Treatment of pulps in teeth affected by deep caries - A systematic review of the literature.

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Treatment of pulps in teeth affected by deep caries - A systematic review of the literature.

Bergenholtz, Gunnar, 1939 (author): Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology

Axelsson, Susanna (author): Varsaparken, Gothenburg

Davidson, Thomas, 1977- (author): Linköpings universitet,Avdelningen för hälso- och sjukvårdsanalys,Hälsouniversitetet,Statens beredning för medicinsk utvärdering, Stockholm

Frisk, Fredrik, 1971 (author): Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology

Hakeberg, Magnus, 1954 (author): Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology

Kvist, Thomas, 1959 (author): Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology

Norlund, Anders (author): Varsaparken, Gothenburg

Petersson, Arne (author): Varsaparken, Gothenburg

Portenier, Isabelle (author): Varsaparken, Gothenburg

Sandberg, Hans (author): Varsaparken, Gothenburg

Tranæus, Sofia (author): Karolinska Institutet

Mejare, Ingegerd (author): Varsaparken, Gothenburg

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(creator_code:org_t)

World Scientific Pub Co Pte Lt, 2013
2013
English.
In: Singapore dental journal. - : World Scientific Pub Co Pte Lt. - 0377-5291. ; 34:1, s. 1-12

Related links:: https://liu.diva-por... (primary) (Raw object); show more...; https://doi.org/10.1...; https://urn.kb.se/re...; https://doi.org/10.1...; https://gup.ub.gu.se...; http://kipublication...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

BACKGROUND: This systematic review assesses the effect of methods commonly used to manage the pulp in cases of deep caries lesions, and the extent the pulp chamber remains uninfected and does not cause pulpal or periapical inflammatory lesions and associated tooth-ache over time.STUDY DESIGN: An electronic literature search included the databases PubMed, EMBASE, The Cochrane Central Register of Controlled Trials and Cochrane Reviews from January 1950 to March 2013. In addition, hand searches were carried out. Two reviewers independently evaluated abstracts and full-text articles. An article was read in full if at least one of the two reviewers considered the abstract potentially relevant. Altogether, 161 articles were read in full text. Of these, 24 studies fulfilled established inclusion criteria. Based on studies of at least moderate quality, the quality of evidence of each procedure was rated in four levels according to GRADE.RESULTS: No study reached the high quality level. Twelve were of moderate quality. The overall evidence was insufficient to assess which of indirect pulp capping, stepwise excavation, direct excavation and pulp capping/partial pulpotomy, pulpotomy or pulpectomy is the most effective treatment approach for teeth with deep caries.CONCLUSIONS: Because of the lack of good studies it is not possible to determine whether an injured pulp by deep caries can be maintained or whether it should be removed and replaced with a root canal filling. Both randomized studies and prospective observational studies are needed to investigate whether a pulp exposed to deep caries is best treated by measures intended to preserve it or by pulpectomy and root filling.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)

Keyword

Work ability
screening
prognosis
long-term sick leave
short-term sick leave
Dental pulp disease
Endodontics
Pulp biology
Restorative dentistry

Publication and Content Type

ref (subject category)
art (subject category)

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By the author/editor: Bergenholtz, Gun ...; Axelsson, Susann ...; Davidson, Thomas ...; Frisk, Fredrik, ...; Hakeberg, Magnus ...; Kvist, Thomas, 1 ...; show more...; Norlund, Anders; Petersson, Arne; Portenier, Isabe ...; Sandberg, Hans; Tranæus, Sofia; Mejare, Ingegerd; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Dentistry

Articles in the publication: Singapore dental ...

By the university: Linköping University; University of Gothenburg; Karolinska Institutet

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