Recommended procedures for the management of early childhood caries lesions - a scoping review by the Children Experiencing Dental Anxiety: Collaboration on Research and Education (CEDACORE).

Autor: Corrêa-Faria P; Dentistry Graduate Program, School of Dentistry, Universidade Federal de Goiás, Praça Universitária, Goiânia, Goiás, 74605220, Brazil. patriciafaria.faria09@gmail.com., Viana KA; Dentistry Graduate Program, School of Dentistry, Universidade Federal de Goiás, Praça Universitária, Goiânia, Goiás, 74605220, Brazil., Raggio DP; Graduate Program in Dental Sciences, School of Dentistry, Universidade de São Paulo, Av Lineu Prestes, 2227, São Paulo, 05508-000, Brazil., Hosey MT; Head of Paediatric Dentistry, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK., Costa LR; Dentistry Graduate Program, School of Dentistry, Universidade Federal de Goiás, Praça Universitária, Goiânia, Goiás, 74605220, Brazil.
Jazyk: angličtina
Zdroj: BMC oral health [BMC Oral Health] 2020 Mar 17; Vol. 20 (1), pp. 75. Date of Electronic Publication: 2020 Mar 17.
DOI: 10.1186/s12903-020-01067-w
Abstrakt: Background: Early childhood caries (ECC) affects millions of children up to 6 years old. Its treatment positively impacts the quality of life of children and their families. However, there is no consensus on how to treat ECC. Thus, we performed a scoping review to identify the recommended procedures for the management of ECC lesions.
Methods: A search was performed in PubMed, Scopus, The Cochrane Library, The International Guideline Library and pediatric dentistry associations around the world were contacted by email for unpublished search documents. ECC guidelines/guidance/policies were considered eligible regardless of language and publication date.
Results: From a total of 828 references, 52 full-text articles were assessed for eligibility and 22 included in the scoping review. We found different procedures recommendations for the management of ECC lesions. For incipient lesions, minimally invasive methods such as professional fluoride and cariostatic (silver diamine) applications, as well as surveillance were recommended. If restoration was required, the recommended materials were glass ionomer cement, composite resin, amalgam and stainless-steel crown. Interim restorations and Atraumatic Restorative Treatment (ART) were also recommended. Extractions have been suggested for teeth with lesions with pulpal involvement, depending on the child's behaviour and other clinical conditions.
Conclusions: Non-operative procedures, restorative and extraction were recommended for the management of ECC, depending on the extent of the lesions. There is no difference between different management guidelines/guidance/policies for ECC lesions.
Databáze: MEDLINE
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