RESUMO
No consensus exists regarding the need for a second clinical session to remove carious dentin that remains in the pulp wall after partial caries removal. The purpose of the present article was to review studies that evaluated the effect of partial caries removal as provisional or definitive treatment on the dentinal microflora, the pulp response, or the progression of carious lesions in primary teeth. The results showed that partial caries removal performed in 1 session is more advantageous than removal in stages over 2 visits. This treatment, in addition to permitting the inactivation of caries lesions and reducing cariogenic micro-organisms in dentin, reduces the risk of pulp exposure caused by cavity reopening and excavation of remnant carious dentin. The favorable outcomes of partial caries removal in a single session support the indication of this modality as a definitive alternative restorative treatment for the primary dentition.
Assuntos
Assistência Odontológica para Crianças/métodos , Cárie Dentária/terapia , Exposição da Polpa Dentária/prevenção & controle , Restauração Dentária Permanente/métodos , Restauração Dentária Temporária/métodos , Pré-Escolar , Dentina/microbiologia , Dentina/cirurgia , Humanos , Visita a Consultório Médico , Agentes de Capeamento da Polpa Dentária e Pulpectomia/uso terapêutico , Dente DecíduoRESUMO
UNLABELLED: The adverse effects of chemotherapy frequently involve the oral cavity, but the severity of oral complications caused by different chemotherapy protocols is unknown. OBJECTIVE: To compare the frequency of oral complications in patients with acute lymphoblastic leukemia treated with the GBTLI-93 and BFM protocols. PATIENTS AND METHODS: Twenty patients ranging in age from 2 to 13 years were submitted to visual and tactile examination of the teeth, periodontium and soft tissues on the day of admission and over the 3 weeks following the first phase of chemotherapy. RESULTS: No significant difference in the proportion of patients with complications was observed between the two protocols over the 3 weeks. Complications were more frequent immediately after administration of the chemotherapeutic agents, with a gradual decline over the following 3 weeks. CONCLUSIONS: Oral complications occur in patients with acute lymphoblastic leukemia irrespective of the chemotherapy protocol used for treatment, with a higher frequency being observed in the first week after the beginning of antineoplastic therapy.
