Abstract:
PURPOSE:This manuscript presents evidence-based guidance on the use of vital pulp therapies for treatment of deep caries lesions in children. A guideline panel convened by the American Academy of Pediatric Dentistry formulated evidence-based recommendations on three vital pulp therapies: indirect pulp treatment (IPT; also known as indirect pulp cap), direct pulp cap (DPC), and pulpotomy. METHODS:The basis of the guideline's recommendations was evidence from "Primary Tooth Vital Pulp Therapy: A Systematic Review and Meta-Analysis." (Pediatr Dent 2017;15;39[1]:16-23.) A systematic search was conducted in PubMed®/MEDLINE, Embase®, Cochrane Central Register of Controlled Trials, and trial databases to identify randomized controlled trials and systematic reviews addressing peripheral issues of vital pulp therapies such as patient preferences of treatment and impact of cost. Quality of the evidence was assessed through the Grading of Recommendations Assessment, Development, and Evaluation approach; the evidence-to-decision framework was used to formulate a recommendation. RESULTS:The panel was unable to make a recommendation on superiority of any particular type of vital pulp therapy owing to lack of studies directly comparing these interventions. The panel recommends use of mineral trioxide aggregate (MTA) and formocresol in pulpotomy treatments; these are recommendations based on moderate-quality evidence at 24 months. The panel made weak recommendations regarding choice of medicament in both IPT (moderate-quality evidence [24 months], low quality evidence [48 months]) and DPC (very-low quality evidence [24 months]). Success of both treatments was independent of type of medicament used. The panel also recommends use of ferric sulfate (low-quality evidence), lasers (low-quality evidence), sodium hypochlorite (very low-quality evidence), and tricalcium silicate (very low-quality evidence) in pulpotomies; these are weak recommendations based on low-quality evidence. The panel recommended against the use of calcium hydroxide as pulpotomy medicament in primary teeth with deep caries lesions. Conclusions and practical implications: The guideline intends to inform the clinical practices with evidence-based recommendations on vital pulp therapies in primary teeth with deep caries lesions. These recommendations are based upon the best available evidence to-date.
journal_name
Pediatr Dentjournal_title
Pediatric dentistryauthors
Dhar V,Marghalani AA,Crystal YO,Kumar A,Ritwik P,Tulunoglu O,Graham Lsubject
Has Abstractpub_date
2017-09-15 00:00:00pages
146-159issue
5eissn
0164-1263issn
1942-5473journal_volume
39pub_type
杂志文章,实务指引abstract::The purpose of this study was to evaluate the effect of acid conditioning and occlusal sealant on microbial colonization of pit and fissures submitted to ameloplasty or left intact. Human enamel blocks containing fissures prepared from the occlusal surfaces of unerupted third molars were implanted in occlusal fillings...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:1993-03-01 00:00:00
abstract:PURPOSE:In 2007, the University of Iowa's advanced training program in pediatric dentistry replaced the traditional formocresol vital pulpotomy technique with a 5% sodium hypochlorite (NaOCl) technique. The purpose of this study was to evaluate the clinical/radiographic success over 21 months of 5% NaOCl as the medicam...
journal_title:Pediatric dentistry
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doi:
更新日期:2011-07-01 00:00:00
abstract:PURPOSE:The purpose of this case-control study was to evaluate the association between parent/caregivers' illness perception and early childhood caries (ECC). METHODS:Parent/caregivers of children younger than six years old were recruited at the dental clinic of an urban children's hospital between June 2013 and Septe...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2016-10-15 00:00:00
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doi:
更新日期:2019-09-15 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章,评审
doi:
更新日期:1995-05-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章,随机对照试验
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更新日期:2012-01-01 00:00:00
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journal_title:Pediatric dentistry
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更新日期:2003-11-01 00:00:00
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journal_title:Pediatric dentistry
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更新日期:2012-03-01 00:00:00
abstract::Scurvy, vitamin C deficiency, is uncommon in industrialized societies today. Although supplementation of food with vitamin C has diminished its incidence, scurvy continues to occur in specific economically and nutritionally disadvantaged populations. The purpose of this report was to describe the case of infantile scu...
journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2010-03-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章,评审
doi:
更新日期:1997-01-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章,评审
doi:
更新日期:2008-05-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2014-07-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2005-07-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2005-03-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2007-09-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2012-03-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章,评审
doi:
更新日期:2008-01-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章,评审
doi:
更新日期:2015-03-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2001-05-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2007-03-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2017-09-15 00:00:00
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pub_type: 杂志文章,多中心研究,随机对照试验
doi:
更新日期:2016-01-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章,评审
doi:
更新日期:2000-07-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1990-11-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:2017-05-15 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:1990-04-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1994-09-01 00:00:00
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journal_title:Pediatric dentistry
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00