Pickard's Guide To Minimally Invasive Operative... Apr 2026

: The guide highlights a modern dilemma: people are keeping their natural teeth longer. The goal is to provide ethical, least-invasive care that protects the "dentine-pulp complex" well into old age. Authors and Leadership

The story of this guide is one of transition from a reparative mindset to a preventative one. Pickard's guide to minimally invasive operative...

: Instead of immediate replacement, practitioners are taught the 5Rs concept: Review, Refurbish, Reseal, Repair, and finally, Replace only when necessary. : The guide highlights a modern dilemma: people

In the 1960s, a young Professor Huia Masters Pickard published a manual that would eventually challenge the "drill-and-fill" orthodoxy of the time. For decades, the standard approach was aggressive: removing large amounts of healthy tooth structure to satisfy mechanical requirements for metal fillings—a philosophy known as "extension for prevention." : Instead of immediate replacement, practitioners are taught

: The current edition represents a complete move toward a "biologically based approach".