TY - JOUR
T1 - Recommended procedures for the management of early childhood caries lesions-A scoping review by the Children Experiencing Dental Anxiety
T2 - Collaboration on Research and Education (CEDACORE)
AU - Correâ-Faria, Patrícia
AU - Viana, Karolline Alves
AU - Raggio, Daniela Prócida
AU - Hosey, Marie Therese
AU - Costa, Luciane Rezende
PY - 2020/3/17
Y1 - 2020/3/17
N2 - Background: Early childhood caries (ECC) affects millions of children up to 6 years old. Its treatment positively impacts the quality of life of children and their families. However, there is no consensus on how to treat ECC. Thus, we performed a scoping review to identify the recommended procedures for the management of ECC lesions. Methods: A search was performed in PubMed, Scopus, The Cochrane Library, The International Guideline Library and pediatric dentistry associations around the world were contacted by email for unpublished search documents. ECC guidelines/guidance/policies were considered eligible regardless of language and publication date. Results: From a total of 828 references, 52 full-text articles were assessed for eligibility and 22 included in the scoping review. We found different procedures recommendations for the management of ECC lesions. For incipient lesions, minimally invasive methods such as professional fluoride and cariostatic (silver diamine) applications, as well as surveillance were recommended. If restoration was required, the recommended materials were glass ionomer cement, composite resin, amalgam and stainless-steel crown. Interim restorations and Atraumatic Restorative Treatment (ART) were also recommended. Extractions have been suggested for teeth with lesions with pulpal involvement, depending on the child's behaviour and other clinical conditions. Conclusions: Non-operative procedures, restorative and extraction were recommended for the management of ECC, depending on the extent of the lesions. There is no difference between different management guidelines/guidance/policies for ECC lesions.
AB - Background: Early childhood caries (ECC) affects millions of children up to 6 years old. Its treatment positively impacts the quality of life of children and their families. However, there is no consensus on how to treat ECC. Thus, we performed a scoping review to identify the recommended procedures for the management of ECC lesions. Methods: A search was performed in PubMed, Scopus, The Cochrane Library, The International Guideline Library and pediatric dentistry associations around the world were contacted by email for unpublished search documents. ECC guidelines/guidance/policies were considered eligible regardless of language and publication date. Results: From a total of 828 references, 52 full-text articles were assessed for eligibility and 22 included in the scoping review. We found different procedures recommendations for the management of ECC lesions. For incipient lesions, minimally invasive methods such as professional fluoride and cariostatic (silver diamine) applications, as well as surveillance were recommended. If restoration was required, the recommended materials were glass ionomer cement, composite resin, amalgam and stainless-steel crown. Interim restorations and Atraumatic Restorative Treatment (ART) were also recommended. Extractions have been suggested for teeth with lesions with pulpal involvement, depending on the child's behaviour and other clinical conditions. Conclusions: Non-operative procedures, restorative and extraction were recommended for the management of ECC, depending on the extent of the lesions. There is no difference between different management guidelines/guidance/policies for ECC lesions.
KW - Child, preschool
KW - Dental care
KW - Dental caries
KW - Guideline
UR - http://www.scopus.com/inward/record.url?scp=85081992907&partnerID=8YFLogxK
U2 - 10.1186/s12903-020-01067-w
DO - 10.1186/s12903-020-01067-w
M3 - Article
C2 - 32183770
AN - SCOPUS:85081992907
SN - 1472-6831
VL - 20
JO - BMC Oral Health
JF - BMC Oral Health
IS - 1
M1 - 75
ER -