Ask a Dentist. Get Answers to Your Dental Questions.
The only evidence based treatments are a preoperative antibiotic single dose (controversial for non surgical dental work) and surgical prep with peridex rinse immediately before the procedure - possibly starting a day prior.
During the procedure all infected material will be removed mechanically before placement of any restoration just so you are aware. In addition to what I mentioned above the single best thing you can do a few weeks prior to your procedure is get a full mouth cleaning to optimize the health of your gingival tissues for the upcoming restorations. Also improving your oral hygiene will help too.
Affected dentin can and does remimeralize. Infected dentin does not and is removed as it is soft and diseased. Topical oil has no chance of penetrating dentin to any significant depth due. Do an experiment if you wish. Place a dense beef bone which has been thoroughly cleaned into the oil you mention for a day. Take out and cross section the bone. You will note the oil has not penetrated below the surface at all.
Example of a various lesion. Notice the pulp of the tooth near the lesion has receded as a protective mechanism. This is tertiary dentin deposition. Also notice deeper in the cavity the color changes - this is due to collagen that is not fully denatured and this dentin can be remineralized. I encourage you to bring up all of your above questions with your treating dentist and together you can come up with an idealized plan for your treatment. Please let me know if there is anything else Incan answer for you. Also if you wouldn't mind taking a moment to leave a rating for me I would appreciate it as this is how I receive credit for my answers. Thanks!
Please let me know if there is anything else I can answer for you. Also if you wouldn't mind leaving a rating for me I would appreciate it as this is how I receive credit for my answers. Thanks!
Yes affected dentin is not irreversibly damaged and can/will remineralize. Clinically this dentin is hard to the touch. Infected dentin is soft to the touch like cheese due to the collagen being irreversibly denatured.
If the tooth is clinically soft or if there is a discrepancy at the filling/enamel interface it must be excavated and filling replaced. This does not always show on X-rays. It will not heal on its own. Delaying treatment will allow the cavity to progress leading to potential root canal or even a tooth that will require extraction.