Session
Moderator
Dr. DH10/ 3(Sat)
13:30 - 15:00
4F〜6F ホール C
Session 12
MI Dentistry: Less invasive, more effective
歯を守る時代のMIアプローチ：いま知っておきたい最新コンセプト
～カリオロジーに基づくカリエスコントロールと臨床実装～
This session explores the essence of the MI approach through three essential themes: remineralisation, the diagnosis and management of MIH, and the latest developments in contemporary cariology. Spotlighting caries activity control, the role of non‑invasive interventions, and the integration of emerging scientific evidence into daily practice, the program provides practical, clinically relevant guidance. Participants will gain updated perspectives that can be immediately applied in preventive care, early intervention, and treatment planning. Designed for both dentists and dental hygienists, this session delivers the most current insights shaping MI‑based dentistry today and supports meaningful improvements in everyday clinical practice.
Lecturer
The New Era of Cariology
新時代のカリオロジー
- Understand the paradigm shift in cariology. Gain insight into the essence of contemporary cariology, which has shifted from infection removal to activity control, and from a surgically centered approach to a primarily non-surgical approach.
- Recognize the structural similarity between modern caries management and periodontal therapy. Be able to explain the lifelong disease-management flow—motivation, non-surgical intervention, surgical intervention when necessary, and maintenance—centered on activity control.
- Understand the essence of MI (Minimal Invasive Dentistry). Explain how MI goes beyond “minimizing the size of the cavity preparation” and functions as a philosophy rooted in tooth preservation and caries control within contemporary cariology.
- う蝕学におけるパラダイムシフトを理解する。 感染除去から活動性コントロールへ、そして外科中心から非外科中心へと移行した現代カリオロジーの本質を理解する。
- 現代のう蝕治療が歯周病治療と構造的に類似していることを理解する。
モチベーション → 非外科 → 外科 → メインテナンスという、生涯にわたる活動性管理を中心とした治療フローを説明できるようになる。 - MI（Minimal Invasive Dentistry）の本質を理解する。 「侵襲を最小限に抑えた修復」を超えて、現代カリオロジーに基づく歯質保存とカリエスコントロールの理念として位置づけられることを説明できるようになる。
Cariology has entered a “new era” driven by advances in science.
The purpose of caries treatment has shifted from the removal of infected tooth structure to comprehensive caries control―because when the rules change, the entire game changes.
The focus has moved from the presence of lesions to the assessment of activity, and from surgical procedures to primarily non-surgical intervention.
In periodontal therapy, surgical treatment plays an important role, yet it is not the central component. The same applies to caries management. Surgical intervention remains important in certain cases, but it is not the core of modern caries treatment.
The flow of caries management parallels that of periodontal therapy: motivation, non-surgical care, surgical intervention when indicated, and lifelong maintenance.
Periodontal therapy aims to support disease activity control throughout a patient’s lifetime. Caries management likewise requires continuous support to control activity over the long term.
The term that symbolizes this new era of cariology is MI. For more than 20 years, GC has promoted Minimal Invasive Dentistry (MI) and has communicated its importance worldwide.
This MI concept is grounded in the principles of contemporary cariology, and at its heart lies caries control.
Now, let us move forward and discuss how caries should be managed in this generation.
The purpose of caries treatment has shifted from the removal of infected tooth structure to comprehensive caries control―because when the rules change, the entire game changes.
The focus has moved from the presence of lesions to the assessment of activity, and from surgical procedures to primarily non-surgical intervention.
In periodontal therapy, surgical treatment plays an important role, yet it is not the central component. The same applies to caries management. Surgical intervention remains important in certain cases, but it is not the core of modern caries treatment.
The flow of caries management parallels that of periodontal therapy: motivation, non-surgical care, surgical intervention when indicated, and lifelong maintenance.
Periodontal therapy aims to support disease activity control throughout a patient’s lifetime. Caries management likewise requires continuous support to control activity over the long term.
The term that symbolizes this new era of cariology is MI. For more than 20 years, GC has promoted Minimal Invasive Dentistry (MI) and has communicated its importance worldwide.
This MI concept is grounded in the principles of contemporary cariology, and at its heart lies caries control.
Now, let us move forward and discuss how caries should be managed in this generation.
Lecturer
Remineralisation in Contemporary MI Dentistry:
Evidence, Mechanisms and Practical Integration
Remineralisation in Contemporary MI Dentistry:
Evidence, Mechanisms and Practical Integration
- Explain the biological principles of remineralisation and how they underpin MI dentistry.
- Differentiate between major remineralisation technologies (e.g., CPP-ACP, fluoride systems, calcium-silicate materials, peptides) and interpret current comparative evidence.
- Identify appropriate clinical indications and patient profiles for remineralisation-based interventions.
- Apply practical clinical protocols for using remineralisation agents effectively in both preventive and early-lesion management, and integrate these strategies within a broader MI approach.
- Explain the biological principles of remineralisation and how they underpin MI dentistry.
- Differentiate between major remineralisation technologies (e.g., CPP-ACP, fluoride systems, calcium-silicate materials, peptides) and interpret current comparative evidence.
- Identify appropriate clinical indications and patient profiles for remineralisation-based interventions.
- Apply practical clinical protocols for using remineralisation agents effectively in both preventive and early-lesion management, and integrate these strategies within a broader MI approach.
Remineralisation has moved from a hopeful concept to an essential pillar within minimally invasive (MI) dentistry, supported by a rapidly expanding evidence base. This presentation reviews the current science behind leading remineralisation technologies, with a focus on casein phosphopeptide_amorphous calcium phosphate (CPP-ACP). Clinical indications, mechanisms of action, and comparative efficacy will be examined using recent in vitro, in situ and clinical trial data. The session also translates research findings into practical guidance, including patient selection, application protocols, product optimisation, and strategies for integrating remineralisation within MI diagnostic and treatment workflows.
Lecturer
Molar Incisor Hypomineralization
― Diagnosis and Treatment Strategies
Molar Incisor Hypomineralization
― Diagnosis and Treatment Strategies
- Gain knowledge to diagnose MIH
- Familiarize to graduate MIH affected teeth
- Get to know the treatment of MIH teeth with regard to the severity
- Gain knowledge to diagnose MIH
- Familiarize to graduate MIH affected teeth
- Get to know the treatment of MIH teeth with regard to the severity
Molar Incisor Hypomineralization (MIH) is a growing worldwide burden. The condition can be associated with dental complications that might affect patients' quality of life as well as create treatment challenges to dentists. Affected teeth are more prone to post-eruptive enamel breakdown and might show hypersensitivity. Available treatment options range from prevention, restoration, to extraction. The suitability of these, however, differs depending on a number of factors. Commonly identified factors are severity of the condition, presence of symptoms and the patient’s dental age and expectation. The aim of the lecture is to describe currently available diagnostic criteria and present classifications as well as treatment options.
