Authors: Alina CRISTIAN, Andreea Angela STETIU, Gabriela BOŢA


Introduction. Restorations of interdental caries processes of the lateral group are a challenge even for experienced practitioners, because these areas are difficult to inspect directly or with instruments, and because of the position of the carious process in relation to tooth contacts with the neighboring teeth. By learning how dental caries develops, we can better understand the treatment methods most beneficial to the patient in the case of proximal lesions. The use of composite materials in direct restoration can have a very good prognosis for the patient, and it is a fast method for restoring dental morphology, functional mastication, and aesthetics [1]. Objective: The main objective of this paper is to discuss the treatment of interdental carious lesions in the lateral area, present in multiple clinical situations, which can be addressed in multiple therapeutic modalities. In terms of the mechanism of carious lesion production, wear processes of dental hard structures are incriminated [2]. Materials and methods:  Personal research was carried out on a group of 102 patients aged between 15 and 65 years. The group of patients was selected during the internships carried out in the years IV, V and VI of study (2019-2022) and in the ambulatory service of a private dental practice in Sibiu. Prior to the clinical consultation, all patients signed the forms required by the legislation in force, namely: the covid form, the GDPR form, the informed consent, the general health questionnaire, and the self-declaration. This lot was subjected to complete investigation, diagnosis, and treatment of the existing carious lesions in the lateral area. Reconstruction materials were chosen according to the specific clinical situation of each patient. In addition to the comprehensive clinical examination, the 102 patients included in the study were also photographed in the working area before, during and after dental treatment [3,4]. Results and discussion: The distribution of cases was followed by sex, age group, environment of origin, type of teeth, frequency of carious lesions, frequency of cavity and non-cavity lesions, distribution of carious lesions by dental units, distribution of carious lesions by hemiarches and gingival threshold status of the prepared cavities. Conclusions: The incidence of carious lesions present on both premolars and molars was more pronounced compared to that of patients who presented carious processes on only one type of tooth (premolar or molar) (44.1%). Because oral hygiene was poor in many of the patients examined, a significant proportion (42.1%) had multiple carious lesions.

  • 6-year-old molar
  • marginal ridge
  • softened dentine