Expert consensus on early childhood caries management

Zou, Jing; Du, Qin; Ge, Lihong; Wang, Jun; Wang, Xiaojing; Li, Yuqing; Song, Gaoyuan; Wang, Zhao; Chen, Xu; Jiang, Beizhan; Mei, Yufeng; Huang, Yang; Deng, Shengjue; Zhang, Hongmei; Li, Yanhong

doi:10.1038/s41368-022-00186-0

Cited by 35 publications

(29 citation statements)

References 158 publications

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“…According to the 4th National Oral Health Survey report in mainland China in 2017, the caries prevalence rates in 3- and 5-year-old children were as high as 51% and 71%, respectively [ 1 ]. Inflammation of dental pulp tissue, known as pulpitis, which results from harmful stimuli, such as bacterial infection of the tooth structure.…”

Section: Introductionmentioning

confidence: 99%

Survival analysis of pulpectomy in primary molars performed under dental general anaesthesia: a two-year retrospective study

Xie

Wang

et al. 2022

BMC Oral Health

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Background To retrospectively investigate the success rate of primary-molar pulpectomy performed under general anaesthesia and the potential risk factors that affect the 24-month success rate. Methods The case data and two-year follow-up records of children (aged 3–6 years) who received pulpectomy in primary molars performed under general anaesthesia were reviewed and assessed. Potential risk factors included age, gender, decayed-missing-filled teeth, endodontic diagnosis, tooth location, and postobturation sealing of the pulp chamber floor with MTA. With a two-year follow-up period, the outcomes of all the primary molars were classified into success and failure. Survival analysis was used to assess the outcomes. The Kaplan–Meier method was used to analyse the success rate. Univariate and multivariate Cox proportional hazards regression models were used to evaluate the potential risk factors associated with the overall survival of primary molars. Results A total of 410 teeth from 163 children (88 boys and 75 girls) were included in this study. The overall two-year success rate was 66.1% for all primary molars. The mean overall survival time for this study was 22.1 (95% CI, 21.73‒22.48) months. Multivariate Cox regression analysis demonstrated that endodontic diagnosis (irreversible pulpitis or periapical periodontitis), tooth location (maxillary or mandibular primary molar), and postobturation sealing of the pulp chamber floor (MTA or no-MTA) were significant risk factors for overall survival in this study (P < .05). The differences in success rates were not statistically significant in terms of age, gender, and decayed-missing-filled teeth (P > .05). Conclusions When compared to teeth diagnosed with irreversible pulpitis, those with periapical periodontitis failed more frequently. Postobturation sealing of the pulp chamber floor with MTA improved the success rate of pulpectomy in primary molars, especially when the inflammation did not spread to the periradicular area.

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Section: Introductionmentioning

confidence: 99%

Survival analysis of pulpectomy in primary molars performed under dental general anaesthesia: a two-year retrospective study

Xie

Wang

et al. 2022

BMC Oral Health

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“…Preventative resin restoration (PRR) is a minimally invasive method that is usually indicated for restoring small carious lesions in the posterior teeth [ 76 ]. It involves the removal of caries in one stage [ 76 , 77 ]. Only caries affected pits and fissures are prepared to receive the filling.…”

Section: Methods Of Management Of Carious Lesionsmentioning

confidence: 99%

Dental Caries and Its Management

Warreth

2023

International Journal of Dentistry

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Objectives. In recent years, the management of dental caries has evolved significantly. Caries prevention, early detection, and a diagnosis based on risk indicators and risk factor assessments are the most current practical approaches. Furthermore, as proposed in minimally invasive dentistry, the new management approaches preserve healthy tissue and maintain pulp vitality. This article overviews the latest minimally invasive dental caries management and treatment options. The information will assist the reader in the early detection, diagnosis, and treatment of dental caries. Materials and Methods. The PubMed (MEDLINE) search engine was used to gather the most relevant information on dental caries. The search was restricted to five years (May 30, 2018–May 29, 2022), and only English-language studies were accessed. A Boolean search of the PubMed data set was implemented to combine a range of keywords. The following filters were applied: abstract, free full text, full text, clinical trial, randomised control trial, systematic review, meta-analysis, and review. More studies were also obtained by manual searches from Google Scholar and textbooks on dental caries. Results. By using this process, 683 articles and studies were obtained. The most relevant published studies were chosen and used in the current review. The selected articles are included in the references list. However, the search extended to cover the last five years as our understanding and management of dental caries have changed significantly. Conclusions. Early detection and diagnosis of caries based on risk indicators and risk factor assessments are effective. Furthermore, minimally invasive restorative techniques are beneficial in managing dental caries and preserving healthy tissue and should be used whenever possible. This new information, knowledge, and materials should encourage professionals to implement this method. Having a strategy and system based on patient-centred care is critical, and our dental responsibilities must prioritise patient-centred care.

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“…5,6 At present, the most commonly used drugs for professional uoride treatments are NaF, SnF 2 , and APF. 47 Therefore, 6 healthy premolars were selected to evaluate the capability of these three anti-caries drugs by analyzing the absorption of F in the teeth.…”

Section: Evaluation Of F Absorption From Anticaries Drugsmentioning

confidence: 99%