Twenty-Four Months Of Follow-Up After Partial Removal Of Carious Dentin: A Preliminary StudyRando-Meirelles MPM, Tôrres LHN and Sousa MLR*
Department of Community Dental Health, Piracicaba Dental School, University of Campinas–UNICAMP, 13414-903, Piracicaba, SP, Brazil
- *Corresponding Author:
- Professor Maria da Luz Rosário de Sousa
Department of Community Dental Health
Piracicaba Dental School, P.O. BOX 52
University of Campinas–UNICAMP
13414-903, Piracicaba, SP, Brazil
Tel: 00 55 19 21065364
Fax: 00 55 19 34210144
E-mail: [email protected]
Received date: September 13, 2013; Accepted date: October 09, 2013; Published date: October 11, 2013
Citation: Rando-Meirelles MPM, Tôrres LHN, Sousa MLR (2013) Twenty-Four Months of Follow-up after Partial Removal of Carious Dentin: A Preliminary Study. Dentistry 3:162. doi:10.4172/2161-1122.1000162
Copyright: © 2013 Rando-Meirelles MPM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Aim: Minimal intervention seeks to prevent and detect oral diseases at the earliest stage in order to minimize invasive treatment. The aim of this study was to compare the clinical and radiographic outcomes of permanent molar teeth with deep lesions treated by complete or partial removal of carious dentin after follow-up over a 24-month period.
Methods: A total of 20 adolescents from Piracicaba, São Paulo, Brazil were screened; 11 had at least one deep carious lesion in permanent molars. Adolescents in whom 18 permanent molars required attention were randomly allocated to receive interventions. In the control group, nine teeth were submitted to complete removal of carious dentin, protection with calcium hydroxide and glass ionomer cement and restoration with resin composite. In the experimental group nine teeth were submitted to partial removal of carious dentin, protection with glass ionomer cement and restoration with resin composite. Radiographic examination and pulp vitality tests were performed 12-24 months after cavity sealing and the teeth were not reopened.
Results: Complete data were available for 16 teeth. One volunteer in the experimental group felt pain during the pulp vitality test after 12 months; however, there was spontaneous remission of symptoms and no image suggestive of periapical lesion. No teeth presented unsatisfactory clinical and radiographic response to treatment.
Conclusions: The results suggest that partial removal of carious dentin in a single session in permanent teeth could be indicated to maintain pulp vitality since no unsatisfactory clinical and radiographic results were shown.