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. 2018 May-Jun;11(3):188-192.
doi: 10.5005/jp-journals-10005-1509. Epub 2018 Jun 1.

Evaluation of Dentin-Pulp Complex Response after Conservative Clinical Procedures in Primary Teeth

Bianca Mello  1 , Tassia C Stafuzza  1 , Luciana Vitor  1 , Daniela Rios  2 , Thiago Silva  2 , Maria Machado  2 , Thais M Oliveira  3
Affiliations

Evaluation of Dentin-Pulp Complex Response after Conservative Clinical Procedures in Primary Teeth

Bianca Mello et al. Int J Clin Pediatr Dent. 2018 May-Jun.

Abstract

Introduction: Although selective caries tissue removal decreases the number and diversity of bacteria, stops the caries process, and reduces the risk of pulp exposure, the studies on the minimally removal of caries tissue are limited and further clinical research is necessary in this field.

Aim: This study aimed to evaluate through clinical and radiographic assessments the in vivo response of the dentin-pulp complex of human deciduous teeth after either partial or total caries removal (TCR).

Materials and methods: A total of 49 deciduous molars of children aged between 5 and 9 years were carefully selected. The teeth were divided into two groups: Group I: Partial removal of caries; group II: Total removal of caries. Clinical and radiographic evaluations were performed during the period of 4 to 6 months after the procedure. The intraexam-iner reproducibility was determined by Kappa test. Fisher's exact test was used to determine the statistical difference between groups.

Results: All teeth showed clinical success during the 4- to 6-month evaluation period. The radiographic evaluation showed 94.2 and 89.6% of success rate in groups I and II respectively. Radiographic results did not show statistically significant differences between the studied groups (p > 0.05).

Conclusion: The partial caries removal (PCR) showed satisfactory clinical and radiographic outcomes, suggesting that this minimally invasive approach might replace the TCR when correctly indicated.How to cite this article: Mello B, Stafuzza TC, Vitor L, Rios D, Silva T, Machado M, Oliveira TM. Evaluation of Dentin-Pulp Complex Response after Conservative Clinical Procedures in Primary Teeth. Int J Clin Pediatr Dent 2018;11(3):188-192.

Keywords: Deciduous; Dental caries; Dental pulp capping; Tooth..

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Conflict of interest statement

Source of support: Nil Conflict of interest: None

Figures

Flow Chart 1:
Flow Chart 1:
Fluxogram of the teeth treated (PCR or TCR)
Figs 1A and B:
Figs 1A and B:
PCR on tooth #74. (A) Initial X-ray; (B) postoperative radiograph in the follow-up period
Figs 2A and B:
Figs 2A and B:
TCR on tooth #75. (A) Initial X-ray; (B) postoperative radiograph in the follow-up period
See this image and copyright information in PMC

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