Study finds “no-drill” dentistry stops tooth decay

A University of Sydney study has revealed that tooth decay (dental caries) can be stopped, reversed, and prevented without the need for the traditional “fill and drill” approach.

The results of the seven year study, published in Community Dentistry and Oral Epidemiology, found that the need for fillings was reduced by 30 to 50% through preventative oral care.

“It’s unnecessary for patients to have fillings because they’re not required in many cases of dental decay,” said the study’s lead author, Associate Professor Wendell Evans (pictured).

A/Prof Evans and his team developed the Caries Management System treatment “no-drill” which  involves four aspects:

• Application of high concentration fluoride varnish by dentists to the sites of early decay 
• Attention to home tooth brushing skills 
• Restriction of between-meal snacks and beverages containing added sugar 
• Risk-specific monitoring.

These preventive messages are consistent with those promoted by the ADA over an extended period.