Alan welcomes back Dr. Melissa Seibert to talk about caries removal. While academics and researchers don't find the idea of incomplete caries removal controversial, many clinicians just can't get their head around it! Melissa drops a LOT of knowledge on us in this episode! Key takeaways: Selective caries removal is a well-substantiated approach to caries management that involves removing only the infected dentin while leaving affected dentin behind. This can help to preserve healthy tooth structure and avoid pulpal exposure. Magnification and light are essential for accurate caries diagnosis. Melissa emphasizes the importance of "sharp eyes and a dull explorer." Radiographs are crucial for monitoring caries progression and making informed decisions about treatment. SDF can be a valuable tool for arresting caries in both children and adults. Sealants, especially glass ionomer sealants, can be effective in preventing caries, but proper isolation is essential. The sandwich technique is an older technique that is not as commonly used today. Vital pulp therapy is a topic that will be explored in a future episode. Some links from the show: Elevated GP: theelevatedgp.com - Melissa's website with on-demand dental content and a journal club. Bioclear GC Fuji Triage Episode Index: 02:02 The Birth of Elevated GP 05:28 Selective Caries Removal Debate 08:31 Approaches to Caries Removal 14:35 The Importance of Magnification and Light 21:23 Exploring Conservative Options: SDF in Adults 21:49 Challenges and Considerations with SDF 23:00 Sealants: Best Practices and Controversies 27:25 Selective Caries Removal: Techniques and Opinions 29:58 Bonding and Margins: Ensuring Success 37:25 The Role of Silver Diamine Fluoride in Caries Excavation Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!" The Very Dental Podcast network is and will remain free to download. If you’d like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you’ll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you’ll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you’ll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

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