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PEDIATRIC DENTISTRY : Are the Approximal Caries Lesions in Primary Teeth a Challenge to Deal With?


Approximal surfaces have been pointed as a challenge regarding the control of caries lesions in primary teeth, specially due to the larger area of contact between adjacent teeth and limited salivary access.

In addition, children can present less dexterity to using dental floss and depend on parent’s collaboration to remove interproximal dental plaque.

Therefore, poor compliance to flossing by children seems to contribute to make the arrestment of approximal caries lesions more difficult.

Consequently, identifying and understanding attitudes towards flossing are very important tasks to aid health professionals for flossing orientation and its incentive.

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Several evidences have been published recently as promising alternatives in order to deal with approximal caries lesion in primary teeth and minimize the effects of poor compliance with flossing and/or repair eventual irreversible dental decay caused by caries progression.

Minimally invasive interventions have been proposed to caries lesion management, comprising early detection, preventive procedures and minimal invasion.

This approach also proposes to minimize the discomfort of patient, specially to deal with pediatric patients’ dental anxiety and fear.

However, even considering minimal invasive treatments, there are operational differences among them that could interfere on children’s discomfort and acceptability.

Indeed, when exploring options for dental treatment, not only the efficacy/effectiveness but also the cost-efficacy/effectiveness and the patient’s discomfort/satisfaction should also be comparatively investigated for available approaches.



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