Clinical outcomes for early childhood caries: influence of aggressive dental surgery.

摘要: Purpose The objective of this study was to assess the relationship between number stainless steel crowns (SSCs) placed, surfaces at risk (SAR) post dental surgery, and for relapse in patients treated Early Childhood Caries (ECC). Methods population consisted 57 children ECC under general anesthesia, ranging age from 2.3 7.3 years old time entry. Dental surgery utilized an aggressive approach: teeth that had necrotic pulps or were nonrestorable extracted; decayed primary mandibular incisors could not be by stripping maxillary with 3 more carious single-surface lesions molars did compromise cusp integrity restored intracoronal amalgam restorations; maxillary, canines smooth-surface affecting 2 less composites; requiring vital pulp therapy SSCs; caries (including smooth-surface, white-spot lesions) crowns; topical fluoride applied after all restorative completed. cohort examined new 6 months surgery. Relapse defined as presence Radike. Comparisons (R) nonrelapse (NR) groups, respect SSCs placed SAR, performed using t tests Wilcoxon tests. A 0.05 level significance employed statistical Results Twenty-one (37%) relapsed. No statistically significant difference SAR existed R group (SSCs: mean = 4.57, median 4 +/- 2.18; SAR: 39.76, 40 13.62) NR mean=5.44, 5.5 2.62; 39.98, 39.5 15.19). Conclusions is associated SAR; does result acceptable clinical outcomes.