Comparative Meta-Analysis of Minimally Invasive and Conventional Approaches for Caries Removal in Permanent Dentition

  1. González-Gil, Diego 1
  2. Flores-Fraile, Javier 1
  3. Vera-Rodríguez, Vicente 2
  4. Martín-Vacas, Andrea 3
  5. López-Marcos, Joaquín 1
  1. 1 Universidad de Salamanca
    info

    Universidad de Salamanca

    Salamanca, España

    ROR https://ror.org/02f40zc51

  2. 2 TUFTS Dental School, Boston, MA 02155, USA
  3. 3 Universidad Alfonso X el Sabio
    info

    Universidad Alfonso X el Sabio

    Villanueva de la Cañada, España

    ROR https://ror.org/054ewwr15

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Revista:
Medicina

ISSN: 1648-9144

Año de publicación: 2024

Volumen: 60

Número: 3

Páginas: 402

Tipo: Artículo

DOI: 10.3390/MEDICINA60030402 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Medicina

Resumen

Background and Objectives: Addressing deep carious lesions poses significant challengesin daily dental practice due to the inherent complexity of their treatment. Traditionally, completeremoval of carious tissues has been the norm, potentially leading to pulp tissue exposure and subsequent pulpitis. In contemporary dentistry, there is a growing preference for minimally invasivetechniques, such as selective removal, offering a more conservative approach with enhanced predictability and success rates. Materials and Methods: Our study commenced with a comprehensivesystematic review. After that, we performed a meta-analysis focused exclusively on randomized controlled trials involving permanent dentition. Our investigation incorporated seven selected articles,which scrutinized success rates and the incidence of pulp exposure in minimally invasive techniques(MIT) versus conventional techniques (CT). Statistical analysis employed U Mann–Whitney andWilcoxon tests to interpret the results. Results: Although the difference did not reach statisticalsignificance, MIT demonstrated marginally superior success rates compared to CT. Furthermore,MIT exhibited a lower percentage of pulp exposure when contrasted with CT. However, due to thelimited sample size, statistical significance for this difference could not be established. Conclusions:Minimally invasive techniques for caries removal emerge as a conservative and promising approachto safeguard pulp tissues in comparison to conventional techniques. The need for additional randomized controlled trials is emphasized to unequivocally establish the superior success rates of theseprocedures over their conventional counterparts.

Referencias bibliográficas

  • Machiulskiene, (2020), Caries Res., 54, pp. 7, 10.1159/000503309
  • Elgezawi, M., Haridy, R., Abdalla, M.A., Heck, K., Draenert, M., and Kaisarly, D. (2022). Current Strategies to Control Recurrent and Residual Caries with Resin Composite Restorations: Operator- and Material-Related Factors. J. Clin. Med., 11.
  • Leal, (2022), Braz. Oral Res., 36, pp. e135, 10.1590/1807-3107bor-2022.vol36.0135
  • Jakovljevic, (2022), Int. Endod. J., 56, pp. 340, 10.1111/iej.13776
  • Schwendicke, (2021), Cochrane Database Syst. Rev., 7, pp. CD013039
  • Barros, (2020), Clin. Oral Investig., 24, pp. 521, 10.1007/s00784-019-03114-5
  • Senthilkumar, (2020), J. Conserv. Dent., 23, pp. 2, 10.4103/JCD.JCD_263_19
  • (2019), Dent. Clin. North. Am., 63, pp. 705, 10.1016/j.cden.2019.07.001
  • Ricketts, (2019), Cochrane Database Syst. Rev., 7, pp. CD003808
  • Ricketts, (2018), Monogr. Oral Sci., 27, pp. 82, 10.1159/000487838
  • Alleman, (2012), Quintessence Int., 43, pp. 197
  • Jurasic, (2022), J. Am. Dent. Assoc., 153, pp. 1078, 10.1016/j.adaj.2022.08.005
  • Simon, (2019), Int. Endod. J., 52, pp. 949, 10.1111/iej.13128
  • Faria, (2022), J. Clin. Pediatr. Dent., 46, pp. 1
  • Li, (2018), Acta Odontol. Scand., 76, pp. 135, 10.1080/00016357.2017.1392602
  • Schwendicke, (2017), J. Esthet. Restor. Dent., 29, pp. 403, 10.1111/jerd.12338
  • Schwendicke, (2016), Implement. Sci., 11, pp. 142, 10.1186/s13012-016-0505-4
  • Dorri, (2017), Cochrane Database Syst. Rev., 12, pp. CD008072
  • Hoefler, (2016), J. Dent., 54, pp. 25, 10.1016/j.jdent.2016.09.009
  • Banerjee, (2012), Ann. R. Australas. Coll. Dent. Surg., 21, pp. 43
  • Thompson, (2008), J. Am. Dent. Assoc., 139, pp. 705, 10.14219/jada.archive.2008.0252
  • (2008), Srp. Arh. Celok. Lek., 136, pp. 662, 10.2298/SARH0812662P
  • Sadasiva, (2019), J. Pharm. Bioallied Sci., 11, pp. S146, 10.4103/JPBS.JPBS_279_18
  • Hosoya, (2007), J. Dent., 35, pp. 137, 10.1016/j.jdent.2006.06.004
  • Maru, (2015), Rotary Drill: A Systematic Review. Open Dent. J., 9, pp. 462
  • Hamama, (2015), Oper. Dent., 40, pp. E167, 10.2341/14-021-LIT
  • Bratu, D.C., Nikolajevic-Stoican, N., Popa, G., Pop, S.I., Dragoș, B., and Luca, M.M. (2022). A Bibliometric Analysis (2010–2020) of the Dental Scientific Literature on Chemo-Mechanical Methods of Caries Removal Using Carisolv and BRIX3000. Medicina, 58.
  • Hosein, (2008), J. Coll. Physicians Surg. Pak., 18, pp. 222
  • Akbari, (2012), J. Contemp. Dent. Pract., 13, pp. 515, 10.5005/jp-journals-10024-1178
  • Trippe, (2020), Caries Res., 54, pp. 205, 10.1159/000505643
  • Lennon, (2009), Pediatr. Dent., 31, pp. 316
  • Giacaman, (2018), Adv. Clin. Exp. Med., 27, pp. 1009, 10.17219/acem/77022
  • Schwendicke, (2016), Adv. Dent. Res., 28, pp. 58, 10.1177/0022034516639271
  • Alsadat, (2018), Niger. J. Clin. Pract., 21, pp. 1549, 10.4103/njcp.njcp_202_18
  • Hassan, (2016), Int. J. Clin. Pediatr. Dent., 9, pp. 214, 10.5005/jp-journals-10005-1366
  • (2019), Dent. Clin. N. Am., 63, pp. 715, 10.1016/j.cden.2019.05.001
  • Coutinho, (2011), J. Adhes. Dent., 13, pp. 7
  • Isolan, (2018), J. Adhes. Dent., 20, pp. 7
  • Gözetici-Çil, B., Erdem-Hepşenoğlu, Y., Tekin, A., and Özcan, M. (2022). Selective removal to soft dentine or selective removal to firm dentine for deep caries lesions ın permanent posterior teeth: A randomized controlled clinical trial up to 2 years. Clin. Oral Investig., 1–13.
  • Jardim, (2020), J. Dent., 99, pp. 103416, 10.1016/j.jdent.2020.103416
  • Labib, (2019), BMJ Open, 9, pp. e030957, 10.1136/bmjopen-2019-030957
  • Ali, (2018), J. Dent. Res., 97, pp. 1207, 10.1177/0022034518769255
  • Khokhar, (2018), Contemp. Clin. Dent., 9, pp. 468, 10.4103/ccd.ccd_344_18
  • Maltz, (2018), Clin. Oral Investig., 22, pp. 1337, 10.1007/s00784-017-2221-0
  • Casagrande, (2017), Clin. Oral Investig., 21, pp. 847, 10.1007/s00784-016-1832-1
  • Faria, (2022), Int. J. Paediatr. Dent., 32, pp. 585, 10.1111/ipd.12937
  • Elhennawy, (2021), Clin. Oral Investig., 25, pp. 645, 10.1007/s00784-020-03536-6
  • Liberman, (2020), J. Dent., 93, pp. 103268, 10.1016/j.jdent.2019.103268
  • Kochhar, (2011), J. Clin. Pediatr. Dent., 36, pp. 5, 10.17796/jcpd.36.1.u2421l4j68847215
  • Clarkson, J.E., Ramsay, C.R., Ricketts, D., Banerjee, A., Deery, C., Lamont, T., Boyers, D., Marshman, Z., Goulao, B., and Banister, K. (2021). Selective Caries Removal in Permanent Teeth (SCRiPT) for the treatment of deep carious lesions: A randomised controlled clinical trial in primary care. BMC Oral Health, 21.
  • Schwendicke, (2018), BMJ Open, 8, pp. e022952, 10.1136/bmjopen-2018-022952