Senthilkumar Vijayapriyangha, Ramesh Sindhu
Department of Conservative Dentistry and Endodontics, Saveetha Institute of Medical and Technical Science, Saveetha Dental College, Saveetha University, Chennai, Tamil Nadu, India.
J Conserv Dent. 2020 Jan-Feb;23(1):2-9. doi: 10.4103/JCD.JCD_263_19. Epub 2020 Oct 10.
Dental caries is the most common chronic dental disease in the world. It is defined as a multifactorial microbial infectious disease characterized by demineralization of the inorganic and destruction of the organic substance of the tooth. The host, flora, and the substrate should be there for the formation of dental caries. There are various microorganisms responsible for caries. The treatment for caries is essential to prevent teeth from involving pulp, leading to further damage. There are various methods in removing caries such as minimally invasive technique, rotary method with different types of burs, chemomechanical caries removal, and lasers. There are no data in literature for various methods of removing caries in permanent teeth.
Research question was formulated based on the PICO strategy. A comprehensive electronic literature search was conducted, independently by two reviewers. Based on the specified inclusion and exclusion criteria's, the selected articles were subjected to quality assessment and the risk of bias was evaluated.
The objective of this study was to evaluate the efficiency of caries removal by various methods in permanent teeth.
A search was performed in electronic database (i.e. PubMed and Medline) using search terms alone and in combination by means of PubMed search builder from January 1985 to January 2018.
Studies were selected if they met the following criteria: in vivo studies comparing various methods of caries removal in permanent teeth.
The search identified 338 publications, out of which 328 were excluded after examination of the title and 2 were excluded after examination of the abstract. Through the hand search, three articles were included. Eight articles were retrieved for more detailed evaluation from the search. A total of 11 publications fulfilled all the criteria for inclusion.
With the available evidence, this review concludes that the studies included in this review have a high risk of quality evidence.
龋齿是世界上最常见的慢性牙科疾病。它被定义为一种多因素微生物感染性疾病，其特征是牙齿无机物脱矿和有机物破坏。宿主、菌群和底物是龋齿形成的必要条件。有多种微生物可导致龋齿。龋齿的治疗对于防止牙齿累及牙髓从而导致进一步损害至关重要。去除龋齿有多种方法，如微创技术、使用不同类型车针的旋转法、化学机械去龋法和激光法。文献中没有关于恒牙中各种去龋方法的数据。
基于PICO策略提出研究问题。由两名审阅者独立进行全面的电子文献检索。根据指定的纳入和排除标准，对所选文章进行质量评估并评估偏倚风险。
本研究的目的是评估恒牙中各种方法去除龋齿的效率。
使用检索词单独及组合检索电子数据库（即PubMed和Medline），通过PubMed检索生成器检索1985年1月至2018年1月的文献。
如果研究符合以下标准则被选中：比较恒牙中各种去龋方法的体内研究。
检索到338篇出版物，其中328篇在标题审查后被排除，2篇在摘要审查后被排除。通过手工检索，纳入了3篇文章。从检索中检索到8篇文章进行更详细的评估。共有11篇出版物符合所有纳入标准。
根据现有证据，本综述得出结论，本综述中纳入的研究存在高质量证据的高风险。
