Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Oral Research |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000100203 |
Resumo: | 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. |
id |
SBPQO-1_0ccdc9f44a38ad698f33901c96289a19 |
---|---|
oai_identifier_str |
oai:scielo:S1806-83242021000100203 |
network_acronym_str |
SBPQO-1 |
network_name_str |
Brazilian Oral Research |
repository_id_str |
|
spelling |
Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysisDental CariesPulpotomyPulpectomyTooth, DeciduousSystematic ReviewAbstract: 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.Sociedade Brasileira de Pesquisa Odontológica - SBPqO2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000100203Brazilian Oral Research v.35 2021reponame:Brazilian Oral Researchinstname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO)instacron:SBPQO10.1590/1807-3107bor-2021.vol35.0004info:eu-repo/semantics/openAccessTedesco,Tamara KerberReis,Thais MarcheziniMello-Moura,Anna Carolina VolpiSilva,Gabriela Seabra daScarpini,SamantaFloriano,IsabelaGimenez,ThaisMendes,Fausto MedeirosRaggio,Daniela Prócidaeng2020-11-09T00:00:00Zoai:scielo:S1806-83242021000100203Revistahttps://www.scielo.br/j/bor/https://old.scielo.br/oai/scielo-oai.phppob@edu.usp.br||bor@sbpqo.org.br1807-31071806-8324opendoar:2020-11-09T00:00Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO)false |
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 Dental Caries Pulpotomy Pulpectomy Tooth, Deciduous Systematic Review |
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.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 |
Dental Caries Pulpotomy Pulpectomy Tooth, Deciduous Systematic Review |
topic |
Dental Caries Pulpotomy Pulpectomy Tooth, Deciduous Systematic Review |
description |
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. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000100203 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242021000100203 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1807-3107bor-2021.vol35.0004 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Pesquisa Odontológica - SBPqO |
publisher.none.fl_str_mv |
Sociedade Brasileira de Pesquisa Odontológica - SBPqO |
dc.source.none.fl_str_mv |
Brazilian Oral Research v.35 2021 reponame:Brazilian Oral Research instname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO) instacron:SBPQO |
instname_str |
Sociedade Brasileira de Pesquisa Odontológica (SBPqO) |
instacron_str |
SBPQO |
institution |
SBPQO |
reponame_str |
Brazilian Oral Research |
collection |
Brazilian Oral Research |
repository.name.fl_str_mv |
Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO) |
repository.mail.fl_str_mv |
pob@edu.usp.br||bor@sbpqo.org.br |
_version_ |
1750318327526326272 |