How to Intervene in the Caries Process: Dentin Caries in Primary Teeth
For an ORCA/EFCD consensus, this review systematically assessed available evidence regarding interventions performed and materials used to manage dentin carious lesions in primary teeth. A search for systematic reviews (SRs) and randomized clinical trials (RCTs) with a follow-up of at least 12 month...
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Online Access: | http://dx.doi.org/10.1159/000508899 https://www.karger.com/Article/Pdf/508899 |
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crskarger:10.1159/000508899 2024-06-23T07:55:59+00:00 How to Intervene in the Caries Process: Dentin Caries in Primary Teeth Santamaría, Ruth M. Abudrya, Mohamed Hassan Gül, Gülsün Mourad, MHD Said Gomez, Grace Felix Zandona, Andrea G. Ferreira 2020 http://dx.doi.org/10.1159/000508899 https://www.karger.com/Article/Pdf/508899 en eng S. Karger AG https://creativecommons.org/licenses/by-nc/4.0/ https://creativecommons.org/licenses/by-nc/4.0/ Caries Research volume 54, issue 4, page 306-323 ISSN 0008-6568 1421-976X journal-article 2020 crskarger https://doi.org/10.1159/000508899 2024-06-12T04:07:31Z For an ORCA/EFCD consensus, this review systematically assessed available evidence regarding interventions performed and materials used to manage dentin carious lesions in primary teeth. A search for systematic reviews (SRs) and randomized clinical trials (RCTs) with a follow-up of at least 12 months after intervention was performed in PubMed, LILACS, BBO, and the Cochrane Library. The risk of bias tool from the Cochrane Collaboration and the PRISMA Statement were used for assessment of the included studies. From 101 screened articles, 2 SRs and 5 RCTs, which assessed the effectiveness of interventions in terms of pulp vitality and success of restoration, and 10 SRs and 1 RCT assessing the success of restorative materials were included. For treatments involving no carious tissue removal, the Hall technique showed lower treatment failure for approximal carious lesions compared to complete caries removal (CCR) and filling. For the treatment of deep carious lesions, techniques involving selective caries removal (SCR) showed a reduction in the incidence of pulp exposure. However, the benefit of SCR over CCR in terms of pulp symptoms or restoration success/failure was not confirmed. Regarding restorative materials, preformed metal crowns (PMCs) used to restore multisurface lesions showed the highest success rates compared to other restorative materials (amalgam, composite resin, glass ionomer cement, and compomer), and in the long term (12–48 months) these were also less likely to fail. There is limited evidence supporting the use of PMCs to restore carious lesions with single cavities. Among nonrestorative options, silver diammine fluoride was significantly more effective in arresting caries than other treatments for treating active carious lesions of different depths. Considerable heterogeneity and bias risk were observed in the included studies. Although heterogeneity observed among the studies was substantial, the trends were similar. In conclusion, less invasive caries approaches involving selective or no caries ... Article in Journal/Newspaper Orca Karger Prisma ENVELOPE(-58.767,-58.767,-69.200,-69.200) Caries Research 54 4 306 323 |
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crskarger |
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English |
description |
For an ORCA/EFCD consensus, this review systematically assessed available evidence regarding interventions performed and materials used to manage dentin carious lesions in primary teeth. A search for systematic reviews (SRs) and randomized clinical trials (RCTs) with a follow-up of at least 12 months after intervention was performed in PubMed, LILACS, BBO, and the Cochrane Library. The risk of bias tool from the Cochrane Collaboration and the PRISMA Statement were used for assessment of the included studies. From 101 screened articles, 2 SRs and 5 RCTs, which assessed the effectiveness of interventions in terms of pulp vitality and success of restoration, and 10 SRs and 1 RCT assessing the success of restorative materials were included. For treatments involving no carious tissue removal, the Hall technique showed lower treatment failure for approximal carious lesions compared to complete caries removal (CCR) and filling. For the treatment of deep carious lesions, techniques involving selective caries removal (SCR) showed a reduction in the incidence of pulp exposure. However, the benefit of SCR over CCR in terms of pulp symptoms or restoration success/failure was not confirmed. Regarding restorative materials, preformed metal crowns (PMCs) used to restore multisurface lesions showed the highest success rates compared to other restorative materials (amalgam, composite resin, glass ionomer cement, and compomer), and in the long term (12–48 months) these were also less likely to fail. There is limited evidence supporting the use of PMCs to restore carious lesions with single cavities. Among nonrestorative options, silver diammine fluoride was significantly more effective in arresting caries than other treatments for treating active carious lesions of different depths. Considerable heterogeneity and bias risk were observed in the included studies. Although heterogeneity observed among the studies was substantial, the trends were similar. In conclusion, less invasive caries approaches involving selective or no caries ... |
format |
Article in Journal/Newspaper |
author |
Santamaría, Ruth M. Abudrya, Mohamed Hassan Gül, Gülsün Mourad, MHD Said Gomez, Grace Felix Zandona, Andrea G. Ferreira |
spellingShingle |
Santamaría, Ruth M. Abudrya, Mohamed Hassan Gül, Gülsün Mourad, MHD Said Gomez, Grace Felix Zandona, Andrea G. Ferreira How to Intervene in the Caries Process: Dentin Caries in Primary Teeth |
author_facet |
Santamaría, Ruth M. Abudrya, Mohamed Hassan Gül, Gülsün Mourad, MHD Said Gomez, Grace Felix Zandona, Andrea G. Ferreira |
author_sort |
Santamaría, Ruth M. |
title |
How to Intervene in the Caries Process: Dentin Caries in Primary Teeth |
title_short |
How to Intervene in the Caries Process: Dentin Caries in Primary Teeth |
title_full |
How to Intervene in the Caries Process: Dentin Caries in Primary Teeth |
title_fullStr |
How to Intervene in the Caries Process: Dentin Caries in Primary Teeth |
title_full_unstemmed |
How to Intervene in the Caries Process: Dentin Caries in Primary Teeth |
title_sort |
how to intervene in the caries process: dentin caries in primary teeth |
publisher |
S. Karger AG |
publishDate |
2020 |
url |
http://dx.doi.org/10.1159/000508899 https://www.karger.com/Article/Pdf/508899 |
long_lat |
ENVELOPE(-58.767,-58.767,-69.200,-69.200) |
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Prisma |
geographic_facet |
Prisma |
genre |
Orca |
genre_facet |
Orca |
op_source |
Caries Research volume 54, issue 4, page 306-323 ISSN 0008-6568 1421-976X |
op_rights |
https://creativecommons.org/licenses/by-nc/4.0/ https://creativecommons.org/licenses/by-nc/4.0/ |
op_doi |
https://doi.org/10.1159/000508899 |
container_title |
Caries Research |
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54 |
container_issue |
4 |
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306 |
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323 |
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1802648814434123776 |