Using a Dental Operating Microscope in the Treatment of Reversible Pulpitis in Primary Teeth

Nadezhda Mitova; Maya Rashkova; Zornitsa Lazarova; Natalia Gateva

doi:10.7126/cumudj.643952

EN

Using a Dental Operating Microscope in the Treatment of Reversible Pulpitis in Primary Teeth

Abstract

Objectives:Treatment with minimal intervention is a new philosophy in modern dentistry. High-tech diagnostic tools and methods are used in the practice to ensure early disease detection and treatment with minimal loss of damaged structures. The aim of this study is to investigate the application of the magnifying method with a digital operating microscope (DOM) in combination with controlled excavation with fluorescent method (Proface) in the treatment of asymptomatic closed pulpitis in primary molars, treated through an indirect pulp capping.

Materials and Methods:Subject of the study were 40 primary molars (19 first and 21 second molars) of children (20 girls and 20 boys) at the ages of 4-7, with cavitated carious lesions in the dentine, suspected for an asymptomatic closed pulpitis. All cases were excavated with an identical clinical protocol (conventional excavation). The excavation was controlled through the fluorescent method (Proface). An assessment of the residual dentine, with and without microscope (DOM) at three levels of magnification, was made at each stage.

Results:The use of DOM shows a: larger diversity in the colors and nuances of the carious dentine, with lighter shades being predominant. DOM gives an opportunity for a better precision in determining the speed of the carious process, which is in direct relation to the defensive ability of the pulp-dentine complex. In the biological treatment of asymptomatic closed pulpitis in primary teeth, the use of DOM magnifying technology gives the opportunity for a precise and accurate assessment during the course of excavation.

Conclusion: The use of magnifying technology complements the objective assessment in the area of the overpulpal dentine, which in reversible pulpitis of primary teeth, must be preserved and used for the stimulation of the healing process.

Keywords

dental operating microscope,FACE,reversible pulpitis

Supporting Institution

Council of Medical Science at Medical University of Sofia

Project Number

207 / 12.12.2018

Thanks

This work was supported by the Council of Medical Science at Medical University of Sofia, Bulgaria under Infrastructure Project with Contract No. 207 / 12.12.2018.

References

1. Clinic of pediatric dentistry. Peneva M, Kabakchieva R, Rashkova M, Gateva N, Doychinova L, Zhegova G. Bedemot, Sofia. 2018;143-318. [In Bulgarian].
2. Mitova N, Rashkova M, Uzunov T, Kosturkov D, Petrunov V. Controlled excavation for cavitated dentinal caries with visual-tactile method and fluorescence with Proface W&H. Problems of dental medicine; 2014; 40(1):13-21. [In Bulgarian].
3. Mitova N, Rashkova M, Zhegova G, Uzunov T, Kosturkov D, Ishkitiev N. Сomparison of different methods of excavation control for minimally invasive caries treatment. STOMA.EDUJ. 2016; 3(1):98-106.
4. Mitova N. Minimally invasive approach to dentine caries of permanent teeth in children. PhD Thesis. Sofia, 2016. [In Bulgarian].
5. Mitova N, Rashkova M, Gergova R, Jegova G, Nocheva Hr, Krastev D. Treatment of deep dentinal caries with micro-invasive technique - clinical and microbiological evaluation. SYLWAN 2015; 159(3):498-511.
6. Schwendicke F, Jäger AM, Paris S, Hsu LY, Tu YK. Treating pit-and-fissure caries: a systematic review and network meta-analysis. J Dent Res. 2015;94(4):522-3.
7. Murgel C. Microdentistry: Concepts, Methods, And Clinical Incorporation. Int J MicroDent. 2010;2(1):56-63.
8. Fanibunda U, Meshram G, Warhadpande M. Evolutionary Perspectives On The Dental Operating Microscope: A Macro Revolution At The Micro Level. Int J MicroDent. 2010;2(1):15-19.

9. Ricketts D, Lamont T, Innes NP, Kidd E, Clarkson JE. Operative caries management in adults and children. Cochrane Database Syst Rev. 2013;28:CD003808.
10. Schwendicke F, Paris S, Tu Y. Effects of using different criteria and methods for caries removal: a systemic review and network meta-analysis. J Dent. 2015;43:1-15
11. Schwendicke F, Frencken JE, Bjordnal L, Maltz M, Manton DJ, Ricketts D, van Landuyt K, Banarjee A, Campus G, DomejeanS, Fontana M, Leal S, Lo E, Machiulskiene V, Schulte A, Splieth C, Zandona AF, Innes NP. Managing caries removal: consensus recommendations on carious tissue removal. Adv Dent Res. 2016;28:58-67.
12. Schwendicke F, Frenken J, Innes N. Caries Excavation Evolution of Treating Cavitated Carious Lesions 2018. Removing Carious Tissue: Why and How?. Adv Dent Res. 2016; 28:56-65.
13. Innes NP, Frencken JE, Bjorndal L, Maltz M, Manton DJ, Ricketts D, van Landuyt K, Banerjee A, Campus G, Domejean S, Fontana M, Leal S, Lo E, Machiulskiene V, Schulte A, Splieth C, Zandona A, Schwendicke F. Managing caries lesion: consensus recommendations on terminology. Adv Dent Res. 2016;28:49-57.
14. Smaïl-Faugeron V, Glenny AM, Courson F, Durieux P, Muller-Bolla M, Fron Chabouis H. Pulp treatment for extensive decay in primary teeth. Cochrane Database of Systematic Reviews 2018, Issue 5. Art. No.: CD003220. DOI: 10.1002/14651858.CD003220.pub3.
15. Santamaria RM, Innes NP, Machiulskiene V, Evans DJ, Splieth CH. Caries management strategies for primary molars: 1-yr randomized control trial results. J Dent Res. 2014; 93(11):1062-1069.
16. Iwami Y, Shimizu A, Narimatsu M, Hayashi M, Takeshige F, Ebisu S. Relationship between bacterial infection and evaluation using a laser fluorescence device, DIAGNOdent. Eur J Oral Sci. 2004; 112:419-423.
17. Lai G1, Zhu L, Xu X, Kunzelmann KH. An in vitro comparison of fluorescence-aided caries excavation and conventional excavation by microhardness testing. Clin Oral Investig. 2014;18(2):599-605.
18. Lennon A et al. Fluorescence-aided caries excavation (face) caries detector and conventional caries excavation in primary teeth. Pediatric Dentistry. 2009; 31:316-319.
19. Mitova N, Rashkova M. Clinical protocol for microinvasive treatment of deep dentine caries of permanent teeth in children. Problems of dental medicine. 2017; 43(1):35-42. [In Bulgarian].
20. Bjørndal L, Larsen T, Thylstrup A. A clinical and microbiological study of deep carious lesions during stepwise excavation using long treatment intervals. Caries Res. 1997; 31:411–417. DOI: 10.1159/000262431.
21. Schwendicke F, Dorfer CE, Paris S. Incomplete caries removal: a systemic review and meta-analysis. J Dent Res. 2013; 92:306-314.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Nadezhda Mitova ^*
0000-0003-4716-7724
Bulgaria

Maya Rashkova ^*
0000-0001-8236-1085
Bulgaria

Zornitsa Lazarova ^*
0000-0003-0116-259X
Bulgaria

Natalia Gateva ^*
0000-0002-2584-7983
Bulgaria

Publication Date

March 18, 2020

Submission Date

November 7, 2019

Acceptance Date

February 6, 2020

Published in Issue

Year 1970 Volume: 23 Number: 1

DOI

https://doi.org/10.7126/cumudj.643952

IZ

https://izlik.org/JA96BD82HL

Cite

RIS / Bibtex

EndNote

Mitova N, Rashkova M, Lazarova Z, Gateva N (March 1, 2020) Using a Dental Operating Microscope in the Treatment of Reversible Pulpitis in Primary Teeth. Cumhuriyet Dental Journal 23 1 13–21.

Öz

Using a Dental Operating Microscope in the Treatment of Reversible Pulpitis in Primary Teeth

Abstract

Keywords

Supporting Institution

Project Number

Thanks

References

Details

Primary Language

Subjects

Journal Section

Authors

Publication Date

Submission Date

Acceptance Date

Published in Issue

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