LEADER 02460nam 2200241 n 450 001 TD16029004 049 $aTDMAGDIG 100 $a20190501d2016------k--ita-50----ba 101 1 $aen 200 1 $aPrevention, diagnosis and minimally invasive treatment of dental caries$bTesi di dottorato 210 1$cUniversita' degli studi di Sassari$d2016-03-31 300 $aIn relazione con http://eprints.uniss.it/11052/ 328 0$btesi di dottorato$cMED/28 Malattie odontostomatologiche$eUniversita' degli studi di Sassari 330 $aAim: Study the news overtures to prevention, diagnosis and therapy of caries disease.
Methods: We conducted one randomized controlled clinical trial (RCT), one cross-sectional study and one systematic review with meta-analysis. The RCT evaluated the efficacy of the Carisolv and CeraBur. In the cross-sectional study we evaluated the efficacy of a new device to detect caries lesions: DIAGNOcam. The systematic review of the literature was conducted to evaluate efficacy of polyols in caries prevention.
Results: We found a significantly difference in terms of time taken between control group and Carisolv (p<0.001). We found no difference in increment cavity size and in anti-microbial effect between techniques. In the cross-sectional study we found a higher sensibility of the DIAGNOcam device respect to x-rays to diagnose caries in enamel (k=0.24); no statistically significant difference was found in dentin caries (k=1). In the meta-analysis we found that xylitol gum showed a good antimicrobial effect against the mutans streptococci than control group (p<0.01); low increment of ?DMFS at 2 and 3 years follow-up (p<0.01), and low AUC pH than sorbitol gum (p<0.01).
Conclusion: The clinical efficacy of Carisolv and CeraBur seems as reliable as the rotary instruments. The study on DIAGNOcam showed that this new device might be a useful tool in early caries detection. The xylitol gums showed a role in caries prevention. 336 $a8141936/application/pdf 689 0 $aMED/28$bMalattie odontostomatologiche$cTDR 700 0$aLai, Gianfranco 702 0$aCampus, Guglielmo Giuseppe 801 3$aIT$bIT-FI0098 856 4 $uhttp://memoria.depositolegale.it/*/http://eprints.uniss.it/11052/1/Lai_G_Prevention_diagnosis_and_minimally.pdf$2http://eprints.uniss.it/11052/1/Lai_G_Prevention_diagnosis_and_minimally.pdf 997 $aCF FMT $aTD FOR $aTD