¿Son Necesarios los Materiales Bioactivos para Pacientes con Bajo Riesgo de Caries? Una Serie de Casos de Lesiones Cariosas Incipientes en el Esmalte de Dientes Anteriores y Posteriores
DOI:
https://doi.org/10.21270/archi.v14i7.6562Palabras clave:
Resinas Compuestas, Esmalte Dental, Caries Dental, Fluor, Remineralización DentalResumen
En las últimas décadas, los avances en la comprensión de los mecanismos de la enfermedad de caries han llevado a los profesionales a adoptar los principios de la Odontología de Mínima Intervención. Estos principios enfatizan que el manejo debe abordar principalmente los factores etiológicos de la enfermedad, permitiendo la máxima preservación de las estructuras dentales remineralizables, lo que, a su vez, mejora la longevidad dental y reduce la carga de la enfermedad. Mientras tanto, se han desarrollado numerosos materiales dentales con propiedades bioactivas, y las estrategias de marketing actuales a menudo presentan estos materiales como esenciales para un tratamiento eficaz. En consecuencia, algunos profesionales pueden percibir su enfoque como obsoleto si no incorporan materiales bioactivos. Este estudio presenta una serie de casos de lesiones cariosas incipientes en el esmalte de dientes anteriores y posteriores que fueron tratadas con éxito, independientemente del uso de materiales bioactivos. Los hallazgos demuestran que, cuando los factores etiológicos de la enfermedad se controlan adecuadamente, los materiales bioactivos no son indispensables.
Descargas
Citas
1. Tyas MJ, Anusavice KJ, Frencken JE, Mount GJ. Minimal intervention dentistry--a review. FDI Commission Project 1-97. Int Dent J. 2000;50:1-12.
2. Frencken JE, Peters MC, Manton DJ, Leal SC, Gordan VV, Eden E. Minimal intervention dentistry for managing dental caries - a review: report of a FDI task group. Int Dent J. 2012;62:223-43.
3. Banerjee A, Frencken JE, Schwendicke F, Innes NPT. Contemporary operative caries management: consensus recommendations on minimally invasive caries removal. Br Dent J. 2017;223:215-222.
4. Bernabé E, Marcenes W. Can minimal intervention dentistry help in tackling the global burden of untreated dental caries? Br Dent J. 2020;229:487-491.
5. Elkady DM, Khater AGA. Knowledge and attitudes toward evidence-based cariology and restorative dentistry among Egyptian dental practitioners: a cross-sectional survey. BMC Oral Health. 2023;23:622.
6. Peumans M, Politano G, Van Meerbeek B. Effective protocol for daily high-quality direct posterior composite restorations. Cavity preparation and design. J Adhes Dent. 2020;22:581-596.
7. Weimann D, Morgenthal A, Schwendicke F, Fleck C, Razi H. Substantial regional differences in the biomechanical behavior of molar treated with selective caries tissue removal technique: a finite element study. Dent Mater. 2021;37:e162-e175.
8. Slimani A, Sauro S, Gatón Hernández P, Gurgan S, Turkun LS, Miletic I, et al. Commercially available ion-releasing dental materials and cavitated carious lesions: clinical treatment options. Materials (Basel). 2021;14:6272.
9. Imazato S, Ebi N, Tarumi H, Russell RR, Kaneko T, Ebisu S. Bactericidal activity and cytotoxicity of antibacterial monomer MDPB. Biomaterials. 1999; 20:899-903.
10. Kantovitz KR, Pascon FM, Correr GM, Borges AF, Uchôa MN, Puppin-Rontani RM. Inhibition of mineral loss at the enamel/sealant interface of fissures sealed with fluoride- and non-fluoride containing dental materials in vitro. Acta Odontol Scand. 2006;64:376-83.
11. Wiegand A, Buchalla W, Attin T. Review on fluoride-releasing restorative materials--fluoride release and uptake characteristics, antibacterial activity and influence on caries formation. Dent Mater. 2007;23:343-62.
12. Fan Y, Townsend J, Wang Y, Lee EC, Evans K, Hender E, et al. Formulation and characterization of antibacterial fluoride-releasing sealants. Pediatr Dent. 2013;35:E13-8.
13. Okamoto M, Ali M, Komichi S, Watanabe M, Huang H, Ito Y, et al. Surface pre-reacted glass filler contributes to tertiary dentin formation through a mechanism different than that of hydraulic calcium-silicate cement. J Clin Med. 2019; 8:1-18.
14. Mosquim V, Zabeu GS, Foratori-Junior GA, Borges AB, Rios D, Magalhães AC, et al. S-PRG-based toothpastes compared to NaF toothpaste and NaF varnish on dentin permeability in vitro. J Appl Oral Sci. 2022;30:e20220082.
15. Phyo WM, Saket D, da Fonseca MA, Auychai P, Sriarj W. In vitro remineralization of adjacent interproximal enamel carious lesions in primary molars using a bioactive bulk-fill composite. BMC Oral Health. 2024;24:37.
16. Costa MP, Giacomini MC, Zabeu GS, Mosquim V, Dallavilla GG, Santos PSDS, et al. Impact of functional monomers, bioactive particles, and HEMA, on the adhesive performance of self-etch adhesive systems applied to simulated altered dentin. J Dent. 2024;151:105379.
17. Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, et al. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol. 2007;35:170-178.
18. Ismail AI, Pitts NB, Tellez M, Benerjee A, Deery C, Douglas G, et al. The International Caries Classification and Management System (ICCMS™) an example of a caries management pathway. BMC Oral Health. 2015;15 Suppl 1:S9.
19. Schwendicke F, Frencken JE, Bjørndal L, Maltz M, Manton DJ, Ricketts D, et al. Managing carious lesions: consensus recommendations on carious tissue removal. Adv Dent Res. 2016;28:58-67.
20. Hesse D, Bonifácio CC, Mendes FM, Braga MM, Imparato JC, Raggio DP. Sealing versus partial caries removal in primary molars: a randomized clinical trial. BMC Oral Health. 2014;28:14:58.
21. Qvist V, Borum MK, Møller KD, Andersen TR, Blanche P, Bakhshandeh A. Sealing occlusal dentin caries in permanent molars: 7-year results of a randomized controlled trial. JDR Clin Trans Res. 2017;2:73-86.
22. Wright JT, Tampi MP, Graham L, Estrich C, Crall JJ, Fontana M, et al. Sealants for preventing and arresting pit-and-fissure occlusal caries in primary and permanent molars: A systematic review of randomized controlled trials-a report of the American Dental Association and the American Academy of Pediatric Dentistry. J Am Dent Assoc. 2016;147:631-645.e18. Erratum in: J Am Dent Assoc. 2017;148:210.
23. Shen C, Shokry TE, Anusavice KJ. Influence of pH and oxygen-inhibited layer on fluoride release properties of fluoride sealant. J Dent. 2007;35:275-81.
24. Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res. 2007;86:662-666.
25. Paris S, Bitter K, Krois J, Meyer-Lueckel H. Seven-year-efficacy of proximal caries infiltration - Randomized clinical trial. J Dent. 2020;93:103277.
26. Wang L, Freitas MCCA, Prakki A, Mosquim V, González AHM, Rios D, et al. Experimental self-etching resin infiltrants on the treatment of simulated carious white spot lesions. J Mech Behav Biomed Mater. 2021;113:104146.
27. Carey CM. Focus on fluorides: update on the use of fluoride for the prevention of dental caries. J Evid Based Dent Pract. 2014;14:95-102.
28. Whelton HP, Spencer AJ, Do LG, Rugg-Gunn AJ. Fluoride revolution and dental caries: evolution of policies for global use. J Dent Res. 2019;98:837-846.
29. Deb S, Chana S. Biomaterials in relation to dentistry. Front Oral Biol. 2015;17:1-12.
30. Askar H, Krois J, Göstemeyer G, Bottenberg P, Zero D, Banerjee A, et al. Secondary caries: what is it, and how it can be controlled, detected, and managed? Clin Oral Investig. 2020;24:1869-1876.