Alternative approach for carious tissue removal in primary teeth

Eur Arch Paediatr Dent. 2016 Oct;17(5):413-417. doi: 10.1007/s40368-016-0246-8. Epub 2016 Sep 15.

Abstract

Background: 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.

Case report: 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.

Follow-up: In this case report, partial caries removal showed satisfactory clinical and radiographic outcomes after 18-month following-up period.

Conclusion: Partial caries removal only is applicable when properly indicated. However, further clinical studies with longer following-up periods are necessary.

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

MeSH terms

  • Brazil
  • Calcium Hydroxide / therapeutic use
  • Child
  • Composite Resins / therapeutic use
  • Dental Caries / diagnostic imaging
  • Dental Caries / pathology
  • Dental Caries / therapy*
  • Dental Cavity Preparation / methods
  • Dental Cements / therapeutic use
  • Dental Enamel / pathology
  • Dental Pulp / diagnostic imaging
  • Dental Pulp / pathology
  • Dental Pulp Capping / methods
  • Dental Pulp Exposure / prevention & control
  • Dental Pulp Exposure / therapy
  • Dental Restoration, Permanent / methods*
  • Dentin / pathology*
  • Glass Ionomer Cements / therapeutic use
  • Humans
  • Male
  • Mandible
  • Molar / diagnostic imaging
  • Tooth, Deciduous / diagnostic imaging
  • Tooth, Deciduous / pathology*

Substances

  • Composite Resins
  • Dental Cements
  • Glass Ionomer Cements
  • Calcium Hydroxide