Your browser doesn't support javascript.
loading
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 Marchezini; Mello-Moura, Anna Carolina Volpi; Silva, Gabriela Seabra da; Scarpini, Samanta; Floriano, Isabela; Gimenez, Thais; Mendes, Fausto Medeiros; Raggio, Daniela Prócida.
Afiliação
  • Tedesco, Tamara Kerber; Universidade Ibirapuera. São Paulo. BR
  • Reis, Thais Marchezini; Universidade de São Paulo. School of Dentistry. Department of Orthodontics and Pediatric Dentistry. São Paulo. BR
  • Mello-Moura, Anna Carolina Volpi; Universidade Católica Portuguesa. Faculty Dental Medicine. Center for Interdisciplinary Research in Health - SalivaTec Lab. Viseu. PT
  • Silva, Gabriela Seabra da; Universidade de São Paulo. School of Dentistry. Department of Orthodontics and Pediatric Dentistry. São Paulo. BR
  • Scarpini, Samanta; Universidade Ibirapuera. São Paulo. BR
  • Floriano, Isabela; Centro Universitáciro Uninovafapi. Teresina. BR
  • Gimenez, Thais; Universidade Ibirapuera. São Paulo. BR
  • Mendes, Fausto Medeiros; Universidade de São Paulo. School of Dentistry. Department of Orthodontics and Pediatric Dentistry. São Paulo. BR
  • Raggio, Daniela Prócida; Universidade de São Paulo. School of Dentistry. Department of Orthodontics and Pediatric Dentistry. São Paulo. BR
Braz. oral res. (Online) ; 35: e004, 2021. tab, graf
Article em En | LILACS, BBO | ID: biblio-1132741
Biblioteca responsável: BR1.1
ABSTRACT
Abstract There is a lack of evidence about the best approach for cavitated caries lesions with the possibility of pulpal involvement in primary teeth. Thus, the present authors aimed to verify the best treatment for deep caries lesions with or without pulp involvement in primary teeth. The search was conducted in MEDLINE/Pubmed and Web of Science databases until May 2020. Studies that compared techniques to manage deep caries lesions with at least 12 months of follow-up were included. The risk of bias was evaluated using the RoB tool. Network meta-analysis and pairwise meta-analyses were conducted considering the treatment clinical success as an outcome, according to the pulp health condition. From 491 potentially eligible studies, 9 were included. For deep caries lesions with pulp vitality, the Hall Technique presented the highest probability of success (78%). In the event of accidental pulp exposure, pulpectomy presented a 76% chance of providing the best clinical results. For pulp necrosis, no difference was observed between a pulpectomy and non-instrumented endodontic treatment (RR = 0.69; 95%CI 0.21-2.33) Thus, it was concluded that the Hall Technique may be a better option for deep caries lesions with pulp vitality. In cases of accidental pulp exposure of vital teeth during caries removal, a pulpectomy may be considered the best option. However, there are insufficient studies to build up evidence about the best treatment option when irreversible pulpitis or pulp necrosis is present.
Assuntos
Palavras-chave
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: BBO / LILACS Assunto principal: Dente Decíduo / Cárie Dentária Tipo de estudo: Systematic_reviews Limite: Humans Idioma: En Revista: Braz. oral res. (Online) Assunto da revista: ODONTOLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil / Portugal País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: BBO / LILACS Assunto principal: Dente Decíduo / Cárie Dentária Tipo de estudo: Systematic_reviews Limite: Humans Idioma: En Revista: Braz. oral res. (Online) Assunto da revista: ODONTOLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil / Portugal País de publicação: Brasil