Radwan Waseem W
Restorative Dentistry and Endodontics, Riyadh Elm University, Riyadh, SAU.
Cureus. 2023 Jul 7;15(7):e41542. doi: 10.7759/cureus.41542. eCollection 2023 Jul.
The noninvasive proximal adhesive restoration (NIPAR) technique is a noninvasive approach that utilizes a one-component universal adhesive for infiltration and a filled flowable resin for impermeable sealing. This technique offers several benefits. The noninvasive treatment approach is particularly significant in restorative dentistry, as it entails identifying and managing caries in their initial phases. The efficacy of the noninvasive proximal adhesive restoration technique is limited to non-cavitated lesions. In this case report, a 24-year-old male patient with no relevant medical conditions with a history of dental extractions and restorations visited the University of Geneva Dental School for a complete dental check-up. Orthopantomogram (OPG) and bitewing radiographs revealed multiple initial proximal caries in teeth # 37 (mesial), # 36 (mesial & distal), and # 35 (distal). In addition, DIAGNOcam (KaVo) was used as a diagnostic tool to establish proximal caries' progression. After discussing treatment options with the patient, a decision was made to treat the lesions at the enamel level using NIPAR.
非侵入性邻面粘结修复（NIPAR）技术是一种非侵入性方法，它使用单组分通用粘结剂进行渗透，并使用填充型可流动树脂进行不透性密封。该技术具有诸多优点。这种非侵入性治疗方法在修复牙科中尤为重要，因为它需要在龋病的初始阶段进行识别和处理。非侵入性邻面粘结修复技术的疗效仅限于非龋洞性病变。在本病例报告中，一名24岁、无相关病史、有拔牙和修复史的男性患者前往日内瓦大学牙科学院进行全面口腔检查。曲面体层摄影（OPG）和咬合翼片显示37号牙（近中）、36号牙（近中及远中）和35号牙（远中）有多处初始邻面龋。此外，使用DIAGNOcam（卡瓦）作为诊断工具来确定邻面龋的进展情况。在与患者讨论治疗方案后，决定使用NIPAR技术在釉质层面治疗这些病变。
