Microhardness of sub-restoration dentine in primary molars after carious tissue removal to soft and firm dentine

Phonghanyudh, Araya; Thana-olarn, Chayamon; Teanchai, Chayada; Jirarattanasopha, Varangkanar

doi:10.1016/j.pdj.2020.12.002

Cited by 1 publication

(9 citation statements)

References 29 publications

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“…In total, there were 7 studies included, out of which 4 were conducted in Brazil [7,9,15,16], 1 study was from Uruguay [8], 1 from Thailand [12], and 1 from Germany [6]. Five studies were published within 2017-2021, while two other studies were published in 2014 and 2009, respectively [15,16].…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Five studies were published within 2017-2021, while two other studies were published in 2014 and 2009, respectively [15,16]. The authors manually searched the reference lists [8,12] and included an article from 2009 [15], since there were no other studies investigating bacterial count as a parameter after selective excavation in primary teeth within 10 years. There was only one study measuring bacterial count after selective removal within that period [5], but the subjects had permanent teeth, hence the study was excluded.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…This paper used the scoping review design, because it aimed to review the effectiveness of selective caries removal based on several different aspects of outcome measures. Of the seven studies, four studies evaluated pulp complications and restoration quality [6,7,9,16], one study assessed restoration quality only [8], one study investigated dentin hardness [12], and one study measured bacterial count in dentin before and after selective removal of caries [15]. Regarding isolation methods, five studies used rubber dams [7-9, 15, 16] and two other studies used cotton rolls [6,12] as a method for isolation.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Of the seven studies, four studies evaluated pulp complications and restoration quality [6,7,9,16], one study assessed restoration quality only [8], one study investigated dentin hardness [12], and one study measured bacterial count in dentin before and after selective removal of caries [15]. Regarding isolation methods, five studies used rubber dams [7-9, 15, 16] and two other studies used cotton rolls [6,12] as a method for isolation. Most studies used composite resin and only few studies used GIC [12], RMGIC [8,9], and compomers [6] as a final restoration material.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…However, various outcome parameters were used to define and evaluate treatment success, including the response of dentin and pulp, presence of complications, and/or restoration survival. Other authors also investigated micro-hardness of sub-restoration of dentin and bacterial load under restoration after selective caries removal [5,12]. Furthermore, other factors, such as patient oral hygiene and socio-economic factors play important roles in determining treatment success.…”

Section: Introductionmentioning

confidence: 99%

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Clinical dilemma of selective caries removal in primary teeth: a scoping review

Asturini,

Fauziah

2023

jos

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Despite growing evidence supporting selective caries removal in managing deep caries, many practitioners still prefer to manage caries in a more invasive way. Although proven to be beneficial in preserving pulp vitality, there is a concern that leaving soft dentin behind will compromise the adhesion of dentin to restoration. This paper aimed to review the evidence supporting selective caries removal of deep dentin caries on primary teeth, and the arguments against the technique using a scoping review method. Various outcome parameters were applied to define and evaluate treatment success, including pulp and dentine responses, dentin micro-hardness, bacterial load of dentin under restoration, and restoration survival. A structured literature search of PubMed and Scopus databases was performed for relevant articles, using specific key words and based on a PICO-structured question: Does selective caries removal in carious deep dentin primary teeth show better results in terms of pulp exposure risk, restoration integrity, micro-hardness, and bacterial load of sub-restorative dentin compared with complete caries removal? Selective caries removal is a minimally invasive approach that evidently protects teeth from the risk of pulp exposure. Several aspects must be considered before making the clinical decision to selectively remove carious tissue in managing deep caries. All dental practitioners are expected to possess a thorough knowledge about pros and cons of selective caries removal to deliver evidence-based treatments to their patients.

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