scholarly journals Minimally Invasive Therapies for the Management of Dental Caries—A Literature Review

2021 ◽  
Vol 9 (12) ◽  
pp. 147
Author(s):  
Hetal Desai ◽  
Cameron A. Stewart ◽  
Yoav Finer
Keyword(s):  
Literature Review ◽  
Minimally Invasive ◽  
Dental Materials ◽  
Antimicrobial Properties ◽  
Treatment Modalities ◽  
Atraumatic Restorative Treatment ◽  
Resin Infiltration ◽  
Restorative Treatment ◽  
Caries Removal ◽  
Invasive Techniques

In recent years, due to a better understanding of the caries pathology and advances in dental materials, the utilization of non-invasive and minimally invasive techniques that delay/obviate the need for traditional restorations has started gaining momentum. This literature review focuses on some of these approaches, including fluoride varnish, silver diamine fluoride, resin sealants, resin infiltration, chemomechanical caries removal and atraumatic restorative treatment, in the context of their chemistries, indications for use, clinical efficacy, factors determining efficacy and limitations. Additionally, we discuss strategies currently being explored to enhance the antimicrobial properties of these treatment modalities to expand the scope of their application.

scholarly journals Use of BRIX-3000 Enzymatic Gel in Mechanical Chemical Removal of Caries: Clinical Case Report

2018 ◽  
Vol 20 (2) ◽  
pp. 87 ◽  
Author(s):  
Klissia Romero Felizardo ◽  
Nayara Priscila de Alvarenga Barradas ◽  
Gabriella Fernanda Guedes ◽  
Fernanda Da Conceição Antônio Ferreira ◽  
Murilo Baena Lopes
Keyword(s):  
Clinical Case ◽  
Infected Tissue ◽  
Alternative Methods ◽  
Invasive Technique ◽  
Atraumatic Restorative Treatment ◽  
Restorative Treatment ◽  
Face Scale ◽  
Deep Carious Lesion ◽  
Caries Removal ◽  
Efficient Alternative

AbstractLess traumatic alternative methods for removal of decayed tissue has been developed. A non-invasive technique, which consists of applying a proteolytic substance that softens the infected dentin tissue and preserves healthy tooth tissue was released in the market. Thus, this work intended to describe a clinical case of caries removal using BRIX 3000 papaine-based enzymatic gel. A 6-year-old male patient attend to a Univesity Dental Clinic complaining of painful sensitivity during mastication. After examination, acute deep carious lesion was found in dental elements 64 and 65. The caries removal procedure was performed for both teeth without anesthesia, under relative isolation, following the principles of atraumatic restorative treatment - ART. The gel was taken into the cavity and leaved to act for 2 minutes and the infected tissue was excavated. Caries lesion was then detected below the OM cusp with undercut enamel, needing to enlarge the cavity in the occlusal region with rotating cutting instruments and reapply the gel. After the second application, all the infected tissue had been removed and the teeth restoration with chemical ionomer cement was performed. At the end of the treatment, the discomfort during the performed procedure was asked to the patient using the Wong-Baker Face Scale. The child pointed to score 1, indicating mild pain for both treatments. It can be concluded that the use of enzymatic papaine gel-based was an efficient alternative for caries removal, easy to use, and preserve to the maximum the dental structure healthy, showing promise to be used as atraumatic caries removal technique.Keywords: Dental Caries. Papain. Pediatric Dentistry.ResumoMétodos alternativos menos traumáticos para remoção de cárie vem sendo desenvolvidos. Uma técnica não invasiva, que consite na aplicação de uma substância proteolítica que amolece a dentina infectada e preserva o tecido dental hígido foi lançado no mercado. Sendo assim, este trabalho visa relatar um caso clínico de remoção da lesão de cárie através do gel enzimático a base de papaína, BRIX-3000. Paciente do gênero masculino, 6 anos, compareceu à Clínica Odontológica Universitária com queixa de sensibilidade dolorosa durante a mastigação. Após avaliação, constatou-se lesão cariosa profunda aguda nos elementos dentais 64 e 65. O procedimento de remoção de cárie foi realizado sem anestesia e sob isolamento relativo, seguindo os princípios do tratamento restaurador atraumático (ART). O gel foi levado à cavidade, deixado agir por 2 minutos e realizado a escavação do tecido infectado. Foi detectado lesão de cárie abaixo da cúspide OM com esmalte socavado, necessitando de ampliação da cavidade na região oclusal com instrumentos cortantes rotatórios e reaplicação do gel. Após a segunda aplicação, todo o tecido infectado foi removido e realizada a restauração dos dentes com cimento de ionômero químico. Ao final do tratamento, foi aplicado a escala de faces de Wong-Baker. A criança apontou score 1, indicando dor leve para ambos os tratamentos. Pôde se concluir que a utilização do gel enzimático a base de papaína é uma alternativa eficiente para remoção do tecido cariado, de fácil utilização, preservando ao máximo a estrutura dental sadia, sendo promissor para ser utilizado na técnica atraumática de remoção da cárie.Palavras-chave: Cárie Dentária. Papaína. Odontopediatria.

scholarly journals Antibacterial Properties of Nano-particles in Dental Restorative Materials: Literature Review

2020 ◽  
Vol 5 (10) ◽  
pp. 464-469
Author(s):  
Isra Aljubour ◽  
Ala Aljubour
Keyword(s):  
Literature Review ◽  
Dental Materials ◽  
Antibacterial Properties ◽  
Antimicrobial Properties ◽  
Nano Particles ◽  
Current Evidence ◽  
Dental Restorative Materials ◽  
Restorative Materials ◽  
Almost All ◽  
Dental Restorative

Nanotechnology has been receiving a great importance because of its ability to modulate materials into their nano size. This has drastically led to many changes in chemical, physical and optical properties of almost all metals. The aim of the present literature review is to examine and quantitatively analyze the current evidence for the addition of different nanoparticles into dental restorative materials, to determine whether their incorporation increases the antibacterial/antimicrobial properties of the materials. The incorporation of nanoparticles into dental restorative materials was a favorable option we found during our review; the antibacterial activity of nanoparticle-modified dental materials was significantly higher compared with the original unmodified materials, TiO2 nanoparticles providing the greatest benefits. However, the high heterogeneity among the articles reviewed points to the need for further research and the application of standardized research protocols.

Effect of Papacarie and Alternative Restorative Treatment on Pain Reaction during Caries Removal among Children: A Randomized Controlled Clinical Trial

2017 ◽  
Vol 41 (3) ◽  
pp. 219-224 ◽  
Author(s):  
AMG Abdul Khalek ◽  
MA Elkateb ◽  
WE Abdel Aziz ◽  
M El Tantawi
Keyword(s):  
Clinical Trial ◽  
Primary Teeth ◽  
Pediatric Dentistry ◽  
Controlled Clinical Trial ◽  
Kappa Statistics ◽  
Atraumatic Restorative Treatment ◽  
Public Health Department ◽  
Restorative Treatment ◽  
Randomized Controlled ◽  
Caries Removal

Objective: To compare the effect of Papacarie and Atraumatic Restorative Treatment (ART) on pain and discomfort during caries removal among children. Study Design: Fifty healthy, 4–8 year-old children were equally and randomly allocated to Papacarie and ART to remove caries from decayed primary teeth. A randomized, controlled, blinded, two parallel-arms clinical trial was conducted in the clinic of the Pediatric Dentistry and Dental Public Health Department, Alexandria University, Egypt in March 2014. Pain and discomfort were assessed blindly by two independent investigators watching videotaped treatment sessions using the Sound, Eye and Motor scale (SEM). Their reliability was assessed using Kappa statistics. The effect of caries removal methods, time spent to remove caries and other confounders on SEM score was assessed using regression analysis. Results: Mean time to remove caries using Papacarie and ART was 5.8 and 4.8 minutes, P= 0.005. Median Paparie and ART scores for the S, E and M components were 1, 1, 1 and 3, 2, 3. Adjusted mean SEM score= 3.6 and 7.8, P <0.0001. Method of caries removal was the only factor significantly affecting pain and discomfort. Conclusion: Papacarie is associated with minimal pain during caries removal from primary teeth compared to ART, although it has longer working time.

scholarly journals The Role of Minimally Invasive Techniques in Scoliosis Correction Surgery

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Michael B. Cloney ◽  
Jack A. Goergen ◽  
Angela M. Bohnen ◽  
Zachary A. Smith ◽  
Tyler Koski ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Selection Effect ◽  
Treatment Modalities ◽  
Open Approach ◽  
Icu Admission ◽  
Lengths Of Stay ◽  
Scoliosis Correction ◽  
Multivariable Regression ◽  
Correction Surgery ◽  
Invasive Techniques

Objective. Recently, minimally invasive surgery (MIS) has been included among the treatment modalities for scoliosis. However, literature comparing MIS to open surgery for scoliosis correction is limited. The objective of this study was to compare outcomes for scoliosis correction patients undergoing MIS versus open approach. Methods. We retrospectively collected data on demographics, procedure characteristics, and outcomes for 207 consecutive scoliosis correction surgeries at our institution between 2009 and 2015. Results. MIS patients had lower number of levels fused (p<0.0001), shorter surgeries (p=0.0023), and shorter overall lengths of stay (p<0.0001), were less likely to be admitted to the ICU (p<0.0001), and had shorter ICU stays (p=0.0015). On multivariable regression, number of levels fused predicted selection for MIS procedure (p=0.004), and multiple other variables showed trends toward significance. Age predicted ICU admission and VTE. BMI predicted any VTE, and DVT specifically. Comorbid disease burden predicted readmission, need for transfusion, and ICU admission. Number of levels fused predicted prolonged surgery, need for transfusion, and ICU admission. Conclusions. Patients undergoing MIS correction had shorter surgeries, shorter lengths of stay, and shorter and fewer ICU stays, but there was a significant selection effect. Accounting for other variables, MIS did not independently predict any of the outcomes.

scholarly journals New and experimental techniques in the treatment of benign prostatic diseases

2014 ◽  
Vol 61 (1) ◽  
pp. 75-80
Author(s):  
Tomislav Pejcic ◽  
Zoran Dzamic ◽  
Miodrag Acimovic ◽  
Boris Kajmakovic ◽  
Jovan Hadzi-Djokic
Keyword(s):  
Minimally Invasive ◽  
Treatment Modalities ◽  
Artery Embolization ◽  
Invasive Treatment ◽  
Urinary Tract Symptoms ◽  
High Prevalence ◽  
Prostatic Diseases ◽  
Invasive Techniques ◽  
Near Future ◽  
Lower Urinary

Background: Benign prostatic hyperplasia (BPH) and chronic prostatitis (CP) are disorders with high prevalence and have a great impact on overall morbidity in men. The patients that do not respond to medical therapy for lower urinary tract symptoms (LUTS) related to BPH are candidates for surgery. However, the number of men with BPH/LUTS seeking for non- surgical, or for less invasive treatment is growing. Aim: To present the basic information about minimally invasive treatment modalities for BPH and CP: intraprostatic injections, urethral lift procedures, modifications of transurethral microwave thermotherapy (TUMT), prostatic artery embolization etc. Conclusion: The majority of these techniques is still in experimental phase and not widely accepted. However, it is very likely that new, safe and minimally invasive techniques will appear in the near future.

scholarly journals Tratamento Restaurador Atraumático em Odontopediatria: Revisão de Literatura / Atraumatic Restore Treatment in PediatDentistry: Literature Review

2020 ◽  
Vol 14 (53) ◽  
pp. 72-83
Author(s):  
Mariana Cruz de Azevedo ◽  
Ana Clara De Sá Pinto
Keyword(s):  
Literature Review ◽  
Pediatric Dentistry ◽  
Atraumatic Restorative Treatment ◽  
Restorative Treatment

Resumo: A cárie dentária é uma doença com alta prevalência mundial, sendo considerada um problema de saúde pública, com terapias de tratamento bastante diversificadas. O Tratamento Restaurador Atraumático é muito vantajoso frente à outras terapias para lesões cariosas, por se tratar de uma técnica simples, de baixo custo e efetiva.  Objetivo: Abordar, por meio de uma revisão de literatura, aspectos sobre a utilização da técnica do Tratamento Restaurador Atraumático em Odontopediatria. Metodologia: A pesquisa bibliográfica foi realizada via online, utilizando a ferramenta de busca Google e outras três bases de dado eletrônicas Pubmed e Lilacs.  A estratégia de busca incluiu as seguintes palavras-chave: “Pediatric Dentistry AND Atraumatic Restorative Treatment”. Foram incluídos artigos em português, inglês e espanhol, sem restrição de data da publicação. Foram excluídas cartas ao editor e editoriais. Considerações finais: O Tratamento Restaurador Atraumático é um componente da Odontologia de Mínima Intervenção de amplo alcance social, que atua na prevenção da cárie dentária e na paralisação da sua progressão. Trata-se de uma proposta alternativa efetiva para o tratamento e controle da doença cárie, principalmente em ambientes onde o tratamento convencional torna-se inviável, devido à falta de infraestrutura necessária e de recursos econômicos. Esta abordagem de mínima intervenção é especialmente importante em Odontopediatria, uma vez que há redução do tempo de atendimento clínico, o que gera menores níveis de ansiedade e menos dor em crianças, exercendo um impacto positivo na qualidade de vida das crianças e suas famílias. 

scholarly journals Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review

2021 ◽  
Author(s):  
A. BaniHani ◽  
R. M. Santamaría ◽  
S. Hu ◽  
M. Maden ◽  
S. Albadri
Keyword(s):  
Systematic Reviews ◽  
Primary Teeth ◽  
Selective Removal ◽  
Atraumatic Restorative Treatment ◽  
Fissure Sealants ◽  
Minimal Intervention ◽  
Resin Infiltration ◽  
Restorative Treatment ◽  
Carious Lesions ◽  
Stepwise Excavation

Abstract Purpose This umbrella review systematically appraised published systematic reviews on Minimal Intervention Dentistry interventions carried out to manage dentine carious primary teeth to determine how best to translate the available evidence into practice, and to provide recommendations for what requires further research. Method An experienced information specialist searched MEDLINE, Embase, Cochrane Database of Systematic Reviews, Epistemonikos, Joanna Briggs Institute Database of Systematic Reviews and Implementation Reports, and the NIHR Journals Library. In addition, the PROSPERO database was searched to identify forthcoming systematic reviews. Searches were built around the following four concepts: primary teeth AND caries/carious lesion AND Minimal Intervention Dentistry AND systematic review/meta-analysis. Searches were restricted to English language, systematic reviews with/without meta-analyses published between January 2000 and August 2020. Two reviewers independently screened all titles and abstracts. Interventions included involved no dentine carious tissue removal (fissure sealants, resin infiltration, topical application of 38% Silver Diamine Fluoride, and Hall Technique), non-restorative caries control, and selective removal of carious tissue involving both stepwise excavation and atraumatic restorative treatment. Systematic reviews were selected, data extracted, and risk of bias assessed using ROBIS by two independent reviewers. Studies overlap was calculated using corrected covered area. Results Eighteen systematic reviews were included in total; 8 assessed the caries arresting effects of 38% Silver Demine Fluoride (SDF), 1 on the Hall Technique (HT), 1 on selective removal of carious tissue, and eight investigated interventions using atraumatic restorative treatment (ART). Included systematic reviews were published between 2006 and 2020, covering a defined time frame of included randomised controlled trials ranging from 1969 to 2018. Systematic reviews assessed the sealing efficacy of fissure sealants and resin infiltration in carious primary teeth were excluded due to pooled data reporting on caries arrest in both enamel and outer third of dentine with the majority of these carious lesions being limited to enamel. Therefore, fissure sealants and resin infiltration are not recommended for the management of dentinal caries lesions in primary teeth. Topical application of 38% SDF showed a significant caries arrest effect in primary teeth (p < 0.05), and its success rate in arresting dental caries increased when it was applied twice (range between 53 and 91%) rather than once a year (range between 31 and 79%). Data on HT were limited and revealed that preformed metal crowns placed using the HT were likely to reduce discomfort at time of treatment, the risk of major failure (pulp treatment or extraction needed) and pain compared to conventional restorations. Selective removal of carious tissue particularly in deep carious lesions has significantly reduced the risk of pulp exposure (77% and 69% risk reduction with one-step selective caries removal and stepwise excavation, respectively). ART showed higher success rate when placed in single surface compared to multi-surface cavities (86% and 48.7–88%, respectively, over 3 years follow-up). Conclusion Minimal Intervention Dentistry techniques, namely 38% SDF, HT, selective removal of carious tissue, and ART for single surface cavity, appear to be effective in arresting the progress of dentinal caries in primary teeth when compared to no treatment, or conventional restorations. There is clear need to increase the emphasis on considering these techniques for managing carious primary teeth as a mainstream option rather than a compromise option in circumstances where the conventional approach is not possible due to cooperation or cost.

scholarly journals Aesthetic Rehabilitation of Molar Incisor Hypomineralisation Using Three Minimally Invasive Treatment Modalities – A Case Report

2020 ◽  
Author(s):  
Chahita Mahesh Lalchandani ◽  
Sandeep Tandon ◽  
Tripti Sharma Rai ◽  
Rinku Mathur ◽  
Anupama Kajal
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Treatment Modalities ◽  
Molar Incisor Hypomineralisation ◽  
Invasive Treatment ◽  
Resin Infiltration ◽  
Current Trends ◽  
Anterior Teeth ◽  
Permanent Molars ◽  
Incisor Hypomineralisation

Brief Background Molar incisor hypomineralisation (MIH) is a common developmental condition resulting in enamel defects in first permanent molars and permanent incisors. Aesthetic treatment of patients suffering from MIH is essential to enhance their self-esteem and promote their psychological development. Current trends for treating the condition have been increasingly shifting towards minimally invasive approaches, especially considering the age of patients. The decision regarding which treatment modality to undertake for the same is complex and depends on several factors, such as the degree of severity of the enamel defect, the patient’s age, social level and expectations. Pertaining to that, the aim of this case report is to present three different aesthetic and conservative treatment approaches to anterior teeth affected by molar incisor hypomineralisation. Key Words Molar incisor hypomineralisation, aesthetic rehabilitation, minimally invasive, resin infiltration, cpp-acp.

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