Alternative treatment strategies for carious primary teeth: An overview of the evidence

Foley, J.

doi:10.1007/bf03320818

Cited by 10 publications

(4 citation statements)

References 57 publications

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“…Currently, two treatment approaches are proposed for the restoration of carious primary teeth in the UK; the conventional and the biological. Conventional restoration includes complete removal of carious tissue followed by placing a suitable filling material with or without pulp therapy, whereas the biological approach involves the isolation of the carious lesion from the biofilm using for example sealants, the Hall Technique, and indirect pulp capping.…”

Section: Introductionmentioning

confidence: 99%

The impact of dental caries and its treatment by conventional or biological approaches on the oral health‐related quality of life of children and carers

BaniHani

Deery

Toumba

et al. 2017

Int J Paed Dentistry

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Section: Introductionmentioning

confidence: 99%

The impact of dental caries and its treatment by conventional or biological approaches on the oral health‐related quality of life of children and carers

BaniHani

Deery

Toumba

et al. 2017

Int J Paed Dentistry

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“…Despite clear guidelines that restorations should be provided, the feasibility of asking general dental practitioners to restore all the decayed primary teeth has been questioned [ 6 ]. Fortunately, the requirements for management of caries in the primary dentition can be different from those in the permanent dentition as the lifespan of primary teeth before tooth shedding is usually about 6–8 years [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Non-surgical treatment of dentin caries in preschool children – systematic review

2015

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BackgroundUntreated dentin caries in primary teeth is commonly found in preschool children worldwide. Recently, the use of simple non-surgical approaches to manage the situation has been advocated.The aim of the study was to systematically review and evaluate the literature on effectiveness of non-surgical methods in arresting or slowing down the progression of active dentin caries in primary teeth in preschool children.MethodsA systematic search of the main electronic databases (Pubmed, Cochrane Collaboration, EMBASE) was conducted to identify peer reviewed papers published in English in the years 1947–2014. Keywords and MeSH terms used in the search were “dental caries”, “primary dentition” and various non-surgical treatments (fluoride, sealant, resin infiltration, xylitol, chlorhexidine, CPP-ACP, ozone, etc.). The inclusion criteria were clinical studies conducted in children under 6 years old, and reported findings on caries arrest or caries progression in primary teeth. Retrieved papers were read by two reviewers independently to assess suitability for inclusion, and the final decision was made by consensus. Quality of the included studies was assessed and data were extracted for analysis.ResultsThe search identified 323 papers for screening. Among these, 290 papers did not satisfy the study inclusion criteria. Consequently, 33 full papers were retrieved and reviewed. Finally, 4 studies were included. Three studies reported that topical applications of silver diammine fluoride (SDF) solution could arrest dentin caries in preschool children. One study supported that having a daily toothbrushing exercise in kindergarten using toothpaste with 1000 ppm fluoride could stabilize the caries situation in young children.ConclusionsThere is limited evidence to support the effectiveness of SDF applications or daily toothbrushing with fluoride toothpaste in arresting or slowing down the progression of active dentin caries in primary teeth in preschool children. More well-designed randomized controlled trials are required to confirm these findings.

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“…Therefore, restorative care should be considered as one option for treating cavitated primary teeth and conventional treatment should be considered as one of the restorative care options. Other viable treatment options are the ART approach, the Hall technique silver diamine fluoride (SDF) application and the non‐restorative caries treatment (NRCT). Comparison has been made between ART restorations and amalgam restorations in primary teeth and these have been found to perform equally well, while the Hall technique, SDF and the NRCT require further investigation because of the insufficient number of studies undertaken to determine their value for general use.…”

Section: Discussionmentioning

confidence: 99%

What happens to cavitated primary teeth over time? A 3.5-year prospective cohort study in China

Chen

Fan

et al. 2013

International Dental Journal

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Alternative treatment strategies for carious primary teeth: An overview of the evidence

Cited by 10 publications

References 57 publications

The impact of dental caries and its treatment by conventional or biological approaches on the oral health‐related quality of life of children and carers

The impact of dental caries and its treatment by conventional or biological approaches on the oral health‐related quality of life of children and carers

Non-surgical treatment of dentin caries in preschool children – systematic review

What happens to cavitated primary teeth over time? A 3.5-year prospective cohort study in China

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