Restorative Dentistry in Children: Foundations PDF

Restorative Dentistry in Children: Foundational Articles and Consensus Recommendations Frencken JE, Liang S, Zhang Q. Survival estimates of atraumatic restorative treatment versus traditional restorative treatment: a systematic review with meta-analyses. Br Dent J. 2021 Apr 21. Available at: https:...

Restorative Dentistry in Children: Foundational Articles and Consensus Recommendations Frencken JE, Liang S, Zhang Q. Survival estimates of atraumatic restorative treatment versus traditional restorative treatment: a systematic review with meta-analyses. Br Dent J. 2021 Apr 21. Available at: https:// www.nature.com/articles/s41415-021-2701-0.pdf. Accessed Sept. 25, 2021. American Academy of Pediatric Dentistry. Policy on interim therapeutic restorations (ITR). 2017. Available at: https://www.aapd.org/globalassets/media/policies_guidelines/p_itr.pdf. Accessed Oct. 25, 2021. American Academy of Pediatric Dentistry. Pediatric restorative dentistry. 2019. Available at: https://www. aapd.org/globalassets/media/policies_guidelines/bp_restorativedent.pdf?v=new. Accessed Oct. 25, 2021. Peric T, Markovic E, Markovic D, Petrovic B. Meta-Analysis of In-Vitro Bonding of Glass-Ionomer Restorative Materials to Primary Teeth. Materials 2021;14,3915. https://doi.org/10.3390/ ma14143915. Ortiz-Ruiz AJ, Pérez-Guzmán, N., Rubio-Aparicio M. et al. Success rate of proximal tooth-coloured direct restorations in primary teeth at 24 months: a meta-analysis. Sci Rep. 2020, 10, 6409 (2020). Available at: https://www.nature.com/articles/s41598-020-63497-4.pdf. Accessed, Sept. 25, 2021. Sigal AV, Sigal MJ, Titley KC, Andrews PB. Stainless steel crowns as a restoration for permanent posterior teeth in people with special needs: A retrospective study. J Am Dent Assoc. 2020;151(2):136-144. Alrashdi M, Ardoin J, Liu JA. Zirconia crowns for children: A systematic review. Int J Paediatr Dent. 2021. DOI: 10.1111/ipd.12793 Background Contemporary management of dental caries includes structure, preventing the spread of infection into the identification of an individual’s risk for caries dental pulp, and preventing the shifting of teeth due progression, understanding of the disease process for to loss of tooth structure. The risks of restorative that individual, and management with appropriate therapy include reducing the longevity of teeth by preventive services, supplemented by restorative making them more susceptible to fracture, recurrent therapy where indicated. The benefits of restorative therapy include: maintaining tooth vitality, removing lesions, pulp exposure during caries excavation, cavitation or defects to eliminate areas that are future pulpal complications, and iatrogenic damage susceptible to caries, restoring the integrity of tooth to adjacent teeth. IAPD Recommendations 1. High viscosity glass ionomer cements may be Consensus-based statement > Global agreement 70% used in atraumatic restorative treatment (ART) or 4. Because of the greater longevity of preformed interim therapeutic restorations (ITR), as an option for conventional treatment in primary teeth. ART/ITR metal crowns, their use may be recommended on may be used for controlling caries in children that are high-risk children having multi-surface or large not cooperative for definitive treatment or treating cavitated lesions on primary molars, especially when multiple open carious lesions before rendering children undergo full mouth rehabilitation under definitive restoration. general anaesthesia. Consensus-based statement > Global agreement 100% Consensus-based statement > Global agreement 95% 2. Glass ionomer and resin-modified glass ionomer restorative materials may be used as restorative 5. In cases of permanent teeth with large carious materials for single surface restorations in primary lesions or severe enamel defects, preformed metal and permanent posterior teeth. crowns may be used as semi-permanent restorations. Consensus-based recommendation > Global agreement 87% Consensus-based statement > Global agreement 95% 3. Where local regulations permit and without any 6. Zirconia crowns are an aesthetic alternative to other contraindications to the use of amalgam preformed metal crowns and may be used for teeth providers may use dental amalgam for restoration based on clinical judgement and shared decision with similar indications. making. Consensus-based statement > Global agreement 79% How to cite: IAPD Foundational Articles and Consensus Recommendations: Restorative Dentistry in Children, 2022. http://www.iapdworld.org/2022_01_restorative-dentistry-in-children.