2009
DOI: 10.1159/000231572
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Abstract: Since viable bacteria can persist in tooth cavities regardless of the technique used for caries removal, the objective of the present randomized clinical trial was to examine the microflora of primary teeth treated by complete or partial removal of carious dentin. Deciduous molars with acute carious lesions in the inner half of dentin and vital pulp were randomly divided into two groups of 16: complete removal, in which the carious dentin was completely removed with the help of a caries detector dye, and parti… Show more

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Cited by 95 publications
(83 citation statements)
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References 41 publications
(24 reference statements)
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“…They extend from stepwise caries removal to nonrestorative caries treatment (NRCT), where no caries is removed but the cavity is opened to allow the lesion to be brushed by parent and child; the biofilm is altered through continual disruption/cleaning (Gruythuysen et al, 2011;Kidd, 2012). Additionally, sealing techniques include those with no caries removal, such as the Hall technique (HT; Innes et al, 2006Innes et al, , 2011, partial (Lula et al, 2009) stepwise caries removal (Ricketts et al, 2013), and fissure sealing lesions (Griffin et al, 2008). Although the evidence base supporting biological treatment approaches is growing, the limited comparative evidence for one approach over another leaves clinicians with uncertainty around their efficacy and, therefore, difficulties when planning treatment for children.…”
mentioning
confidence: 99%
“…They extend from stepwise caries removal to nonrestorative caries treatment (NRCT), where no caries is removed but the cavity is opened to allow the lesion to be brushed by parent and child; the biofilm is altered through continual disruption/cleaning (Gruythuysen et al, 2011;Kidd, 2012). Additionally, sealing techniques include those with no caries removal, such as the Hall technique (HT; Innes et al, 2006Innes et al, , 2011, partial (Lula et al, 2009) stepwise caries removal (Ricketts et al, 2013), and fissure sealing lesions (Griffin et al, 2008). Although the evidence base supporting biological treatment approaches is growing, the limited comparative evidence for one approach over another leaves clinicians with uncertainty around their efficacy and, therefore, difficulties when planning treatment for children.…”
mentioning
confidence: 99%
“…These techniques show success in clinical studies and microbiological reports examining bacterial presence after such procedures have demonstrated that the number of microorganisms is reduced after incomplete carious dentin removal and tooth sealing [5][6][7][8][9]. However, the persistence of viable bacteria in dentin after these techniques has raised doubts regarding the long-term effectiveness of treatment [31].…”
Section: Discussionmentioning
confidence: 99%
“…Microbiological and clinical studies have shown that the number of bacteria decreases during incomplete carious removal followed by adequate cavity sealing, and that lesions are clinically arrested [5][6][7][8][9][10]. Although a limited number of microorganisms persist under restorations a few months after the partial caries removal and sealing [5,8,9], some cariogenic bacteria may be found within the remaining microorganisms, such as Streptococcus mutans, which is currently found on sealed carious dentin [2,[6][7][8][9].…”
Section: Introductionmentioning
confidence: 99%
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“…Wordt dit wel nagestreefd dan bestaat juist de kans dat nog remineraliseerbaar dentine wordt opgeoff erd met als gevolg een onnodige verzwakking van het gebitselement of zelfs een expositie van de pulpa (Thompson et al, 2008). Deze bevinding werd ondersteund door een ander onderzoek dat aantoonde dat na 3 tot 6 maanden geen verschil in aantallen bacteriën bestond tussen compleet en incompleet uitgevoerde excavatie van gedemineraliseerd dentine met daarna een hermetisch afsluitende restauratie (Lula et al, 2009). Uit een onderzoek waarbij zowel volledig als gedeeltelijk gedemineraliseerd dentine werd achtergelaten in een met glasionomeercement en in een met chloorhexidine bevattend glasionomeercement afgesloten caviteit, bleek dat de aantallen mutans streptokokken, lactobacillen en cultiveerbare micro-organismen in hun totaliteit na 7 dagen signifi cant kleiner waren dan aan het begin van de behandeling (Frencken et al, 2007).…”
Section: Achterblijven Van Bacteriënunclassified