagement of the Cavity After Removal of Giant Cell Tumor of the Bone
Management of residual cavities after bone tumor removal effectively reduces recurrence, with anhydrous ethanol and hyperthermia therapy being safe and efficient.
Systematic ReviewCell therapy: A potential solution for the healing of bone cavities
Cell therapy using autologous BMMNCs significantly improves bone cavity healing compared to conventional therapies.
Root-end cavity preparation after apicoectomy using a new type of sonic and diamond-surfaced retrotip: a 1-year follow-up study.
The new sonic and diamond-surfaced retrotips simplify root-end cavity preparation and yield excellent results at a 1-year follow-up.
Observational StudyHighly CitedHealing of experimental apical periodontitis after apicoectomy using different sealing materials on the resected root end.
Root-end sealing using SB and root-end filling using EBA or MTA significantly improve apical periodontal healing compared to control treatment.
Hardness and Compressive Strength Evaluation of Dental Composites Containing Biosilica-Encapsulated Healing Liquid
Self-healing Dental Materials (SHDM) can be successfully encapsulated in biosilica, affecting the hardness of the composite but not its compressive strength.
An injectable, self-healing, electroconductive extracellular matrix-based hydrogel for enhancing tissue repair after traumatic spinal cord injury
Injectable, self-healing electroconductive ECM-based hydrogels with self-healing abilities can accelerate tissue repair and promote neuronal differentiation in traumatic spinal cord injury patients.
Non-RCTAnimal StudyHighly CitedClinical effects of laser-based cavity preparation on class V resin-composite fillings
Laser-based cavity preparation improves the long-term performance of Class V resin-composite fillings, with additional acid-conditioning after laser preparation enhancing marginal integrity and reducing discoloration.
RCT
Rigorous JournalEffects of fibrin glue on wound healing in oral cavity.
Fibrin glue improves wound healing in the oral cavity compared to traditional suture techniques, reducing foreign body reaction, abcess formation, and necrosis.
RCTAnimal Study