A Practical Guide to Modern Caries Management Part 2 - PDP269

Download Contemporary Caries Management Implementation Pack 👉 https://protrusive.co.uk/MID as a chairside aid to turn the episode into daily clinical action. ⚠️ Learning the evidence is not enough if it never makes it into your patient conversations, risk assessment or treatment planning. ✅ Print it, laminate it, and use it to support communication, diagnosis, active surveillance and minimally invasive decision-making. Should we still be drilling early caries lesions? Where do peptides, resin infiltration, fluoride varnish and SDF actually fit in modern practice? Is hydroxyapatite toothpaste a genuine alternative to fluoride, or just another dental trend? And when you see that suspicious grey occlusal shadow, do you seal it, explore it, or actively surveil it? In part two of this modern caries management episode, Jaz continues the conversation with Prof. Avijit Banerjee (https://uk.linkedin.com/in/avijit-banerjee-0b17518) on minimal intervention dentistry. This episode moves beyond diagnosis and communication into the practical management of early and progressing caries lesions, including peptides, SDF, hydroxyapatite toothpaste, fissure sealing, xerostomia, root caries and selective caries removal. Key Takeaways - Match treatment to lesion depth/activity: E1 = prevention; progressing E1/E2 = resin/peptide infiltration; cavitated lesions = SDF. - Peptides need minerals (saliva/fluoride) to work; fluoride remains the baseline standard. - SDF is valuable for high-risk or vulnerable patients despite black staining. - Assess lesions within overall caries risk. - Xerostomia/root caries patients need aggressive preventive protocols. Highlights of the episode: 00:00 Teaser 01:17 Introduction 02:17 Pearl: Caries Management Implementation Pack 05:54 What are Peptides? 14:42 SDF: Silver Diamine Fluoride 14:55 Early Enamel Lesion Pathway 15:11 When to Consider Resin or Peptide Infiltration 15:51 Best Use Case for SDF 20:14 Hydroxyapatite Toothpaste 21:18 Fluoride Safety and Evidence 27:00 Midroll 40:53 Preventive vs Therapeutic Sealants 42:09 Severe Xerostomia and Root Caries 44:40 Using Trays or Dentures as Carriers 45:48 Tooth Mousse and CPP-ACP 47:11 Artificial Saliva 47:46 Why the Patient Has Dry Mouth Matters 49:35 Current Position on Stepwise Excavation 50:09 Selective Caries Removal 51:15 Deep Caries Guidelines 53:01 Materials Are Not Everything in Caries Management 55:59 Further Learning Resource 56:44 Outro Want more? Check out part one (https://youtu.be/YriLo8_hXNw) of this modern caries management series. 🦷 Download the Contemporary Caries Management Implementation Pack Head to https://protrusive.co.uk/MID to access the free implementation pack, including key communication points, diagnosis guidance, management flowcharts and evidence links. Professor Avijit Banerjee’s recommended reading and ongoing work: A Clinical Guide to Advanced Minimum Intervention Restorative Dentistry (Banerjee A., Elsevier, 2024) — the most comprehensive single reference for modern MIOC and MID.(https://www.uk.elsevierhealth.com/a-clinical-guide-to-advanced-minimum-intervention-restorative-dentistry-9780443109713.html) Resources mentioned in this episode: S3 Guidelines: https://pmc.ncbi.nlm.nih.gov/articles/PMC13099699 🦷 Interested in Proximal Resin Infiltration? Explore The Iconic Method with Cat Edney: a free 1-hour webinar (https://www.eventbrite.co.uk/e/webinar-the-iconic-method-tickets-1989311147192) on 24 June 2026, followed by a hands-on 1-day Birmingham course (https://www.eventbrite.co.uk/e/1-day-course-the-iconic-method-tickets-1989315193294) on 4 July 2026 covering Icon resin infiltration, tooth whitening and NIRI-guided enamel management, with verifiable CPD available. Don’t miss out! DMG Icon Proximal discount for dental professionals at https://protrusive.co.uk/dmg #PDPMainEpisodes #BreadandButterDentistry ----------------------------------- Apply for FREE access to the Nicest and Geekiest Dental Community in the World 🌍 https://protrusive.app - it’s absolutely Free We also have paid plans so you can Claim Verifiable CPD/CE + EXCLUSIVE content: https://protrusive.app 🔊 Subscribe on Apple: https://protrusive.co.uk/apple 🔊 Subscribe on Spotify: https://protrusive.co.uk/spotify 📷 Instagram: https://www.instagram.com/protrusivedental/ Online Courses: 😬 Learn Occlusion Online: https://occlusion.online/ 📚 Learn TMD and Occlusal Appliances: https://www.splintcourse.com 🦷 Gain Confidence with Resin Bonded Bridges: https://rbbmasterclass.com 🎒 Learn Vertipreps, Rubber Dam and More: https://protrusive.co.uk/ultimate Life by KV /kvmusicprod Creative Commons — Attribution 4.0 International — CC BY 4.0 Free Download / Stream: https://www.audiolibrary.com.co/kv/life Music promoted by Audio Library Life – KV (No Copyright Music)