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Review

Efficacy and Patient’s Acceptance of Alternative Methods for Caries Removal—A Systematic Review

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Institute of Integrated Clinical Practice, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal
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Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal
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Institute of Experimental Pathology, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal
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Coimbra Institute for Clinical and Biomedical Research (iCBR), Area of Environment Genetics and Oncobiology (CIMAGO), Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal
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Clinical Academic Center of Coimbra (CACC), 3000-354 Coimbra, Portugal
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Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples “Federico II”, 80125 Napoli, Italy
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Institute of Dentistry, I. M. Sechenov First Moscow State Medical University, 119146 Moscow, Russia
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Institute of Endodontics, Faculty of Medicine, University of Coimbra, 3000-354 Coimbra, Portugal
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Author to whom correspondence should be addressed.
Co-first authors.
J. Clin. Med. 2020, 9(11), 3407; https://doi.org/10.3390/jcm9113407
Received: 5 October 2020 / Revised: 18 October 2020 / Accepted: 21 October 2020 / Published: 23 October 2020
(This article belongs to the Section Stomatology)
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. View Full-Text
Keywords: dental caries; dental caries treatment; alternative methods; conservative treatment; evidence-based dentistry dental caries; dental caries treatment; alternative methods; conservative treatment; evidence-based dentistry
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MDPI and ACS Style

Cardoso, M.; Coelho, A.; Lima, R.; Amaro, I.; Paula, A.; Marto, C.M.; Sousa, J.; Spagnuolo, G.; Marques Ferreira, M.; Carrilho, E. Efficacy and Patient’s Acceptance of Alternative Methods for Caries Removal—A Systematic Review. J. Clin. Med. 2020, 9, 3407. https://doi.org/10.3390/jcm9113407

AMA Style

Cardoso M, Coelho A, Lima R, Amaro I, Paula A, Marto CM, Sousa J, Spagnuolo G, Marques Ferreira M, Carrilho E. Efficacy and Patient’s Acceptance of Alternative Methods for Caries Removal—A Systematic Review. Journal of Clinical Medicine. 2020; 9(11):3407. https://doi.org/10.3390/jcm9113407

Chicago/Turabian Style

Cardoso, Miguel, Ana Coelho, Rui Lima, Inês Amaro, Anabela Paula, Carlos M. Marto, José Sousa, Gianrico Spagnuolo, Manuel Marques Ferreira, and Eunice Carrilho. 2020. "Efficacy and Patient’s Acceptance of Alternative Methods for Caries Removal—A Systematic Review" Journal of Clinical Medicine 9, no. 11: 3407. https://doi.org/10.3390/jcm9113407

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