Selective removal of carious tissue: an integrative literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i14.21872

Keywords:

Dental cavity; Deciduous tooth; Permanent tooth; Treatment.

Abstract

The carious disease is present with great frequency in the daily clinical routine of dental surgeons, and is undoubtedly the most prevalent of the lesions. The removal of carious tissue and replacement by restorative materials has long been practiced by these professionals, but the removal method, with the advancement of knowledge, has been replaced, especially by more conservative techniques. Therefore, the aim of this integrative literature review is to gather studies that prove the indication of selective removal, comparing techniques, restorative materials, and success rates. A search was conducted in the PubMed, Scielo and Lilacs databases, using as inclusion criteria: articles that address the proposed subject in Portuguese and English, in full, published in the last 10 years, with descriptors: "dental caries", "selective removal of decayed tissue", "treatment". It can be concluded that the selective removal of decayed tissue brings positive impacts in the management of deep caries lesions, and because it is a simple, minimally invasive technique with promising pulpal results, it has great indications within the philosophy of minimal intervention dentistry.

References

Abanto, J., Berti, G. O., Miguita, L. & Bonecker, M. (2016). Monitoring of caries disease by risk assessments and activity.Revista Gaúcha de Odontologia, 64(1), 70-78.

Araújo, F. A., Valois, E. M., Lago, A. D. N., Silva, B. M. A. H., Costa, J. F. & Firoozmand, L. M. (2017). Remoção parcial do tecido cariado em dentes permanentes: uma revisão integrativa da literatura. Revista Bras. Odontol, 14(1), 31-35.

Azevedo, I. M. C., Cabral, D. F., Costa, R. C. N., Alves, C. M. C. & Ribeiro, C. C.C. (2011). Remoção parcial de tecido cariado. Ciência e Sáude, 13(2), 88-91.

Carvalho, T. P., Signori, C., Brauner, K. V., Oliveira, E. F. & Cenci, M. S. (2018). Desenvolvimento de lesões de cárie em dentina em um modelo de biofilme simplificado in vitro: um estudo piloto. Revista de Odontologia da UNESP, 47(1), 40-44.

Elhennawy, K. Finke, C., Paris, S., Reda, S., Jost-Brinkmann, P.G. &Schwendicke, F. (2018). Selective vs stepwise removal of deep carious lesions in primary molars: 12 months results of a randomized controlled pilot trial. Journal of Dentistry, (77), 72-77.

Elhennawy, K., Finke, C. Paris, S.,Reda, S., Jost-Brinkmann, P.G. &Schwendicke, F. (2020). Selective vs stepwise removal of deep carious lesions in primary molars: 24 months follow-up from a randomized controlled trial. Clin Oral Invest., 25(2), 645-652.

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas.

Fejerskov, O., Nyvad,B. &Kidd, E.(2017). Cárie dentária: fisiopatologia e tratamento. Guanabara Koogan.

Firmino-Bitello, L., Soares, V. K., Teixeira- Damé, N., Parolo, C. C. F. & Maltz, M. (2018). Microbial load after selective and complete caries removal in permanent molars: a randomized clinical trial. Brazilian Dental Journal, 29(3), 290-295.

Franzon, R., Guimarães, L. F., Magalhães, C. E., Haas, A. N, & Araujo, F. B. (2014). Outcomes of one-step incomplete and complete excavation in primary teeth: a 24-month randomized controlled trial. Caries Research. (48), 376–383.

Franzon, R., Opdam, N. J., Guimarães, L. F., Demarco, F. F., Casagrande, L., Haas, A. N. & Araujo, F. B. (2015). Randomized controlled clinical trial of 24-months survival of composite resin restorations after one-step incomplete and complete excavation on primary teeth.Journal of Dentistry, 5712(15), 30018-30036.

Jardim, J. J., Simoneti, M. N. D. &Maltz, M. (2015). Remoção parcial de tecido cariado em dentes permanentes: seis anos de acompanhamento. Revista da Faculdade de Odontologia - UPF, 20(1), 39-45.

Jardim, J. J., Mestrinho, H. D., Koppe, B., Marly, L. P., Alves, L. S., Yamaguti, P. M., Almeida, J. C. F. & Maltza, M. (2020). Restorations after selective caries removal: 5- years randomized trial. Journal of Dentistry, 5712(20), 30162-30167.

Keyes, P. H. (1960). The infectious and transmissible nature of experimental dental caries.Arch. Oral Biol., (1), 304-320.

Labib, M., Hassanein, O. E., Moussa, M., Yassen, A. &Schwendick, F. (2019). Selective versus stepwise removal of deep carious lesions in permanent teeth: a randomised controlled trial from Egypt—an interim analysis. BMJ Open

Léda, L., Azevedo, T. D., Pimentel, P. A., De Toledo, O. A. & Bezerra, A. C. (2015). Dentin optical density in molars subjected to partial carious dentin removal. The JournalofClinicalPediatricDentistry, 39(5), 452-457.

Maltz, M. & Jardim, J.J. Como as pesquisas de excelência em remoção parcial de tecido cariado podem contribuir para a prática clínica? (2014). Rev. Assoc Paul CirDental., 68(4), 326-327.

Mota, L.Q., Leite, J.M.S. & Targino, A.G.R. (2013). Dentística minimanente invasiva através da remoção parcial de dentina cariada em cavidades profundas, UNOPAR Cient. Ciênc. Biol. Saúde, 15(2), 145-152.

Newbrun, E. (1983). Cariology. Baltimore: Williams & Wilkins.

Silveira, M. F, Freire, R. S., Nepomuceno, M. O., Martins, A. M. E. B. L, Marcopito, L. F. (2015). Cárie dentária e fatores associados entre adolescentes no norte do estado de Minas Gerais,Brasil: uma análise hierarquizada. Ciência e Saúde Coletiva, 20(11), 3351-3364.

Valentin, V. C. B., Silva, D. N. & Castro, M.C.C. (2017). Tratamento de lesões de cárie profunda com risco de exposição pulpar: decisão baseada em evidências. Rev. Odontol.Univ.Cid., São Paulo, 29(2), 163-173.

Published

31/10/2021

How to Cite

SILVA, I. C.; ANDALÉCIO, M. M. .; ANDRADE, R. S. de .; SILVA, I. A. P. S. .; MATOS, D. de S. . Selective removal of carious tissue: an integrative literature review. Research, Society and Development, [S. l.], v. 10, n. 14, p. e232101421872, 2021. DOI: 10.33448/rsd-v10i14.21872. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/21872. Acesso em: 25 apr. 2024.

Issue

Section

Health Sciences