Recommended procedures for managing carious lesions in primary teeth with pulp involvement-a scoping review.

Autor: Maldupa I; Department of Conservative Dentistry and Oral Health, Riga Stradiņš University Faculty of Dentistry, Riga Stradiņš University, Rīga, Latvia., Al-Yaseen W; School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, Wales, UK. al-yaseenw1@cardiff.ac.uk., Giese J; Department of Conservative Dentistry and Oral Health, Riga Stradiņš University Faculty of Dentistry, Riga Stradiņš University, Rīga, Latvia., Ahmed Elagami R; Department of Orthodontics and Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil., Raggio DP; School of Dentistry, College of Biomedical and Life Sciences, Cardiff University, Cardiff, Wales, UK.; Department of Orthodontics and Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: BDJ open [BDJ Open] 2024 Sep 18; Vol. 10 (1), pp. 74. Date of Electronic Publication: 2024 Sep 18.
DOI: 10.1038/s41405-024-00259-8
Abstrakt: Background: Managing dental caries in primary teeth with pulp involvement is a significant challenge. Clinical guidelines offer recommendations for effective management.
Aim: To identify and analyze policies, guidelines, and recommendations for treating primary teeth with pulp-involved carious lesions, highlighting existing research gaps and setting the foundation for future research.
Methods: A comprehensive search was conducted across databases (PubMed, Scopus, Embase, GIN, and LILACS) and grey literature sources (Trip and ProQuest) to identify guidelines, consensus, policy, and position statements on primary teeth pulp therapy and extraction thresholds. Two independent reviewers screened the abstracts and titles, followed by full-text screening.
Results: After removing duplication, of the 1098 records, 14 were selected for analysis. This review examined various treatments for deep caries lesions in primary teeth, including indirect/direct pulp capping, pulpotomy, pulpectomy, lesion sterilization/tissue restoration, and extraction. Time search was restricted to documents published from 30th January 2008 to 30th January 2024, offering insights into evolving clinical practices.
Conclusion: Treatment for carious lesions in primary teeth involving the pulp depends on clinical indications and may involve minimally invasive techniques. Recommended options are indirect pulp capping, pulpotomy, and pulpectomy, while direct capping and tooth removal are discouraged. Further research is needed to address gaps, improve guideline development, and enhance consistency of recommendations.
(© 2024. The Author(s).)
Databáze: MEDLINE
Externí odkaz: