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Article: Non-surgical treatment of dentin caries in preschool children - systematic review
Title | Non-surgical treatment of dentin caries in preschool children - systematic review |
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Authors | |
Keywords | Dental caries Fluoride Preschool children Primary teeth Review Treatment |
Issue Date | 2015 |
Publisher | BioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcoralhealth/ |
Citation | BMC Oral Health, 2015, v. 15, article no. 44 How to Cite? |
Abstract | Background: Untreated dentin caries in primary teeth is commonly found in preschool children worldwide. Recently, the use of simple non-surgical approaches to manage the situation has been advocated. The aim of the study was to systematically review and evaluate the literature on effectiveness of non-surgical methods in arresting or slowing down the progression of active dentin caries in primary teeth in preschool children.
Methods: A systematic search of the main electronic databases (Pubmed, Cochrane Collaboration, EMBASE) was conducted to identify peer reviewed papers published in English in the years 1947-2014. Keywords and MeSH terms used in the search were 'dental caries', 'primary dentition' and various non-surgical treatments (fluoride, sealant, resin infiltration, xylitol, chlorhexidine, CPP-ACP, ozone, etc.). The inclusion criteria were clinical studies conducted in children under 6 years old, and reported findings on caries arrest or caries progression in primary teeth. Retrieved papers were read by two reviewers independently to assess suitability for inclusion, and the final decision was made by consensus. Quality of the included studies was assessed and data were extracted for analysis.
Results: The search identified 323 papers for screening. Among these, 290 papers did not satisfy the study inclusion criteria. Consequently, 33 full papers were retrieved and reviewed. Finally, 4 studies were included. Three studies reported that topical applications of silver diammine fluoride (SDF) solution could arrest dentin caries in preschool children. One study supported that having a daily toothbrushing exercise in kindergarten using toothpaste with 1000 ppm fluoride could stabilize the caries situation in young children.
Conclusions: There is limited evidence to support the effectiveness of SDF applications or daily toothbrushing with fluoride toothpaste in arresting or slowing down the progression of active dentin caries in primary teeth in preschool children. More well-designed randomized controlled trials are required to confirm these findings. |
Persistent Identifier | http://hdl.handle.net/10722/209767 |
ISSN | 2023 Impact Factor: 2.6 2023 SCImago Journal Rankings: 0.737 |
PubMed Central ID | |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Duangthip, D | - |
dc.contributor.author | Jiang, M | - |
dc.contributor.author | Chu, CH | - |
dc.contributor.author | Lo, ECM | - |
dc.date.accessioned | 2015-05-18T03:21:52Z | - |
dc.date.available | 2015-05-18T03:21:52Z | - |
dc.date.issued | 2015 | - |
dc.identifier.citation | BMC Oral Health, 2015, v. 15, article no. 44 | - |
dc.identifier.issn | 1472-6831 | - |
dc.identifier.uri | http://hdl.handle.net/10722/209767 | - |
dc.description.abstract | Background: Untreated dentin caries in primary teeth is commonly found in preschool children worldwide. Recently, the use of simple non-surgical approaches to manage the situation has been advocated. The aim of the study was to systematically review and evaluate the literature on effectiveness of non-surgical methods in arresting or slowing down the progression of active dentin caries in primary teeth in preschool children. Methods: A systematic search of the main electronic databases (Pubmed, Cochrane Collaboration, EMBASE) was conducted to identify peer reviewed papers published in English in the years 1947-2014. Keywords and MeSH terms used in the search were 'dental caries', 'primary dentition' and various non-surgical treatments (fluoride, sealant, resin infiltration, xylitol, chlorhexidine, CPP-ACP, ozone, etc.). The inclusion criteria were clinical studies conducted in children under 6 years old, and reported findings on caries arrest or caries progression in primary teeth. Retrieved papers were read by two reviewers independently to assess suitability for inclusion, and the final decision was made by consensus. Quality of the included studies was assessed and data were extracted for analysis. Results: The search identified 323 papers for screening. Among these, 290 papers did not satisfy the study inclusion criteria. Consequently, 33 full papers were retrieved and reviewed. Finally, 4 studies were included. Three studies reported that topical applications of silver diammine fluoride (SDF) solution could arrest dentin caries in preschool children. One study supported that having a daily toothbrushing exercise in kindergarten using toothpaste with 1000 ppm fluoride could stabilize the caries situation in young children. Conclusions: There is limited evidence to support the effectiveness of SDF applications or daily toothbrushing with fluoride toothpaste in arresting or slowing down the progression of active dentin caries in primary teeth in preschool children. More well-designed randomized controlled trials are required to confirm these findings. | - |
dc.language | eng | - |
dc.publisher | BioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmcoralhealth/ | - |
dc.relation.ispartof | BMC Oral Health | - |
dc.rights | BMC Oral Health. Copyright © BioMed Central Ltd. | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | Dental caries | - |
dc.subject | Fluoride | - |
dc.subject | Preschool children | - |
dc.subject | Primary teeth | - |
dc.subject | Review | - |
dc.subject | Treatment | - |
dc.title | Non-surgical treatment of dentin caries in preschool children - systematic review | - |
dc.type | Article | - |
dc.identifier.email | Duangthip, D: dduang@hku.hk | - |
dc.identifier.email | Chu, CH: chchu@hku.hk | - |
dc.identifier.email | Lo, ECM: edward-lo@hku.hk | - |
dc.identifier.authority | Duangthip, D=rp02457 | - |
dc.identifier.authority | Chu, CH=rp00022 | - |
dc.identifier.authority | Lo, ECM=rp00015 | - |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.1186/s12903-015-0033-7 | - |
dc.identifier.pmid | 25888484 | - |
dc.identifier.pmcid | PMC4403709 | - |
dc.identifier.scopus | eid_2-s2.0-85016650543 | - |
dc.identifier.hkuros | 243088 | - |
dc.identifier.volume | 15 | - |
dc.identifier.spage | article no. 44 | - |
dc.identifier.epage | article no. 44 | - |
dc.identifier.eissn | 1472-6831 | - |
dc.identifier.isi | WOS:000353192600001 | - |
dc.publisher.place | United Kingdom | - |
dc.identifier.issnl | 1472-6831 | - |