Research Article
Year 2020,
Volume: 23 Issue: 1, 13 - 21, 18.03.2020
Abstract
Project Number
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.
Year 2020,
Volume: 23 Issue: 1, 13 - 21, 18.03.2020
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.
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.
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.
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.
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.
There are 21 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Research Articles |
| Authors | |
| Project Number | 207 / 12.12.2018 |
| Publication Date | March 18, 2020 |
| Submission Date | November 7, 2019 |
| Published in Issue | Year 2020Volume: 23 Issue: 1 |
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