XIX National Congress and VI International of the Spanish Society of Conservative Dentistry

17-19, May 2012

Santiago de Compostela, Spain

Meeting Abstract

Sponsors: Sociedad Española de Odontología Conservadora (SEOC)

- Oral Presentation 11

TITLE: Partial caries removal: a conservative option for the treatment of deep carious lesions.

AUTHORS

López Seijo, Alba María¹

Da Silva Goncalves, Dayana¹

Monedero Fernández, Ángela¹

Ceballos, Laura²

Fuentes, María Victoria³

1.- Alumna del Título de Especialista en Endodoncia y Odontología Conservadora Rey Juan Carlos, Alcorcón, Madrid

2.- Profesora Titular, Departamento de Estomatología Rey Juan Carlos, Alcorcón, Madrid

3.- Profesora Contratada Doctor, Departamento de Estomatología Rey Juan Carlos

SOURCE: Med Oral Patol Oral Cir Bucal. 2012 August 1;17(Supplement2):S11.

* doi:10.4317/medoral.17643795

http://dx.doi.org/10.4317/medoral.17643795

ABSTRACT

INTRODUCTION: our propose is to make a recopilation of infromation about the technique of partial caries removal and their benefits OBJETIVE: A state of the art review of partial caries removal treatment (PCR) as a more conservative alternative for deep carious lesions. METHODS: Literature review of publications found in PudMed, MEDLINE and Cochrane Collaboration databases, using the key words: ¨parcial caries removal¨, ¨stepwise excavation¨, ¨deep carious lesions¨, ¨Incomplete caries removal¨, ¨ultraconservative removal¨ e ¨indirect pulp capping¨; from 1970 to 2011. RESULTS: Partial caries removal is considered a safe and predictable treatment for deep carious lesions in asymptomatic teeth for which complete caries removal could cause a pulp exposure. Several studies have shown that cariogenic bacteria, once isolated from their source of nutrition with a restoration that avoids microleakage, die or remain latent without posing additional risk of irreversible pulpitis. Calcium hydroxide and glass ionomer, used as bases, seem to have antibacterial and remineralizing effects, however adhesive resin offer contradictory results. There is insufficient evidence for the need to re-treat the tooth to remove the remaining carious tissue. CONCLUSION: PCR is an affective technique to preserve pulp vitality in deep carious lesions without pulpal symtomatology by arresting lesion progression and complete seal is essential for the success of this procedure.

KEYWORDS

Parcial caries removal, stepwise excavation, deep carious lesions, incomplete caries removal, ultraconservative removal, indirect pulp capping.