XXI Century: The philosophy of a minimally invasive Dentistry, what has been changed did what’s changed from the diagnosis to the treatment of dental caries?
DOI:
https://doi.org/10.33448/rsd-v10i12.20385Keywords:
Dental Caries; Dental Restoration, Permanent; Dental Caries Activity Tests, Dental Caries Susceptibility.; Dental caries; Dental restoration permanent; Dental caries activity tests; Dental caries susceptibility.Abstract
Introduction: Dental caries is the most common disease worldwide and negatively influences people quality of life. With the advancement of research, the diagnosis of carious lesions and the use of materials and techniques has gained a more conservative character. Objective: To evaluate, through scientific evidence available in the literature, the current proposals for interventions and protocols for the treatment of caries, aiming at maximum preservation and minimum intervention in the dental structure. Methodology: Selection of articles in the databases, MEDLINE (Medical Literature Analysis and Retrieval Online System), PUBMED. From the keywords “caries”, “partial” and “removal”, 50 articles (2010 to 2021) were pre-selected. Following the inclusion and exclusion criteria, 17 articles were selected and analyzed according to the management of injuries, observing the severity, the degree of activity of the caries and the type of material and technique to be used. Results: Studies demonstrated a greater understanding of the evolution of caries, the establishment of a more careful diagnosis and the development of adhesive and bioactive materials have enabled minimally invasive treatments. Significant differences between total, partial and 2-step (stepwise) removal of carious tissue have been found, being that the total removal and in 2 steps increase the chances of injury and/or pulp communication. Conclusion: The evolution of adhesive materials and a greater understanding of the development of caries enables the use of techniques and materials that guarantee less intervention and greater clinical success.
References
Bader, J. D., Shugars, D. A., & Bonito, A. J. (2001). A systematic review of selected caries prevention and management methods. Community Dentistry and Oral Epidemiology, 29(6), 399–411. https://doi.org/10.1034/J.1600-0528.2001.290601.X
Banerjee, A. (2012). “MI” caries management--an overview. Annals of the Royal Australasian College of Dental Surgeons, 21, 43–48.
Banerjee, A., & Doméjean, S. (2013). The contemporary approach to tooth preservation: minimum intervention (MI) caries management in general practice. Primary Dental Journal, 2(3), 30–37. https://doi.org/10.1308/205016813807440119
Bjørndal, L., Fransson, H., Bruun, G., Markvart, M., Kjældgaard, M., Näsman, P., Hedenbjörk-Lager, A., Dige, I., & Thordrup, M. (2017). Randomized Clinical Trials on Deep Carious Lesions: 5-Year Follow-up. Journal of Dental Research, 96(7), 747–753. https://doi.org/10.1177/0022034517702620
Coelho, A. S. E. da C., Mata, P. C. M., Lino, C. A., Macho, V. M. P., Areias, C. M. F. G. P., Norton, A. P. M. A. P., & Augusto, A. P. C. M. (2019). Dental hypomineralization treatment: A systematic review. Journal of Esthetic and Restorative Dentistry : Official Publication of the American Academy of Esthetic Dentistry ... [et Al.], 31(1), 26–39. https://doi.org/10.1111/JERD.12420
Corralo, D. J., & Maltz, M. (2013). Clinical and ultrastructural effects of different liners/restorative materials on deep carious dentin: a randomized clinical trial. Caries Research, 47(3), 243–250. https://doi.org/10.1159/000345648
Cushley, S., Duncan, H. F., Lappin, M. J., Chua, P., Elamin, A. D., Clarke, M., & El-Karim, I. A. (2021). Efficacy of direct pulp capping for management of cariously exposed pulps in permanent teeth: a systematic review and meta-analysis. International Endodontic Journal, 54(4), 556–571. https://doi.org/10.1111/IEJ.13449
Dimitraki, D., Papageorgiou, S. N., & Kotsanos, N. (2019). Direct pulp capping versus pulpotomy with MTA for carious primary molars: a randomised clinical trial. European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry, 20(5), 431–440. https://doi.org/10.1007/S40368-019-00419-7
Elhennawy, K., Krois, J., Jost-Brinkmann, P. G., & Schwendicke, F. (2019). Outcome and comparator choice in molar incisor hypomineralisation (MIH) intervention studies: A systematic review and social network analysis. BMJ Open, 9(8). https://doi.org/10.1136/BMJOPEN-2018-028352
Feldens, C. A., Ardenghi, T. M., Dullius, A. I. D. S., Vargas-Ferreira, F., Hernandez, P. A. G., & Kramer, P. F. (2016). Clarifying the Impact of Untreated and Treated Dental Caries on Oral Health-Related Quality of Life among Adolescents. Caries Research, 50(4), 414–421. https://doi.org/10.1159/000447095
Frencken, J. E., Peters, M. C., Manton, D. J., Leal, S. C., Gordan, V. V, & Eden, E. (2012). Minimal intervention dentistry for managing dental caries - a review: report of a FDI task group. International Dental Journal, 62(5), 223–243. https://doi.org/10.1111/IDJ.12007
GBD, G. B. of D. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet (London, England), 392(10159), 1789–1858. https://doi.org/10.1016/S0140-6736(18)32279-7
Giacaman, R. A., Muñoz-Sandoval, C., Neuhaus, K. W., Fontana, M., & Chałas, R. (2018). Evidence-based strategies for the minimally invasive treatment of carious lesions: Review of the literature. Advances in Clinical and Experimental Medicine : Official Organ Wroclaw Medical University, 27(7), 1009–1016. https://doi.org/10.17219/ACEM/77022
Hayashi, M., Fujitani, M., Yamaki, C., & Momoi, Y. (2011). Ways of enhancing pulp preservation by stepwise excavation--a systematic review. Journal of Dentistry, 39(2), 95–107. https://doi.org/10.1016/J.JDENT.2010.10.012
Hernández, M., Cobb, D., & Jr, E. J. S. (2014). Current strategies in dentin remineralization. Journal of Esthetic and Restorative Dentistry : Official Publication of the American Academy of Esthetic Dentistry ... [et Al.], 26(2), 139–145. https://doi.org/10.1111/JERD.12095
Hoefler, V., Nagaoka, H., & Miller, C. S. (2016). Long-term survival and vitality outcomes of permanent teeth following deep caries treatment with step-wise and partial-caries-removal: A Systematic Review. Journal of Dentistry, 54, 25–32. https://doi.org/10.1016/J.JDENT.2016.09.009
Ismail, A. I., Sohn, W., Tellez, M., Amaya, A., Sen, A., Hasson, H., & Pitts, N. B. (2007). The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dentistry and Oral Epidemiology, 35(3), 170–178. https://doi.org/10.1111/J.1600-0528.2007.00347.X
Khokhar, M., & Tewari, S. (2018). Outcomes of Partial and Complete Caries Excavation in Permanent Teeth: A 18 Month Clinical Study. Contemporary Clinical Dentistry, 9(3), 468–473. https://doi.org/10.4103/CCD.CCD_344_18
Kidd, E. (2000). The Cartwright Prize. Caries removal and the pulpo-dentinal complex. Dental Update, 27(10), 476–482. https://doi.org/10.12968/DENU.2000.27.10.476
Lee, H., Chalmers, N. I., Brow, A., Boynes, S., Monopoli, M., Doherty, M., Croom, O., & Engineer, L. (2018). Person-centered care model in dentistry. BMC Oral Health, 18(1). https://doi.org/10.1186/S12903-018-0661-9
Loomans, B. A. C., Kreulen, C. M., Huijs-Visser, H. E. C. E., Sterenborg, B. A. M. M., Bronkhorst, E. M., Huysmans, M. C. D. N. J. M., & Opdam, N. J. M. (2018). Clinical performance of full rehabilitations with direct composite in severe tooth wear patients: 3.5 Years results. Journal of Dentistry, 70, 97–103. https://doi.org/10.1016/J.JDENT.2018.01.001
Lygidakis, N. A. (2010). Treatment modalities in children with teeth affected by molar-incisor enamel hypomineralisation (MIH): A systematic review. European Archives of Paediatric Dentistry : Official Journal of the European Academy of Paediatric Dentistry, 11(2), 65–74. https://doi.org/10.1007/BF03262715
Machiulskiene, V., Campus, G., Carvalho, J. C., Dige, I., Ekstrand, K. R., Jablonski-Momeni, A., Maltz, M., Manton, D. J., Martignon, S., Martinez-Mier, E. A., Pitts, N. B., Schulte, A. G., Splieth, C. H., Tenuta, L. M. A., Ferreira Zandona, A., & Nyvad, B. (2020). Terminology of Dental Caries and Dental Caries Management: Consensus Report of a Workshop Organized by ORCA and Cariology Research Group of IADR. Caries Research, 54(1), 7–14. https://doi.org/10.1159/000503309
Maltz, M., Garcia, R., Jardim, J. J., Paula, L. M. de, Yamaguti, P. M., Moura, M. S., Garcia, F., Nascimento, C., Oliveira, A., & Mestrinho, H. D. (2012). Randomized trial of partial vs. stepwise caries removal: 3-year follow-up. Journal of Dental Research, 91(11), 1026–1031. https://doi.org/10.1177/0022034512460403
Maltz, M., Jardim, J. J., Mestrinho, H. D., Yamaguti, P. M., Podestá, K., Moura, M. S., & Paula, L. M. de. (2013). Partial removal of carious dentine: a multicenter randomized controlled trial and 18-month follow-up results. Caries Research, 47(2), 103–109. https://doi.org/10.1159/000344013
Maltz, M., Koppe, B., Jardim, J. J., Alves, L. S., Paula, L. M. de, Yamaguti, P. M., Almeida, J. C. F., Moura, M. S., & Mestrinho, H. D. (2018). Partial caries removal in deep caries lesions: a 5-year multicenter randomized controlled trial. Clinical Oral Investigations, 22(3), 1337–1343. https://doi.org/10.1007/S00784-017-2221-0
Manton, D. (2013). Partial caries removal may have advantages but limited evidence on restoration survival. Evidence-Based Dentistry, 14(3), 74–75. https://doi.org/10.1038/SJ.EBD.6400948
Martignon, S., Bartlett, D., Manton, D. J., Martinez-Mier, E. angeles, Splieth, C., & Avila, V. (2021). Epidemiology of Erosive Tooth Wear, Dental Fluorosis and Molar Incisor Hypomineralization in the American Continent. Caries Research, 55(1), 1–11. https://doi.org/10.1159/000512483
Mattos, J., Soares, G. M., & Ribeiro, A. de A. (2014). Current status of conservative treatment of deep carious lesions. Dental Update, 41(5), 452–456. https://doi.org/10.12968/DENU.2014.41.5.452
Mendes, K. D. S., Silveira, R. C. de C. P., & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto - Enfermagem, 17(4), 758–764. https://doi.org/10.1590/S0104-07072008000400018
Mesko, M. E., Cenci, M. S., Loomans, B., Opdam, N., & Pereira-Cenci, T. (2016). Reabilitação oral do desgaste dentário severo com resina composta. Faculdade de Odontologia Da UPF, 21, 121–129. https://doi.org/doi.org/10.5335/rfo.v21i1.5023
Murdoch-Kinch, C. A., & McLean, M. E. (2003). Minimally invasive dentistry. Journal of the American Dental Association (1939), 134(1), 87–95. https://doi.org/10.14219/JADA.ARCHIVE.2003.0021
Ngo, H., & Opsahl-Vital, S. (2014). Minimal intervention dentistry II: part 7. Minimal intervention in cariology: the role of glass-ionomer cements in the preservation of tooth structures against caries. British Dental Journal, 216(10), 561–565. https://doi.org/10.1038/SJ.BDJ.2014.398
Nyvad, B., Machiulskiene, V., & Baelum, V. (1999). Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions. Caries Research, 33(4), 252–260. https://doi.org/10.1159/000016526
Pozos-Guillén, A., Molina, G., Soviero, V., Arthur, R. A., Chavarria-Bolaños, D., & Acevedo, A. M. (2021). Management of dental caries lesions in Latin American and Caribbean countries. Brazilian Oral Research, 35(suppl 01), 1–22. https://doi.org/10.1590/1807-3107BOR-2021.VOL35.0055
Ricketts, D., Lamont, T., Innes, N. P., Kidd, E., & Clarkson, J. E. (2019). Operative caries management in adults and children. The Cochrane Database of Systematic Reviews, 7(7). https://doi.org/10.1002/14651858.CD003808.PUB4
Rindal, D. B., Gordan, V. V, Fellows, J. L., Spurlock, N. L., Bauer, M. R., Litaker, M. S., Gilbert, G. H., & Group, D. C. (2012). Differences between reported and actual restored caries lesion depths: results from The Dental PBRN. Journal of Dentistry, 40(3), 248–254. https://doi.org/10.1016/J.JDENT.2011.12.015
Rosa, W. L. O. da, Lima, V. P., Moraes, R. R., Piva, E., & Silva, A. F. da. (2019). Is a calcium hydroxide liner necessary in the treatment of deep caries lesions? A systematic review and meta-analysis. International Endodontic Journal, 52(5), 588–603. https://doi.org/10.1111/IEJ.13034
Sato, Y., & Fusayama, T. (1976). Removal of dentin by fuchsin staining. Journal of Dental Research, 55(4), 678–683. https://doi.org/10.1177/00220345760550042301
Singh, S., Mittal, S., & Tewari, S. (2019). Effect of Different Liners on Pulpal Outcome after Partial Caries Removal: A Preliminary 12 Months Randomised Controlled Trial. Caries Research, 53(5), 547–554. https://doi.org/10.1159/000499131
Slayton, R. L., Urquhart, O., Araujo, M. W. B., Fontana, M., Guzmán-Armstrong, S., Nascimento, M. M., Nový, B. B., Tinanoff, N., Weyant, R. J., Wolff, M. S., Young, D. A., Zero, D. T., Tampi, M. P., Pilcher, L., Banfield, L., & Carrasco-Labra, A. (2018). Evidence-based clinical practice guideline on nonrestorative treatments for carious lesions: A report from the American Dental Association. Journal of the American Dental Association (1939), 149(10), 837-849.e19. https://doi.org/10.1016/J.ADAJ.2018.07.002
Souza, M. T. de, Silva, M. D. da, & Carvalho, R. de. (2010). Integrative review: what is it? How to do it? Einstein (São Paulo), 8(1), 102–106. https://doi.org/10.1590/S1679-45082010RW1134
Tedesco, T. K., Reis, T. M., Mello-Moura, A. C. V., Silva, G. S. da, Scarpini, S., Floriano, I., Gimenez, T., Mendes, F. M., & Raggio, D. P. (2020). Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis. Brazilian Oral Research, 35, 1–14. https://doi.org/10.1590/1807-3107BOR-2021.VOL35.0004
Tyas, M. J., Anusavice, K. J., Frencken, J. E., & Mount, G. J. (2000). Minimal intervention dentistry--a review. FDI Commission Project 1-97. International Dental Journal, 50(1), 1–12. https://doi.org/10.1111/J.1875-595X.2000.TB00540.X
Veiga, N., Pereira, C., & Amaral, O. (2015). Prevalence and Determinants of Dental Caries in Portuguese Children. Procedia - Social and Behavioral Sciences, 171, 995–1002. https://doi.org/10.1016/J.SBSPRO.2015.01.219
Villat, C., Attal, J.-P., Brulat, N., Decup, F., Doméjean, S., Dursun, E., Fron-Chabouis, H., Jacquot, B., Bolla, M. M., Plasse-Pradelle, N., Roche, L., Maucort-Boulch, D., Nony, P., Gritsch, K., Millet, P., Gueyffier, F., & Grosgogeat, B. (2016). One-step partial or complete caries removal and bonding with antibacterial or traditional self-etch adhesives: study protocol for a randomized controlled trial. Trials, 17(1). https://doi.org/10.1186/S13063-016-1484-0
Zhang, Q., Ou, Y.-J., & Zhang, L. (2017). Curative effects of partial caries removal in permanent molars with deep dental caries. Shanghai Kou Qiang Yi Xue = Shanghai Journal of Stomatology, 26(3), 321–323.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Dyele Kalynne Costa da Silva; Carlos Felipe Sousa Menezes; Anna Cecy Ribeiro Brito; Darlon Martins Lima; Leily Macedo Firoozmand
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.