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Article: Restorative approaches to treat dentin caries in preschool children: systematic review

TitleRestorative approaches to treat dentin caries in preschool children: systematic review
Authors
KeywordsDental caries
Dental restorations
Preschool children
Primary teeth
Issue Date2016
PublisherCasa Editrice Ariesdue. The Journal's web site is located at http://www.ejpd.eu
Citation
European Journal of Paediatric Dentistry, 2016, v. 17 n. 2, p. 113-121 How to Cite?
AbstractAim: Dental restorations have long been used for the management of early childhood caries, but there is a need to have an evidence based approach when selecting the most appropriate restorative intervention to treat dentin caries in preschool children. This systematic review aimed to assess the effectiveness of restorative treatments of dentin caries in primary teeth in preschool children. Design: A systematic search of the main electronic databases (Pubmed, Cochrane Collaboration, EMBASE) was conducted to identify peer reviewed papers published in English in the years 1947-2014. Search keywords and MeSH headings were "dental caries", "primary dentition" and "dental restoration". The inclusion criteria were clinical studies conducted in children under 6 years old, and reported findings on the longevity or failure of restorations in primary teeth. Retrieved papers were read by two reviewers independently to assess suitability for inclusion, and the final decision was made by consensus. The quality of the included studies was assessed and data were extracted for analysis. Results: The search identified 348 papers for screening. Among these, 218 papers did not satisfy the study inclusion criteria. Consequently, 130 full papers were retrieved and reviewed. Finally, 9 papers were included. Most of the trials were assessed as having high risk of bias. Five included studies that compared the success rates of restorations with different filling materials and liner materials. Two studies showed clinical advantages of using minimally invasive approaches in caries removal and cavity preparation. The other two trials showed low success rates of interim GI restorations done in a field setting, compared to the high caries arrest rates of silver diammine fluoride application. Conclusion: Within the limitation of this systematic review, there is insufficient evidence to make recommendations regarding which material and technique is the most appropriate for restorative treatment in young children. Minimally invasive approaches are advantageous in operative caries management in primary teeth in preschool children. More well-designed randomised controlled trials are required to confirm these findings.
Persistent Identifierhttp://hdl.handle.net/10722/227163
ISSN
2023 Impact Factor: 2.2
2023 SCImago Journal Rankings: 0.825
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorDuangthip, D-
dc.contributor.authorJiang, M-
dc.contributor.authorChu, CH-
dc.contributor.authorLo, ECM-
dc.date.accessioned2016-07-18T09:08:49Z-
dc.date.available2016-07-18T09:08:49Z-
dc.date.issued2016-
dc.identifier.citationEuropean Journal of Paediatric Dentistry, 2016, v. 17 n. 2, p. 113-121-
dc.identifier.issn1591-996X-
dc.identifier.urihttp://hdl.handle.net/10722/227163-
dc.description.abstractAim: Dental restorations have long been used for the management of early childhood caries, but there is a need to have an evidence based approach when selecting the most appropriate restorative intervention to treat dentin caries in preschool children. This systematic review aimed to assess the effectiveness of restorative treatments of dentin caries in primary teeth in preschool children. Design: A systematic search of the main electronic databases (Pubmed, Cochrane Collaboration, EMBASE) was conducted to identify peer reviewed papers published in English in the years 1947-2014. Search keywords and MeSH headings were "dental caries", "primary dentition" and "dental restoration". The inclusion criteria were clinical studies conducted in children under 6 years old, and reported findings on the longevity or failure of restorations in primary teeth. Retrieved papers were read by two reviewers independently to assess suitability for inclusion, and the final decision was made by consensus. The quality of the included studies was assessed and data were extracted for analysis. Results: The search identified 348 papers for screening. Among these, 218 papers did not satisfy the study inclusion criteria. Consequently, 130 full papers were retrieved and reviewed. Finally, 9 papers were included. Most of the trials were assessed as having high risk of bias. Five included studies that compared the success rates of restorations with different filling materials and liner materials. Two studies showed clinical advantages of using minimally invasive approaches in caries removal and cavity preparation. The other two trials showed low success rates of interim GI restorations done in a field setting, compared to the high caries arrest rates of silver diammine fluoride application. Conclusion: Within the limitation of this systematic review, there is insufficient evidence to make recommendations regarding which material and technique is the most appropriate for restorative treatment in young children. Minimally invasive approaches are advantageous in operative caries management in primary teeth in preschool children. More well-designed randomised controlled trials are required to confirm these findings.-
dc.languageeng-
dc.publisherCasa Editrice Ariesdue. The Journal's web site is located at http://www.ejpd.eu-
dc.relation.ispartofEuropean Journal of Paediatric Dentistry-
dc.subjectDental caries-
dc.subjectDental restorations-
dc.subjectPreschool children-
dc.subjectPrimary teeth-
dc.titleRestorative approaches to treat dentin caries in preschool children: systematic review-
dc.typeArticle-
dc.identifier.emailDuangthip, D: dduang@hku.hk-
dc.identifier.emailChu, CH: chchu@hku.hk-
dc.identifier.emailLo, ECM: edward-lo@hku.hk-
dc.identifier.authorityChu, CH=rp00022-
dc.identifier.authorityLo, ECM=rp00015-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid27377109-
dc.identifier.scopuseid_2-s2.0-85004090242-
dc.identifier.hkuros258797-
dc.identifier.volume17-
dc.identifier.issue2-
dc.identifier.spage113-
dc.identifier.epage121-
dc.identifier.isiWOS:000378986700006-
dc.publisher.placeItaly-
dc.identifier.issnl1591-996X-

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