BIOLOGICAL-FOCUSED CARIES MANAGEMENT STRATEGIES IN THE COVID-19 PANDEMIC

Yıl 2022, Cilt: 11 Sayı: 3, 208 - 214, 19.09.2022

Didem Atabek

https://doi.org/10.54617/adoklinikbilimler.1166145

Öz

Defined as one of the most common chronic diseases worldwide, tooth decay continues to affect most adults and 60-90% of school-age children. Globally, the traditional treatment model carried out for the protection and treatment of oral health has been researched for many years in terms of cost, time, profit-loss ratio, long-term clinical success and effectiveness of improve the risk of caries in the light of increasing demand. Preservation of pulp viability and tooth function should be adopted as the primary goal within the scope of the treatment of dental caries that should be managed by dentists. In this context, with the COVID-19 pandemic process, the concept of "caries management strategies" aiming to preserve pulp vitality at the maximum level was emphasized by moving away from the traditional approach that risks the vitality of the dental pulp today and in the near future; Management of the clinical process with "biologically oriented minimally interventional caries management strategies" has been suggested.

Anahtar Kelimeler

Caries Management, Biologic Therapy, COVID-19

COVID-19 Pandemisinde Biyolojik Odaklı Çürük Yönetimi Stratejileri

Öz

Dünya genelinde en yaygın kronik hastalıklardan biri olarak tanımlanan diş çürüğü yetişkinlerin çoğunu, okul çağındaki çocukların % 60-90’ını etkilemeye devam etmektedir. Global olarak, ağız sağlığının korunması ve tedavisine yönelik olarak yürütülen geleneksel tedavi modeli, artan talebin ışığı altında, maliyet, zaman, kar-zarar oranı, uzun vadeli klinik başarı ve çürük riskini iyileştirebilme etkinliği açılarından uzun yıllardır araştırılmış bir konudur. Diş hekimleri tarafından yönetilmesi gereken diş çürüğü hastalığının tedavisi kapsamında pulpa canlılığının ve dişin fonksiyonunun korunması birincil hedef olarak benimsenmelidir. Bu bağlamda özellikle COVID-19 pandemisi süreciyle birlikte günümüz ve yakın gelecekte diş pulpasının canlılığını riske atan geleneksel yaklaşımından uzaklaşılarak, pulpa vitalitesini maksimum düzeyde korumayı hedefleyen “çürük yönetimi stratejileri” kavramı vurgulanmış; “biyolojik odaklı minimal girişimsel çürük yönetimi stratejileri” ile klinik sürecin yönetimi önerilmiştir.

Anahtar Kelimeler

Çürük Yönetimi, Biyolojik Tedavi, COVID-19

Kaynakça

• 1.Al-Halabi M, Salami A, Alnuaimi E. et al. Assessment of paediatric dental guidelines and caries management alternatives in the post COVID-19 period. A critical review and clinical recommendations. Eur Arch Paediatr Dent. 2020; 21:543–56.
• 2. Wrigth T, Slade G, Meyer B, Lampiris L, Weintraub JA, Ginnis J, et.al. Non-Surgical Caries Management Approaches Treatment Recommendations During the COVID-19 Pandemic. https://oralhealthnc.org/wp-content/uploads/2020/04/Non-Surgical-Caries-Management-Approaches.pdf
• 3.Berggren U, Meynert G. Dental fear and avoidance: causes, symptoms, and consequences. Journal of the American Dental Association. 1984;109(2):247–51.
• 4.Schwendicke F, Dorfer CE, Paris S. Incomplete caries removal: A systematic review and meta-analysis. Journal of Dental Research. 2013;92:306-14.
• 5. Banerjee A, Frencken JE, Schwendicke F, Innes NPT. Contemporary operative caries management: consensus recommendations on minimally invasive caries removal. Brıtısh Dental Journal. 2017; 223 (3):215-22.
• 6.Innes NP, Clarkson JE, Douglas GVA, Ryan V, Wilson N, Homer T, et al. Child Caries Management: A Randomized Controlled Trial in Dental Practice. J Dent Res. 2020 Jan;99(1):36-43.
• 7. Innes, NPT, Clarkson JE, Speed C, Douglas GV, Maguire A. The FiCTION dental trial protocol - filling children's teeth: indicated or not?. BMC Oral Health. 2013;13:25.
• 8. Sezer B, Kargül B. Current Remineralizing Agents in Caries Management. Turkiye Klinikleri J Dental Sci. 2020;26(3):472-86
• 9. Innes NPT, Evans DJP. Modern approaches to caries management of the primary dentition, British Dental Journal. 2013:559-66.
• 10. Hu X, Chen X, Fan M, Mulder J, Frencken JE. What happens to cavitated primary teeth over time? A 3.5-year prospective cohort study in China. International Dental Journal. 2013;63:183-8.
• 11. Tinanoff N, Coll JA, Dhar V, Maas WR, Chhibber S, Zokaei L. Evidence-based Update of Pediatric Dental Restorative Procedures: Preventive Strategies, The Journal of Clinical Pediatric Dentistry. 2015;39(3):194-5.
• 12. Giacaman RA, Muñoz-Sandoval C, Neuhaus KW, Fontana M, Chałas R. Evidence-based strategies for the minimally invasive treatment of carious lesions:Review of the literature. Adv Clin Exp Med. 2018;Jul;27(7):1009-16.
• 13. Bjørndal L, Larsen T, Thylstrup A. A clinical and microbiological study of deep carious lesions during stepwise excavation using long treatment intervals. Caries Research. 1997;31:411-7.
• 14. Kidd E. How 'clean' must a cavity be before restoration? Caries Research. 2004;38:305-13.
• 15. Maltz M, Alves L, Jardim J, Moura M, dos S, de Oliveira E. Incomplete caries removal in deep lesions: a 10-year prospective study. American Journal of Dentistry. 2011;24:211-14.
• 16.Qvist V, Laurberg L, Poulsen A, Teglers PT. Class II restorations in primary teeth: 7-year study on three resin-modified glass ionomer cements and a compomer. European Journal of Oral Science. 2004;112:188-96.
• 17. Marks LA, Faict N, Welbury RR. Literature review: restorations of class II cavities in the primary dentition with compomers. European Archives of Paediatric Dentistry. 2010;11:109-114.
• 18.Qvist V, Poulsen A, Teglers PT, Mj.r IA. The longevity of different restorations in primary teeth. International Journal of Paediatric Dentistry. 2010;20:1-7.
• 19. Attari N, Roberts JF. Restoration of primary teeth with crowns: a systematic review of the literature. European Archives of Paediatric Dentistry. 2006;7:58-63.
• 20. Kindelan SA, Day P, Nichol R, Willmott N, Fayle SA. British Society of Paediatric Dentistry: UK national clinical guidelines in paediatric dentistry. Stainless steel preformed crowns for primary molars. International Journal of Paediatric Dentistry. 2008;18(1):20-8.
• 21. Maguire A, Clarkson JE, Douglas GV, Ryan V, Homer T, Marshman Z, et. Al. Best-practice prevention alone or with conventional or biological caries management for 3- to 7-year-olds: the FiCTION three-arm RCT. Health Technol Assess. 2020 Jan;24(1):1-174.
• 22. Dorri M, Dunne SM, Walsh T, Schwendicke F. Micro-invasive interventions for managing proximal dental decay in primary and permanent teeth. Cochrane Database of Systematic Reviews. 2015;11:CD010431.
• 23.Kidd, E. Should deciduous teeth be restored? Reflections of a cariologist. Dental Update. 2012;39:159-62,165-6.
• 24. Levine RS, Pitts NB, Nugent ZJ. The fate of 1,587 unrestored carious deciduous teeth: a retrospective general dental practice based study from northern England. British Dental Journal. 2002;193:99-103.
• 25. dos Santos MP, Passos M, Luiz RR, Maia LC. A randomized trial of resin-based restorations in class I and class II beveled preparations in primary molars: 24-month results. Journal of the American Dental Association. 2009;140:156-66.
• 26. Martignon S, Ekstrand KR, Gomex J, Lara JS, Cortes A. Infiltrating/sealing proximal caries lesions: a 3-year randomized clinical trial. Journal of Dental Research. 2012;91(3):288-92.
• 27. Meyer-Lueckel H, Bitter K, Paris S. Randomized controlled clinical trial on proximal caries infiltration: threeyear follow-up. Caries Research. 2012;46(6):544-8.
• 28. Crystal YO, Niederman R. Evidence-Based Dentistry Update on Silver Diamine Fluoride. Dent Clin North Am. 2019 Jan;63(1):45-68.
• 29.Ricketts D, Lamont T, Innes NPT, Kidd E, Clarkson JE. Operative caries management in adults and children. Cochrane Database of Systematic Reviews. 2013;3:1-42.