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Title: Efficacy and Patient's Acceptance of Alternative Methods for Caries Removal-a Systematic Review
Authors: Cardoso, Miguel 
Coelho, Ana 
Lima, Rui 
Amaro, Inês 
Paula, Anabela 
Marto, Carlos Miguel 
Sousa, José
Spagnuolo, Gianrico
Ferreira, Manuel Marques 
Carrilho, Eunice 
Keywords: dental caries; dental caries treatment; alternative methods; conservative treatment; evidence-based dentistry
Issue Date: 23-Oct-2020
Publisher: MDPI
Serial title, monograph or event: Journal of Clinical Medicine
Volume: 9
Issue: 11
Abstract: Dental caries is a disease of dental hard tissues, considered the most common non-communicable disease worldwide. Conventional treatments for caries removal are often associated with pain and fear, so different therapeutic approaches have been developed towards more conservative and pleasant treatments. This systematic review aimed to assess the efficacy and patient's acceptance of alternative methods for caries removal compared to conventional methods. The Cochrane Library, Embase, Medline/Pubmed, Web of Science, and Clinical Trials databases were searched. Clinical trials of primary dental caries treated with alternative methods were included. The last search was performed on 5 August 2020. The Population, Intervention, Comparison, and Outcome (PICO) strategy was followed. Thirty-seven clinical trials were included, reporting caries removal using alternative (chemomechanical-Brix 3000, Carie-care, Carisolv and Papacarie, laser-Er:YAG (Erbium-doped Yttrium Aluminium Garnet) and Er,Cr:YSGG (Erbium, Chromium-doped Yttrium, Scandium, Gallium and Garnet), and a system combining air and sono-abrasion-Vector® System) and conventional methods. Alternative methods tended to prolong treatment time and lessen anesthesia need. All treatments were effective in reducing cariogenic flora, and the restoration's performance did not differ significantly. Chemomechanical solutions seemed to be the best option towards minimally invasive treatments, with good control during application and action and good treatment experiences for patients. Papacarie was demonstrated to be an effective method for caries removal with less pain, and superior acceptance by patients when compared to conventional treatments.
ISSN: 2077-0383
DOI: 10.3390/jcm9113407
Rights: openAccess
Appears in Collections:FMUC Medicina - Artigos em Revistas Internacionais
I&D ICBR - Artigos em Revistas Internacionais
FMUC Med. Dentária - Artigos em Revistas Internacionais

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