Occlusal caries: Diagnosis and noninvasive treatments

The diagnosis of occlusal caries and the initiation of more effective treat ment present a considerable challenge. Caries not only has decreased in pre valence, but also has changed in pattern and in progression because of the increased use of fluorides, Correct diagnosis is crucial, distinguishing le sions that can be arrested by noninvasive treatment from those that may jus tify restorative treatment. For incipient lesions, it is necessary to impro ve the patient's home care preventive methods, to apply fluoride or other p rophylactic agents, or even to seal fissures, preserving the maximum amount of sound tooth structure. This article discusses the diagnosis of occlusal caries and noninvasive treatments for the management of early caries.