Alternative approach for carious tissue removal in primary teeth
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Minimally-invasive techniques for the management of carious dental tissue has been well documented. This study aimed to report on the clinical and radiographic response after partial caries removal on left mandibular primary second molar.
A 6-year-old boy sought treatment because of pain in the left mandibular primary second molar. The tooth had a deep caries lesion on the occlusal surface, with loss of enamel structure and dentine proximity with the pulp confirmed by periapical radiograph. According to the clinical and radiographic diagnosis, partial caries removal was the treatment of choice. Calcium hydroxide cement was used as pulp capping material.
In this case report, partial caries removal showed satisfactory clinical and radiographic outcomes after 18-month following-up period.
Partial caries removal only is applicable when properly indicated. However, further clinical studies with longer following-up periods are necessary.
KeywordsDental pulp capping Dental caries Deciduous Child
Compliance with ethical standards
This study funded by own financing.
Conflict of interest
There are no conflicts of interest.
Informed consent was obtained from all individual participants included in the study.
- Duggal MS, Nooh A, High A. Response of the primary pulp to inflammation: a review of the Leeds studies and challenges for the future. Eur J Paed Dent. 2002;3:111–4.Google Scholar
- Miyashita H, Worthington HV, Qualtrough A, Plasschaert A. Pulp management for caries in adults: maintaining pulp vitality. Cochrane Database Syst Rev. 2007;2:004484.Google Scholar
- Nooh AM. The relationship between the extent of carious involvement of the marginal ridge and pulpal inflammation in primary teeth. M Dent Sci Dissertation, Leeds: University of Leeds; 1998.Google Scholar
- Phonghanyudh A, Phantumvanit P, Songpaisan Y, Petersen PE. Clinical evaluation of three caries removal approaches in primary teeth: a randomised controlled trial. Commun Dent Health. 2012;29(2):173–8.Google Scholar
- Pitts NB. Dental cavity: diagnosis and monitoring. 1st ed. São Paulo: Artes Médicas; 2012.Google Scholar
- Schwendicke F, Schweigel H, Petrou MA, et al. Selective or stepwise removal of deep caries in deciduous molars: study protocol for a randomized controlled trial. Trials. 2015b;16(11):1–10.Google Scholar