Nonrestorative Caries Treatment: A Systematic Review Update

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Caries is the most prevalent chronic noncommunicable disease. Strategies to prevent its onset and early interventions to arrest the progression of early lesions have been emphasised throughout recent decades to avoid or delay the restorative spiral of the tooth. More individuals are retaining their...

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Autores principales:	Cabalén, María Belén, Molina, Gustavo Fabián dir., Bono, Alejandra, Burrow, Michael F.
Formato:	Artículo
Lenguaje:	Español
Publicado:	Elsevier Inc. 2022
Materias:	R Medicina (General) RK Odontología
Acceso en línea:	http://pa.bibdigital.ucc.edu.ar/3285/1/A_Cabalen_Molina_Bono.pdf
Aporte de:	Producción Académica Universidad Católica de Córdoba (UCCor) de Universidad Católica de Córdoba

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record_format	dspace
spelling	I38-R144-32852025-04-08T20:29:37Z http://pa.bibdigital.ucc.edu.ar/3285/ Nonrestorative Caries Treatment: A Systematic Review Update Cabalén, María Belén Molina, Gustavo Fabián dir. Bono, Alejandra Burrow, Michael F. R Medicina (General) RK Odontología Caries is the most prevalent chronic noncommunicable disease. Strategies to prevent its onset and early interventions to arrest the progression of early lesions have been emphasised throughout recent decades to avoid or delay the restorative spiral of the tooth. More individuals are retaining their natural teeth into old age, thereby necessitating ongoing restorative dentistry intervention for their maintenance. The aim of this systematic review was to update the state of the art regarding clinical studies reporting the effectiveness of different nonrestorative caries treatment options in the 5-year period from 2017 to 2022. Relevant articles were retrieved from 2 electronic databases, including randomised clinical trials (RCTs) published from January 2017 until April 2022, assessing effectiveness and secondary effects of at least one nonrestorative caries treatment option, carried out with adults and/or children with noncavitated or cavitated carious lesions on either primary or permanent teeth and diagnosed by radiographs or visual/tactile assessment. All 35 included articles presented the results of RCTs with a follow-up period ranging from 6 to 84 months. Most of these studies were considered high-quality articles with a low risk of bias. Sealants and fluoride gels and varnishes were mentioned in 12 studies as effective strategies to prevent the onset of caries lesions and to arrest them in the early stages. Resin infiltration reported high caries arresting rates in noncavitated proximal lesions in 10 publications. Silver diammine fluoride presented high caries-arresting rates in open dentin lesions, both in primary and permanent dentitions as well as in root caries lesions that were accessible for cleansing. New evidence has been published between 2017 and 2022 as the result of numerous clinical studies providing further evidence of the effectiveness of nonrestorative caries treatment options. Elsevier Inc. 2022-07-22 info:eu-repo/semantics/article info:eu-repo/semantics/closedAccess application/pdf spa http://pa.bibdigital.ucc.edu.ar/3285/1/A_Cabalen_Molina_Bono.pdf Cabalén, María Belén, Molina, Gustavo Fabián dir., Bono, Alejandra ORCID: https://orcid.org/0000-0002-9388-9456 <https://orcid.org/0000-0002-9388-9456> and Burrow, Michael F. (2022) Nonrestorative Caries Treatment: A Systematic Review Update. International Dental Journal. ISSN 0020-6539 https://www.sciencedirect.com/science/article/pii/S002065392200168X?via%3Dihub info:eu-repo/semantics/altIdentifier/doi/https://doi.org/10.1016/j.identj.2022.06.022
institution	Universidad Católica de Córdoba
institution_str	I-38
repository_str	R-144
collection	Producción Académica Universidad Católica de Córdoba (UCCor)
language	Español
orig_language_str_mv	spa
topic	R Medicina (General) RK Odontología
spellingShingle	R Medicina (General) RK Odontología Cabalén, María Belén Molina, Gustavo Fabián dir. Bono, Alejandra Burrow, Michael F. Nonrestorative Caries Treatment: A Systematic Review Update
topic_facet	R Medicina (General) RK Odontología
description	Caries is the most prevalent chronic noncommunicable disease. Strategies to prevent its onset and early interventions to arrest the progression of early lesions have been emphasised throughout recent decades to avoid or delay the restorative spiral of the tooth. More individuals are retaining their natural teeth into old age, thereby necessitating ongoing restorative dentistry intervention for their maintenance. The aim of this systematic review was to update the state of the art regarding clinical studies reporting the effectiveness of different nonrestorative caries treatment options in the 5-year period from 2017 to 2022. Relevant articles were retrieved from 2 electronic databases, including randomised clinical trials (RCTs) published from January 2017 until April 2022, assessing effectiveness and secondary effects of at least one nonrestorative caries treatment option, carried out with adults and/or children with noncavitated or cavitated carious lesions on either primary or permanent teeth and diagnosed by radiographs or visual/tactile assessment. All 35 included articles presented the results of RCTs with a follow-up period ranging from 6 to 84 months. Most of these studies were considered high-quality articles with a low risk of bias. Sealants and fluoride gels and varnishes were mentioned in 12 studies as effective strategies to prevent the onset of caries lesions and to arrest them in the early stages. Resin infiltration reported high caries arresting rates in noncavitated proximal lesions in 10 publications. Silver diammine fluoride presented high caries-arresting rates in open dentin lesions, both in primary and permanent dentitions as well as in root caries lesions that were accessible for cleansing. New evidence has been published between 2017 and 2022 as the result of numerous clinical studies providing further evidence of the effectiveness of nonrestorative caries treatment options.
format	Artículo
author	Cabalén, María Belén Molina, Gustavo Fabián dir. Bono, Alejandra Burrow, Michael F.
author_facet	Cabalén, María Belén Molina, Gustavo Fabián dir. Bono, Alejandra Burrow, Michael F.
author_sort	Cabalén, María Belén
title	Nonrestorative Caries Treatment: A Systematic Review Update
title_short	Nonrestorative Caries Treatment: A Systematic Review Update
title_full	Nonrestorative Caries Treatment: A Systematic Review Update
title_fullStr	Nonrestorative Caries Treatment: A Systematic Review Update
title_full_unstemmed	Nonrestorative Caries Treatment: A Systematic Review Update
title_sort	nonrestorative caries treatment: a systematic review update
publisher	Elsevier Inc.
publishDate	2022
url	http://pa.bibdigital.ucc.edu.ar/3285/1/A_Cabalen_Molina_Bono.pdf
work_keys_str_mv	AT cabalenmariabelen nonrestorativecariestreatmentasystematicreviewupdate AT molinagustavofabiandir nonrestorativecariestreatmentasystematicreviewupdate AT bonoalejandra nonrestorativecariestreatmentasystematicreviewupdate AT burrowmichaelf nonrestorativecariestreatmentasystematicreviewupdate
_version_	1832592329602498560

Nonrestorative Caries Treatment: A Systematic Review Update

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