Title:	Avaliação de métodos de remoção seletiva de dentina cariada em molares decíduos com lesões de cárie profundas
Authors:	Marques, Marta Gomes
Orientador(es)::	Hilgert, Leandro Augusto
Assunto::	Cáries dentárias - tratamento Dentes decíduos Cáries dentárias em crianças Restauração (Odontologia) Dentes - lesões
Issue Date:	22-Aug-2018
Data de defesa::	28-Feb-2018
Citation:	MARQUES, Marta Gomes. Avaliação de métodos de remoção seletiva de dentina cariada em molares decíduos com lesões de cárie profundas. 2018. 57 f., il. Dissertação (Mestrado em Ciências da Saúde)—Universidade de Brasília, Brasília, 2018.
Abstract:	Background: The treatment of deep carious lesions in vitalized and asymptomatic deciduous teeth is challenging and frequently associated with immediate or delayed complications because of the risk of pulp exposure. Therefore, a selective removal of carious tissue may be considered an appropriate form of treatment in these cases. Objective: To compare immediate outcomes of selective caries removal of deep lesions in primary molars using subjective (hand instruments) and objective (polymer burs) protocols. Methods: 115 7-8 year-old children presenting radiographically inner-half dentin carious lesions in teeth with vital pulps were randomized into groups S (subjective) or O (objective). 177 teeth (S, n=91 and O, n=86) were treated by two trained dentists. Carious dentin selective removal was performed using hand instruments (S) or a self-limiting polymer bur (O, PolyBur, Komet). All cavities were restored with a high-viscosity glass-ionomer (Equia Forte, GC, Tokyo, Japan). Immediate post-treatment data: pulpal exposures, need of local anesthesia, treatment time, patients' satisfaction (5-points Likert faces scale) were recorded. Generalized linear models were used for statistical analysis. Results: No pulpal exposures occurred. Only two restoration required anesthesia. Treatment times [Mean (95%CI), S: 432.95s (404.02-461.87) and O: 411.63s (382.50-440.76)] were not significantly different between protocols (p=0.378). Post-treatment patients' satisfaction was high (median score 1: very satisfied) for both selective carious tissue removal protocols, with no significant difference between them (p=0.164). Conclusions: Concerning occurrence of pulpal exposures, need of local anesthesia, treatment time, and patients' immediate post-treatment satisfaction, there are no significant differences between hand excavation and polymer burs for selective carious tissue removal. Restorations longevity and possible complications will be analyzed at the RCT follow-ups.
metadata.dc.description.unidade:	Faculdade de Ciências da Saúde (FS)
Description:	Dissertação (mestrado)—Universidade de Brasília, Faculdade de Ciências da Saúde, Programa de Pós-Graduação em Ciências da Saúde, 2018.
metadata.dc.description.ppg:	Programa de Pós-Graduação em Ciências da Saúde
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Appears in Collections:	Teses, dissertações e produtos pós-doutorado

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