British Society of Paediatric Dentistry: a policy document on management of caries in the primary dentition

Kandiah, Thayalan; Johnson, Judi; FAYLE, S. A.

doi:10.1111/j.1365-263x.2010.01087.x

Cited by 28 publications

(22 citation statements)

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“…When carious and developmental defects require operative therapy, there are several different materials and techniques available: resin composites (RC), glass‐ionomer cements (GIC), polyacid‐modified RC (PAMRC)/compomer, resin‐modified GIC (RMGIC), amalgam, different types of preformed crowns and techniques as well as indirect restorations. Preformed metal crowns (PMCs) in primary teeth are recommended in current guidelines of professional associations and societies such as American Association of Paediatric Dentistry and British Society of Paediatric Dentistry (BSPD). Indications for PMCs are developmental defects, extensive carious lesions, or fractured teeth involving multiple surfaces.…”

Section: Introductionmentioning

confidence: 99%

Survival of extensive restorations in primary molars: 15‐year practice‐based study

Tseveenjav

Furuholm

Mulic

et al. 2017

Int J Paed Dentistry

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Section: Introductionmentioning

confidence: 99%

Survival of extensive restorations in primary molars: 15‐year practice‐based study

Tseveenjav

Furuholm

Mulic

et al. 2017

Int J Paed Dentistry

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“…In certain doses, fluoride has many beneficial effects against caries lesions: it is able to limit demineralization and promote remineralization instead of the tooth. Moreover, it inhibits the growth of bacteria responsible for tooth decay (6,7).…”

Section: Introductionmentioning

confidence: 99%

Assessment of fluoridе prophylaxis in children with mixed dentition in connection with the risk of early tooth loss

Andreeva

2016

Scripta Scientifica Salutis Publicae

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Properly implemented fluoride provides up to 80 percent reduction of dental caries, its complications and respectively premature tooth loss. The aim of the study is to assess fluoride prophylaxis in children with mixed dentition in connection with the risk of early tooth loss. Subject of monitoring of the clinical research were 140 school children with mixed dentition. The clinical group consists of 90 children with prematurely extracted teeth. The patients from the clinical group were divided into three groups of 30 patients. The control group consists of 50 children with intact denture. А special questionnaire was filled out by the parents of the examined child about the usage of fluoride prophylaxis (endogenous and exogenous intake of fluoride). The results showed that a very small percentage of children had received optimal fluoride prophylaxis (endogenous and exogenous) -20%. They were all in the control group. The children from the clinical groups used only fluoride toothpaste as a fluoride prophylaxis -about 78%. About 31% of them do not use any form of fluoride, even in the toothpaste, especially the children from the third group -33.3%. Conclusion: The lack of fluoride prophylaxis leads to more premature extractions among the children with mixed dentition.

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“…Conventional restorative or surgical approaches to caries-where carious dentine is totally excised, then a restoration placed (Ricketts and Pitts, 2009;Kandiah et al, 2010)-is being challenged by more biological, less invasive approaches where emphasis is on biofilm alteration to arrest carious lesions (Ricketts et al, 2013;Schwendicke et al, 2013).…”

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confidence: 99%

Caries Management Strategies for Primary Molars

et al. 2014

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Minimal invasive approaches to managing caries, such as partial caries removal techniques, are showing increasing evidence of improved outcomes over the conventional complete caries removal. There is also increasing interest in techniques where no caries is removed. We present the 1-yr results of clinical efficacy for 3 caries management options for occlusoproximal cavitated lesions in primary molars: conventional restorations (CR; complete caries removal and compomer restoration), Hall technique (HT; no caries removal, sealing in with stainless steel crowns), and nonrestorative caries treatment (NRCT; no caries removal, opening up the cavity, teaching brushing and fluoride application). In sum, 169 children (3-8 yr old; mean, 5.56 ± 1.45 yr) were enrolled in this secondary care-based, 3-arm, parallelgroup, randomized clinical trial. Treatments were carried out by specialist pediatric dentists or postgraduate trainees. One lesion per child received CR, HT, or NRCT. Outcome measures were clinical failure rates, grouped as minor failure (restoration loss/ need for replacement, reversible pulpitis, caries progression, etc.) and major failure (irreversible pulpitis, abscess, etc.). There were 148 children (87.6%) with a minimum follow-up of 11 mo (mean, 12.23 ± 0.98 mo). Twenty teeth were recorded as having at least 1 minor failure: NRCT, n = 8 (5%); CR, n = 11 (7%); HT, n = 1 (1%) (p = .002, 95% CI = 0.001 to 0.003). Only the comparison between NRCT and CR showed no significant difference (p = .79, 95% CI = 0.78 to 0.80). Nine (6%) experienced at least 1 major failure: NRCT, n = 4 (2%); CR, n = 5 (3%); HT, n = 0 (0%) (p = .002, 95% CI = 0.001 to 0.003). Individual comparison of NRCT and CR showed no statistically significant difference in major failures (p = .75, 95% CI = 0.73 to 0.76). Success and failure rates were not significantly affected by pediatric dentists' level of experience (p = .13, 95% CI = 0.12 to 0.14). The HT was significantly more successful clinically than NRCT and CR after 1 yr, while pairwise analyses showed comparable results for treatment success between NRCT and CR (ClinicalTrials.gov NCT01797458).

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British Society of Paediatric Dentistry: a policy document on management of caries in the primary dentition

Cited by 28 publications

References 0 publications

Survival of extensive restorations in primary molars: 15‐year practice‐based study

Survival of extensive restorations in primary molars: 15‐year practice‐based study

Assessment of fluoridе prophylaxis in children with mixed dentition in connection with the risk of early tooth loss

Caries Management Strategies for Primary Molars

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