Abordagens terapêuticas minimamente invasivas que diminuem aerossóis no tratamento da cárie infantil: uma revisão de literatura

Abstract

It is known that in dentistry, the use of instruments and procedures that generate aerosols are frequent in clinical practice in the treatment of childhood caries. However, with the COVID-19 pandemic, it was recommended by health organizations to avoid the use of these aerosol isolation procedures as much as possible, using minimally invasive approaches to avoid contamination in dental practice. Therefore, this work may research treatment alternatives and minimally invasive treatments most commonly used in childhood dental caries that release little or no aerosol. A search was carried out in the BVS and Pubmed databases, in English, Spanish and Portuguese, carried out22 until February 202122 with publication of 10 years of data, using free and protected text terms until (DeCS/ MeSH), such as “aerosols ”, “children”, “dentistry”, “non-restorative cavity control”, “silver diamine fluoride”, “sealants”, “hall technique”, “atraumatic restorative treatment”, “chemical-mechanical caries removal” , “minimally invasive dentistry” combined with each other in different ways and equally applicable in both databases. A total of 58 articles were selected. Treatments during which the risks remove or are resolved the generation of aerosol treatments or treatment of deficiencies can allow for a successful and efficient reduction approach. Simplicity and techniques such as non-restorative caries control change, atraumatic, glass ionomer sealants, Hall technique, chemo-mechanical caries removal silver diamine fluoride, make this restorative paradigm method attractive, providing dentists additional options for caries management, offering flexibility to adapt caries treatment and adapt treatment to practice in the era. In addition, other advantages such as less need for local anesthesia, execution and reduction of children in the face of dental treatments, basic techniques for the dentist's knowledge in his clinical practice.