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J. appl. oral sci ; 27: e20180700, 2019. tab, graf
Article Dans Anglais | LILACS, BBO | ID: biblio-1012509

Résumé

Abstract Alternatives for the treatment of caries disease, such as minimally invasive approaches, have been developed in recent years. Objective: To carry out clinical and radiographic evaluations of three cavity liners after selective caries removal. Methodology: Thirty-six primary molars with deep occlusal caries lesions without pulp involvement (from children of both genders, aged between 5 and 8 years) were randomly divided into the following groups: calcium hydroxide cement (CHC) group; mineral trioxide aggregate (MTA) group and Portland cement with added zirconium oxide (PCZ) group. The following-up period was 6- and 12-month. The clinical and radiographic success rates were evaluated through chi-square test. The radiographic measurements were compared by ANOVA followed by Tukey's test (p<0.05). Results: Thirty-six patients were included, but thirty-four returned for 12-month follow-up. The overall success rate of the therapy for the three groups was 94.11% and no statistically significant differences occurred in the comparison among groups (p>0.05). Nineteen radiographs were selected to measure the dentin barrier thickness. The intragroup comparison presented a statistically significant increase of the dentin barrier for all groups, at 12-month follow-up. However, the MTA group showed increase of the dentin barrier, over time, 6- to 12-month follow-up. The intergroup comparison revealed no statistically significant differences (p>0.05). Conclusion: The clinical and radiographic data showed that all cavity liners provided effective treatment of primary teeth after selective caries removal.


Sujets)
Humains , Mâle , Femelle , Enfant d'âge préscolaire , Enfant , Oxydes/usage thérapeutique , Zirconium/usage thérapeutique , Silicates/usage thérapeutique , Composés du calcium/usage thérapeutique , Composés de l'aluminium/usage thérapeutique , Caries dentaires/thérapie , Isolation de cavité dentaire/méthodes , Facteurs temps , Dent de lait , Radiographie dentaire , Analyse de variance , Études de suivi , Résultat thérapeutique , Caries dentaires/imagerie diagnostique , Ciments dentaires/usage thérapeutique , Cavité pulpaire de la dent/anatomie et histologie , Cavité pulpaire de la dent/effets des médicaments et des substances chimiques , Restaurations dentaires permanentes/méthodes , Association médicamenteuse
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