CLINICAL MANAGEMENT OF HIDDEN CARIES: A CASE REPORT

Abstract

Hidden caries is a lesion radiographically found to affect the dentin, in which occlusal enamel appears to be clinically healthy or minimally demineralized. Objective: Given the difficulty in diagnosing hidden caries lesions, and due to the possibility of its silent progression, the aim of this study was to present and discuss the characteristics and treatment modalities for such injury by means of a case report. Case report: Patient complaining of pain to cold stimuli in her first lower right molar underwent detailed visual inspection, which showed no cavitation and color changes in the occlusal surface. However, a radiolucent area in the dentin was observed radiographically. After opening the cavity, it was decided to perform the technique of partial removal of dentin – due to the depth of the cavity and risk of pulp exposure – followed by indirect pulp capping and restoration with composite resin. Periapical radiographs were taken throughout the procedures, and it was verified formation of secondary dentine. Conclusion: Hidden caries is a condition that can progress to total destruction of the tooth without visible clinical manifestations. The choice for its treatment should be, where appropriate, conducted by minimally invasive dentistry such as partial removal of carious dentin. DESCRIPTORS Dental Caries. Clinical Diagnosis. Dental Pulp Capping.