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Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis

2020Journal article Open access
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dc.contributor.authorTedesco, Tamara Kerber
dc.contributor.authorReis, Thais Marchezini
dc.contributor.authorMello-Moura, Anna Carolina Volpi
dc.contributor.authorSilva, Gabriela Seabra da
dc.contributor.authorScarpini, Samanta
dc.contributor.authorFloriano, Isabela
dc.contributor.authorGimenez, Thais
dc.contributor.authorMendes, Fausto Medeiros
dc.contributor.authorRaggio, Daniela Prócida
dc.date.accessioned2021-07-19T14:11:32Z
dc.date.available2021-07-19T14:11:32Z
dc.date.issued2020
dc.description.abstractThere is a lack of evidence about the best approach for cavitated caries lesions with the possibility of pulpal involvement in primary teeth. Thus, the present authors aimed to verify the best treatment for deep caries lesions with or without pulp involvement in primary teeth. The search was conducted in MEDLINE/Pubmed and Web of Science databases until May 2020. Studies that compared techniques to manage deep caries lesions with at least 12 months of follow-up were included. The risk of bias was evaluated using the RoB tool. Network meta-analysis and pairwise meta-analyses were conducted considering the treatment clinical success as an outcome, according to the pulp health condition. From 491 potentially eligible studies, 9 were included. For deep caries lesions with pulp vitality, the Hall Technique presented the highest probability of success (78%). In the event of accidental pulp exposure, pulpectomy presented a 76% chance of providing the best clinical results. For pulp necrosis, no difference was observed between a pulpectomy and non-instrumented endodontic treatment (RR = 0.69; 95%CI: 0.21–2.33) Thus, it was concluded that the Hall Technique may be a better option for deep caries lesions with pulp vitality. In cases of accidental pulp exposure of vital teeth during caries removal, a pulpectomy may be considered the best option. However, there are insuficient studies to build up evidence about the best treatment option when irreversible pulpitis or pulp necrosis is present.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1590/1807-3107BOR-2021.VOL35.0004pt_PT
dc.identifier.eid85096408243
dc.identifier.issn1806-8324
dc.identifier.pmid33206777
dc.identifier.urihttp://hdl.handle.net/10400.14/34179
dc.identifier.wos000651599500001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectDeciduouspt_PT
dc.subjectDental Cariespt_PT
dc.subjectPulpectomypt_PT
dc.subjectPulpotomypt_PT
dc.subjectSystematic Reviewpt_PT
dc.subjectToothpt_PT
dc.titleManagement of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage14pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleBrazilian oral researchpt_PT
oaire.citation.volume35pt_PT
person.familyNameTedesco
person.familyNameMarchezini Reis
person.familyNameVolpi Mello-Moura
person.familyNameSeabra da Silva
person.familyNameScarpini
person.familyNameFloriano
person.familyNameGimenez
person.familyNameMendes
person.familyNameRaggio
person.givenNameTamara
person.givenNameThaís
person.givenNameAnna Carolina
person.givenNameGabriela
person.givenNameSamanta
person.givenNameIsabela
person.givenNameThais
person.givenNameFausto
person.givenNameDaniela P
person.identifier.ciencia-id3F1D-60C6-E5DC
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person.identifier.orcid0000-0002-7352-5655
person.identifier.orcid0000-0002-1528-0370
person.identifier.orcid0000-0003-1711-4103
person.identifier.orcid0000-0002-0048-2068
person.identifier.ridB-7187-2013
person.identifier.ridN-5538-2015
person.identifier.ridD-4895-2013
person.identifier.ridE-7067-2010
person.identifier.ridB-9411-2012
person.identifier.scopus-author-id55343624400
person.identifier.scopus-author-id24073709300
person.identifier.scopus-author-id54399779300
person.identifier.scopus-author-id7005486164
person.identifier.scopus-author-id24477835900
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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