Furthermore, the recent development of new antibacterial adhesive systems could be interesting in the treatment of such lesions.
The objectives of this study are to compare the effectiveness of partial versus complete carious dentin removal in deep lesions primary objective and the use of an antibacterial versus a traditional two-step self-etch adhesive system main secondary objective. The minimum sample size required is patients. Two successive randomizations will be performed allocation ratio : the first for the type of excavation partial versus complete and the second if no root canal treatment is required for the type of adhesive antibacterial versus traditional.
For the two objectives, the outcome is the success of the treatment after 1 year, measured according to a composite outcome of five FDI criteria: material fracture and retention, marginal adaptation, radiographic examination including apical pathologiespostoperative sensitivity and tooth vitality, and carious lesion recurrence.
The results may help practitioners achieve the most efficient restorative procedure to maintain pulp vitality and increase the restoration longevity.
Pulp treatment for extensive decay in primary teeth
Registered in November Keywords : Cavity preparation Composite resins Deep carious lesion Dental adhesives Partial caries removal Permanent dentition Pulp capping Randomized controlled trial. WalshThe use of calcium hydroxide, antibiotics and biocides as antimicrobial medicaments in endodonticsAustralian Dental Journalvol.
Suppl 3 Akimoto, G. Yokoyama, and K. Handelman, F. Washburn, and P.
Management of Deep Carious Lesions Télécharger le PDF
WoppererTwo-year report of sealant effect on bacteria in dental cariesThe Journal of the American Dental Associationvol. Murray, I. About, and P. MjörPulp-dentin biology in restorative dentistry Part 4: Dental caries-characteristics of lesions and pulpal reactionsQuintessence Int Berl Ger octvol.
Ricucci, S. Loghin, and L.
Management of deep dental caries
LinIs hard tissue formation in the dental pulp after the death of the primary odontoblasts a regenerative or a reparative process? Farges and H. MagloireComplexe plulpodentinaire. La dent normale et pathologiquepp. Farac, R.
Management Of Deep Dental Caries Free
De-pontes, and R. LimaPulp sensibility test in elderly patientsGerodontologyvol. Smith, R. Tobias, and C. PlantIn vivo morphogenetic activity of dentine matrix proteinsJ Biol Buccale.
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LasfarguesGérer l'exposition pulpaire sur une dent permanenteRéal Clinvol. Ng, V. Mann, and S. RahbaranOutcome of primary root canal treatment: systematic review of the literature??? In children, dental caries tooth decay is among the most prevalent chronic diseases worldwide. Pulp interventions are indicated for extensive tooth decay. Depending on the severity of the disease, three pulp treatment techniques are available: direct pulp capping, pulpotomy and pulpectomy. After treatment, the cavity is filled with a medicament.
Materials commonly used include mineral trioxide aggregate MTAcalcium hydroxide, formocresol or ferric sulphate.
This is an update of a Cochrane Review published in when insufficient evidence was found to clearly identify one superior pulpotomy medicament and technique. To assess the effects of different pulp treatment techniques and associated medicaments for the treatment of extensive decay in primary teeth. OpenGrey was searched for grey literature.
Cambra caries risk assessment form
No restrictions were placed on the language or date of publication when searching the electronic databases. We included randomised controlled trials RCTs comparing interventions that combined a pulp treatment technique with a medicament or device in children with extensive decay in the dental pulp of their primary teeth. Two review authors independently extracted data and assessed 'Risk of bias '. We contacted authors of RCTs for additional information when necessary.
The primary outcomes were clinical failure and radiological failure, as defined in trials, at six, 12 and 24 months. We performed data synthesis with pair-wise meta-analyses using fixed-effect models. We included 40 new trials bringing the total to 87 included trials randomised teeth for this update. All trials were assessed at unclear or high risk of bias. The 87 trials examined different comparisons: 75 comparisons of different medicaments or techniques for pulpotomy; 25 comparisons of different medicaments for pulpectomy; four comparisons of pulpotomy and pulpectomy; and 21 comparisons of different medicaments for direct pulp capping.
The proportion of clinical failures and radiological failures was low in all trials. In many trials, there were either no clinical failures or no radiographic failures in either study arm. For pulpotomy, we assessed three comparisons as providing moderate-quality evidence. Compared with formocresol, MTA reduced both clinical and radiological failures, with a statistically significant difference at 12 months for clinical failure and at six, 12 and 24 months for radiological failure 12 trials, participants.
Compared with calcium hydroxide, MTA reduced both clinical and radiological failures, with statistically significant differences for clinical failure at 12 and 24 months. MTA also appeared to reduce radiological failure at six, 12 and 24 months four trials, participants low-quality evidence. When comparing calcium hydroxide with formocresol, there was a statistically significant difference in favour of formocresol for clinical failure at six and 12 months and radiological failure at six, 12 and 24 months six trials one with no failuresparticipants.