Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis

Tedesco, Tamara Kerber; Reis, Thais; Mello‐Moura, Anna Carolina Volpi; Silva, Gabriela Seabra da; Scarpini, Samanta; Floriano, Isabela; Gimenez, Thaís; Mendes, Fausto Medeiros; Raggio, Daniela Prócida

doi:10.1590/1807-3107bor-2021.vol35.0004

Cited by 17 publications

(33 citation statements)

References 21 publications

(76 reference statements)

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“…However, systematic reviews have shown that there is no superiority between techniques. Tedesco et al 22 did not observe differences between pulpectomy, with mechanical cleaning and chemical disinfection of the root canals, and NIET or LSTR. However, the level of certainty of the evidence according to the GRADE scale was very low, with only 2 articles included in the meta-analysis, with a high confidence interval and heterogeneity.…”

Section: Discussionmentioning

confidence: 88%

Cost analysis of endodontic treatment in primary teeth: results from a randomized clinical trial

et al. 2021

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This study compared the cost of endodontic treatment in primary teeth involving a technique that does not require root canal instrumentation using antibiotic paste (CTZ) with that of the instrumented technique using iodoform paste (GP). This study is part of a randomized, controlled, parallel arm, noninferiority, 1:1 allocation, blinded (patient) multioperator study of 52 primary incisors of children aged 3 to 6 years with caries lesion and pulp involvement. Each technique was performed according to the creators' descriptions. The cost was assessed by analyzing the costs of capital, dental supplies, and professional labor according to the time taken to perform the procedure and the CHEERS guidelines were used to report the cost assessment. Endodontic treatment with CTZ had a 58.33% lower execution cost than GP (US$6.73 and US$16.15, respectively). The t-test showed significant differences between groups regarding treatment time and total cost (p < 0.0001). The CTZ technique seems to be more economically viable than GP for endodontic treatment of primary teeth, requiring a shorter treatment time and lower costs.

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Section: Discussionmentioning

confidence: 88%

Cost analysis of endodontic treatment in primary teeth: results from a randomized clinical trial

et al. 2021

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“…Assim, o critério Nyvad considera tanto severidade como a atividade da cárie (Nyvad et al, 1999). Além disso, um aspecto importante é a avaliação da vitalidade pulpar e, os estudos, em sua grande maioria, consideram critérios em comum de diagnóstico (Tedesco et al, 2020), como teste térmico e avaliação clínica e radiográfica (Dimitraki et al, 2019).…”

Section: Management Of Dental Caries Lesions In Latin American and Caribbean Countriesunclassified

Século XXI: A filosofia de uma Odontologia minimamente invasiva, o que mudou do diagnóstico ao tratamento da cárie dental?

Silva

Menezes

Brito

et al. 2021

RSD

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Introdução: A cárie dentária é mundialmente a doença mais comum que influencia negativamente na qualidade de vida das pessoas. Com o avanço das pesquisas, o diagnóstico da lesão cariosa e uso de materiais e técnicas tem ganhado um caráter mais conservador. Objetivo: Avaliar por meio de evidências cientificas disponíveis na literatura, as atuais propostas de intervenções e protocolos para o tratamento da cárie, tendo como objetivo a máxima preservação e mínima intervenção na estrutura dental. Metodologia: Seleção dos artigos nas bases de dados, MEDLINE (Medical Literature Analysis and Retrieval Sistem on-line), PUBMED. A partir das palavras-chave “caries”, “partial” e “removal”, 50 artigos (2010 a 2021) foram pré-selecionados. Seguindo os critérios de inclusão e exclusão, foram selecionados 17 artigos analisando de acordo com o manejo de lesões observando a severidade, o grau de atividade da cárie e tipo de material e técnica a serem empregados. Resultados: Os estudos demonstram uma maior compreensão da evolução da cárie, o estabelecimento de um diagnóstico mais criterioso e o desenvolvimento de materiais adesivos e bioativos tem possibilitado tratamentos minimamente invasivos. Diferenças significativas entre as técnicas de remoção total, parcial e em 2 passos (stepwise) de tecido cariado tem sido encontrada. sendo que a remoção total e em 2 passos aumentam as chances de injúria e/ou comunicação pulpar. Conclusão: A evolução dos materiais adesivos e uma maior compreensão do desenvolvimento da cárie possibilita o emprego de técnicas e materiais que garanta menor intervenção e maior sucesso clínico.

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“…Despite the implementation of various preventive programs for dental caries, data suggest that around 50% of children still have carious primary teeth in need of treatment. The presence of carious lesions in primary teeth leads to a negative impact on child's oral health-related behavior, functional and emotional well-being and overall quality of life [3,4].…”

Section: Introductionmentioning

confidence: 99%

Clinical Evaluation and Comparison of Stainless Steel Crowns and Zirconia Crowns in Primary Molars- A Study Protocol

Khubchandani

Thosar

2021

JPRI

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Aim: The present study will be undertaken to evaluate and compare the clinical success of stainless steel crowns and zirconia crowns in carious primary molars. Study Design: Randomized controlled trial. Place and Duration of the Study: Department of Pedodontics & Preventive Dentistry, Sharad Pawar Dental College & Hospital, Duration- One year Methodology: In this Split-mouth, 12 months study, set of primary molars in 4-9 years old children will be restored with stainless steel crown and zirconia crown. The primary objective is the assessment of clinical success by evaluating pain, swelling and pathologic mobility at baseline, 1, 3, 6 and 12 months interval. The secondary objectives are to assess the level of parental satisfaction by applying fivepoint likert scale and evaluate the gingival condition by recording Sillness and Loe Plaque index (PI) and Loe and Silness Gingival Index (GI) of study groups at periodic interval of 1, 3, 6 and 12 months. Results: The results of the present study will investigate the effectiveness of two types of pediatric full coverage restorations for management of extensive caries in primary molars. Conclusion: The findings of the present research would help the patient and practitioners to select appropriate therapeutic option.

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Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis

Cited by 17 publications

References 21 publications

Cost analysis of endodontic treatment in primary teeth: results from a randomized clinical trial

Cost analysis of endodontic treatment in primary teeth: results from a randomized clinical trial

Século XXI: A filosofia de uma Odontologia minimamente invasiva, o que mudou do diagnóstico ao tratamento da cárie dental?

Clinical Evaluation and Comparison of Stainless Steel Crowns and Zirconia Crowns in Primary Molars- A Study Protocol

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