Nonrestorative treatment of initial caries lesion in primary teeth: a systematic review and network meta-analysis.
| Autor: | Tedesco TK; Graduate Program in Dentistry, Ibirapuera University, São Paulo, SP, Brazil.; Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Sao Paulo, São Paulo, SP, Brazil., Calvo AFB; Graduate Program in Dentistry, Faculdade São Leopoldo Mandic, Instituto e Centro de Pesquisas Sao Leopoldo Mandic, Campinas, SP, Brazil., Pássaro AL; Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Sao Paulo, São Paulo, SP, Brazil., Araujo MP; Department of Child Dental and Oral Health, School of Dentistry, University of Dundee, Dundee, United Kingdom., Ladewig NM; Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Sao Paulo, São Paulo, SP, Brazil., Scarpini S; Graduate Program in Dentistry, Ibirapuera University, São Paulo, SP, Brazil., Lara JS; Department of Cariology, Operative Dentistry and Dental Public Health, School of Dentistry, Indiana University, Indianapolis, IN, USA., Braga MM; Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Sao Paulo, São Paulo, SP, Brazil., Gimenez T; Graduate Program in Dentistry, Ibirapuera University, São Paulo, SP, Brazil.; Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Sao Paulo, São Paulo, SP, Brazil., Raggio DP; Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Sao Paulo, São Paulo, SP, Brazil. |
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| Jazyk: | angličtina |
| Zdroj: | Acta odontologica Scandinavica [Acta Odontol Scand] 2022 Jan; Vol. 80 (1), pp. 1-8. Date of Electronic Publication: 2021 Jun 08. |
| DOI: | 10.1080/00016357.2021.1928748 |
| Abstrakt: | Objective: To identify the best available approach to avoid initial caries lesions progression in primary teeth. Materials and Methods: Search was performed in MEDLINE/Pubmed, Web of Science, Embase and CENTRAL databases until March 2021. Studies compared treatment options to avoid the initial caries lesion progression with at least 12 months of follow-up were included. Network meta-analyses were conducted considering the non-progression of caries lesions as an outcome. Results: Potentially eligible studies were screened ( n = 2820) and eleven were included. Six studies evaluated the use of fluoride varnish, resin infiltration, sealing, and toothbrushing/flossing on proximal initial caries lesions. When considering occlusal surfaces, only two studies evaluating the ozone gas, fluoride varnish, resin infiltration, and sealants were included. For buccal/lingual surfaces, three studies evaluating toothbrushing, CPP-ACP paste, fluoride varnish, and resin infiltration were included. For all types of surfaces, the resin infiltration showed the best probability to avoid the progression of initial caries lesions. Conclusion: The limited number of included studies, most with a high risk of bias and lack of hard outcomes, such as frank cavitation, makes it not feasible to recommend a specific management approach for initial caries lesion control in primary teeth with a high certainty of evidence. PROSPERO: #CRD42016037781. |
| Databáze: | MEDLINE |
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