口腔の健康と歯の管理

概要

Partial Removal of Carious in Primary Teeth: A Systematic Review of The Literature

Daniela Aparecida Silva Martins, Kelly Maria Silva Moreira, Maristela Soares Swerts Pereira

Partial caries removal has been considered a promising method to treat primary teeth especially in deep carious lesions, however its longevity and clinical and radiographic success still is controversy. So, the purpose of this systematic review was to determine the clinical evidence of partial carious removal in primary teeth as to longevity of restorer treatment and clinical and radiographic success. The PRISMA guidelines were followed. We searched in the PubMed, Embase, Cochrane Library, Scielo, BBO and LILACS databases. There were no language restrictions and time limitation and the last survey was conducted in February 2016. The terms used were "partial caries removal" and "primary teeth". The analysis was limited to clinical studies about partial carious removal in the primary teeth. After title, abstract and full versions reading, the data were extracted and the studies were subjected to the evaluation of risk of bias according to predetermined criteria of Cochrane Collaboration's tool. Narrative synthesis of the included studies was performed. Partial carious removal showed high clinical and radiographic success rates and longevity of restorations was satisfactory for this method. For the analysis of these criteria, two studies with low risk of bias and four of uncertain risk were included from 60 studies previously selected. There is evidence to support the partial carious removal in primary teeth as to longevity of restorer treatment and clinical and radiographic success.