Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.14/34179 |
Resumo: | 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 insuficient studies to build up evidence about the best treatment option when irreversible pulpitis or pulp necrosis is present. |
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Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysisDeciduousDental CariesPulpectomyPulpotomySystematic ReviewToothThere 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 insuficient studies to build up evidence about the best treatment option when irreversible pulpitis or pulp necrosis is present.Veritati - Repositório Institucional da Universidade Católica PortuguesaTedesco, Tamara KerberReis, Thais MarcheziniMello-Moura, Anna Carolina VolpiSilva, Gabriela Seabra daScarpini, SamantaFloriano, IsabelaGimenez, ThaisMendes, Fausto MedeirosRaggio, Daniela Prócida2021-07-19T14:11:32Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.14/34179eng1806-832410.1590/1807-3107BOR-2021.VOL35.00048509640824333206777000651599500001info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-12-12T01:34:05Zoai:repositorio.ucp.pt:10400.14/34179Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:27:39.475025Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis |
title |
Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis |
spellingShingle |
Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis Tedesco, Tamara Kerber Deciduous Dental Caries Pulpectomy Pulpotomy Systematic Review Tooth |
title_short |
Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis |
title_full |
Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis |
title_fullStr |
Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis |
title_full_unstemmed |
Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis |
title_sort |
Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis |
author |
Tedesco, Tamara Kerber |
author_facet |
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 |
author_role |
author |
author2 |
Reis, Thais Marchezini Mello-Moura, Anna Carolina Volpi Silva, Gabriela Seabra da Scarpini, Samanta Floriano, Isabela Gimenez, Thais Mendes, Fausto Medeiros Raggio, Daniela Prócida |
author2_role |
author author author author author author author author |
dc.contributor.none.fl_str_mv |
Veritati - Repositório Institucional da Universidade Católica Portuguesa |
dc.contributor.author.fl_str_mv |
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 |
dc.subject.por.fl_str_mv |
Deciduous Dental Caries Pulpectomy Pulpotomy Systematic Review Tooth |
topic |
Deciduous Dental Caries Pulpectomy Pulpotomy Systematic Review Tooth |
description |
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 insuficient studies to build up evidence about the best treatment option when irreversible pulpitis or pulp necrosis is present. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020 2020-01-01T00:00:00Z 2021-07-19T14:11:32Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.14/34179 |
url |
http://hdl.handle.net/10400.14/34179 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
1806-8324 10.1590/1807-3107BOR-2021.VOL35.0004 85096408243 33206777 000651599500001 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131994489094144 |