Remoção parcial da dentina cariada em pacientes infantis: uma abordagem minimamente invasiva. Revisão de literatura

Abstract

The caries disease affects and damages the tooth structure, resulting in cavity formation on the hard tissues of the teeth. The risks associated with the conventional dental treatment, as well as a concern with the “repetitive restoration cycle”, led to the promotion of minimally invasive biologically treatment strategies. Among these strategies can be found partial removal of carious tissue techniques and the atraumatic restorative treatment, which have demonstrated growing evidences of better results over the conventional total removal of carious tissue. These conservative treatments are more indicated for young patients due to a fast and more efficient pulpal response. This study aimed to review the scientific literature about partial removal of carious dentin, emphasizing pediatric patients, as an alternative to the conventional total removal of carious tissue. This review was based on scientific studies published in Portuguese and English, found online on PubMed, Cochrane Library, MEDLINE, and Scholar Google, between December 2018 and July 2019. The selected articles date from 1995 to 2019. The data in this present study allows the conclusion that the carious dentin partial removal should be the treatment of choice when dealing with deep carious lesions, to avoid the risk of pulpal exposure and post-operatory pulpal symptoms.