[Clinical controlled study on the treatment of deep carious lesions in deciduous molars].
Compared with a step-by-step procedure, the one-step excavation of deep carious lesions in primary molars proved to be the treatment of choice in a clinically, microbiologically and histologically controlled trial. The stepwise method failed to produce any significant reduction in pulp exposure. Sensitivity assessment and percussion findings did not result in a reliable and unambiguous evaluation of treatment success. Histology showed inflammation-free pulps in 67% of the deciduous molars irrespective of the treatment method used. Microbiological examination revealed slightly softened dentin to be significantly more infected than clinically acceptable, hard dentin; although only 59.3% of the cavity floors were free of microorganisms. Chronic pulp inflammations were correlated with the presence of streptococci and lactobacilli, whereas actinomycetes were associated with inflammation-free pulps.
Heinrich
R
R
Wissenschaftsbereich Präventive Stomatologie, Medizinische Akademie Erfurt.
Kneist
S
S
Künzel
W
W
D016022:Case-Control Studies; D002648:Child; D003731:Dental Caries / Q000628:therapy*; D003737:Dental Cavity Preparation / Q000379:methods*; D003782:Dental Pulp / Q000382:microbiology; D006801:Humans; D008963:Molar; D014094:Tooth, Deciduous
Klinisch kontrollierte Untersuchung zur Caries-profunda-Therapie am Milchmolaren.