Remoción selectiva de caries y restauración con protección cuspídea: reporte de caso con seguimiento de 5 años
Autores/as
- Braulio Catalán Gamonal Departamento de Odontología restauradora, Facultad de Odontología, Universidad de Chile
- Catalina Rodríguez Álvarez Departamento de Odontología restauradora, Facultad de Odontología, Universidad de Chile
- Paola Barnafi Retamal Departamento de Odontología restauradora, Facultad de Odontología, Universidad de Chile
-
Camila Corral Núñez
Centro de Vigilancia y Epidemiología de las Enfermedades Orales - CEVEO
http://orcid.org/0000-0001-7619-8613
Resumen
The present case reports the management and five-year follow- up of a 19-year-old patient with a deep caries lesion in 3.7. The tooth was treated with selective caries excavation in order to avoid pulp exposure and to arrest caries lesion progression. The cavity preparation, after excavation, was extensive and included the distolingual cusp of the molar. The tooth was restored with a cavity base of Biodentine and direct resin composite. It was clinically and radiographically reviewed one, two, and five years after the treatment. In the follow-up sessions, the tooth responded positively to sensitivity tests and no periapical alterations were detected. In these sessions, the restoration was evaluated and, if necessary, it was refurbished or repaired in order to improve its clinical condition and delay the need to replace it.Palabras clave:
Caries, caries treatment, resin composite, selective caries excavation, cuspal coverageReferencias
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20. Coelho A, Amaro I, Rascao B, Marcelino I, Paula A, Saraiva J, et al. Effect of Cavity Disinfectants on Dentin Bond Strength and Clinical Success of Composite Restorations-A Systematic Review of In Vitro, In Situ and Clinical Studies. Int J Mol Sci. 2020;22(1).
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25. Lopes GC, Baratieri LN, Monteiro S, Jr., Vieira LC. Effect of posterior resin composite placement technique on the resin-dentin interface formed in vivo. Quintessence Int. 2004;35(2):156-61.
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27. Pitts NB, Ekstrand KR, Foundation I, International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS) - methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol. 2013;41(1):e41-52.
2. Innes NP, Frencken JE, Bjorndal L, Maltz M, Manton DJ, Ricketts D, et al., Managing Carious Lesions: Consensus Recommendations on Terminology. Adv Dent Res. 2016;28(2):49-57.
3. Maltz M, Oliveira EF, Fontanella V, Carminatti G, Deep caries lesions after incomplete dentine caries removal: 40-month follow-up study. Caries Res. 2007;41(6):493-6.
4. Maltz M, Alves LS, Jardim JJ, Moura Mdos S, de Oliveira EF, Incomplete caries removal in deep lesions: a 10-year prospective study. Am J Dent. 2011;24(4):211-4.
5. Petrou MA, Alhamoui FA, Welk A, Altarabulsi MB, Alkilzy M, C HS, A randomized clinical trial on the use of medical Portland cement, MTA and calcium hydroxide in indirect pulp treatment. Clin Oral Investig. 2014;18(5):1383-9.
6. Bjorndal L, Fransson H, Bruun G, Markvart M, Kjaeldgaard M, Nasman P, et al., Randomized Clinical Trials on Deep Carious Lesions: 5-Year Follow-up. J Dent Res. 2017; 96(7):747-53.
7. Jardim JJ, Mestrinho HD, Koppe B, de Paula LM, Alves LS, Yamaguti PM, et al. Restorations after selective caries removal: 5-Year randomized trial. J Dent. 2020;99:103416.
8. Maltz M, Koppe B, Jardim JJ, Alves LS, de Paula LM, Yamaguti PM, et al., Partial caries removal in deep caries lesions: a 5-year multicenter randomized controlled trial. Clin Oral Investig. 2018;22(3):1337-43.
9. Barros M, De Queiroz Rodrigues MI, Muniz F, Rodrigues LKA. Selective, stepwise, or nonselective removal of carious tissue: which technique offers lower risk for the treatment of dental caries in permanent teeth? A systematic review and meta-analysis. Clin Oral Investig. 2020;24(2):521-32.
10. Innes N, Schwendicke F, Frencken J. An Agreed Terminology for Carious Tissue Removal. Monogr Oral Sci. 2018;27:155-61.
11. Machiulskiene V, Campus G, Carvalho JC, Dige I, Ekstrand KR, Jablonski-Momeni A, et al. Terminology of Dental Caries and Dental Caries Management: Consensus Report of a Workshop Organized by ORCA and Cariology Research Group of IADR. Caries Res. 2020;54(1):7-14.
12. Schwendicke F, Frencken JE, Bjorndal L, Maltz M, Manton DJ, Ricketts D, et al., Managing Carious Lesions: Consensus Recommendations on Carious Tissue Removal. Adv Dent Res. 2016;28(2):58-67.
13. European Society of Endodontology developed b, Duncan HF, Galler KM, Tomson PL, Simon S, El-Karim I, et al., European Society of Endodontology position statement: Management of deep caries and the exposed pulp. Int Endod J. 2019;52(7):923-34.
14. Deliperi S, Bardwell DN, Clinical evaluation of direct cuspal coverage with posterior composite resin restorations. J Esthet Restor Dent. 2006;18(5):256-65.
15. FennisWM,KuijsRH,RoetersFJ,CreugersNH,KreulenCM, Randomized control trial of composite cuspal restorations: five-year results. J Dent Res. 2014;93(1):36-41.
16. Schwendicke F, Meyer-Lueckel H, Dorfer C, Paris S, Failure of incompletely excavated teeth--a systematic review. J Dent. 2013;41(7):569-80.
17. SchwendickeF,WalshT,LamontT,Al-YaseenW,Bjorndal L, Clarkson JE, et al. Interventions for treating cavitated or dentine carious lesions. Cochrane Database Syst Rev. 2021;7:CD013039.
18. Schwendicke F, Dorfer CE, Paris S, Incomplete caries removal: a systematic review and meta-analysis. J Dent Res. 2013;92(4):306-14.
19. HashemD,MannocciF,PatelS,ManoharanA,BrownJE, Watson TF, et al., Clinical and radiographic assessment of the efficacy of calcium silicate indirect pulp capping: a randomized controlled clinical trial. J Dent Res. 2015;94(4):562-8.
20. Coelho A, Amaro I, Rascao B, Marcelino I, Paula A, Saraiva J, et al. Effect of Cavity Disinfectants on Dentin Bond Strength and Clinical Success of Composite Restorations-A Systematic Review of In Vitro, In Situ and Clinical Studies. Int J Mol Sci. 2020;22(1).
21.Septodont. (n.d.). Biodentine Active Biosilicate Technology.
22. Corralo DJ, Maltz M, Clinical and ultrastructural effects of different liners/restorative materials on deep carious dentin: a randomized clinical trial. Caries Res. 2013;47(3):243-50.
23. Lynch CD, Opdam NJ, Hickel R, Brunton PA, Gurgan S, Kakaboura A, et al., Guidance on posterior resin composites: Academy of Operative Dentistry - European Section. J Dent. 2014;42(4):377-83.
24. Van Meerbeek B, Yoshihara K, Van Landuyt K, Yoshida Y, Peumans M. From Buonocore’s Pioneering Acid- Etch Technique to Self-Adhering Restoratives. A Status Perspective of Rapidly Advancing Dental Adhesive Technology. J Adhes Dent. 2020;22(1):7-34.
25. Lopes GC, Baratieri LN, Monteiro S, Jr., Vieira LC. Effect of posterior resin composite placement technique on the resin-dentin interface formed in vivo. Quintessence Int. 2004;35(2):156-61.
26. Kanzow P, Wiegand A. Retrospective analysis on the repair vs. replacement of composite restorations. Dent Mater. 2020;36(1):108-18.
27. Pitts NB, Ekstrand KR, Foundation I, International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS) - methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol. 2013;41(1):e41-52.
