This evidence-based clinical practice guideline on the non-restorative treatments for carious lesions in primary and permanent teeth from the American Dental Association provides 11 recommendations.
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This review comparing the clinical and radiographic success of Biodentine versus MTA for pulpotomy in primary teeth included 9 RCTs finding no difference in outcomes.
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Four RCTs were included in this review of silver diamine fluoride (SDF) for the prevention of caries in primary teeth. Meta-analysis involving 2 of the studies suggest a preventive fraction = 77.5% (95%CI; 67.8– 87.2%)
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This Cochrane review of pulp treatments for primary teeth included 87 trials. Pulp treatments were generally successful with many trials having no clinical or radiological failure in either arm.
Mineral trioxide aggregate (MTA) may be the best medicament to apply after pulpotomy. For pulpectomy there was no conclusive evidence that one medicament or technique is superior to another.
This review of the effectiveness of chemomechanical caries removal in primary teeth identified 15 studies with 10 contributing to the quantitative analysis. The findings suggest this approach is less painful but takes longer than traditional approaches.
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This review of traumatic dental injuries (TDIs) included 152 observational studies providing an estimate of global prevalence of TDIs in permanent teeth of 15.2% (95%CI, 13.0%-17.4%)
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This review of composite resin or glass ionomer cement for Class II restorations in primary molars included 10 RCTSs finding similar clinical performance.
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16 studies affect of were included in this review of tooth characteristics on sealant performance. With the exception of lower sealant failure rate on premolars sealants were not affected negatively by mouth side, jaw, or tooth type.
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4 RCTs were included in this review of interceptive primary canine extraction. They provide some limited evidence that extractions may facilitate permanent canine eruption but the study quality is low.
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This blog post is by Hayley Foulds, current CT 1 in Paediatric Dentistry at Glasgow Dental Hospital and School. The following article was the topic for discussion at the most recent Paediatric Dentistry Journal Club.
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