Reabilitação biomecânica de molares decíduos severamente destruídos por meio de bandas ortodônticas: uma revisão de literatura

Abstract

Restoration of primary molars with extensive carious lesions, especially Class II cavities, remains a constant challenge in the rehabilitation of children, particularly those aged 0 to 4 years. Epidemiological data reveal significant failure rates of conventional composite resin and glass ionomer restorations, especially in situations where ideal conditions for their placement and longevity are difficult to achieve. In this context, Minimally Invasive Dentistry emerges as an alternative approach, with biological sealing and the arrest of caries progression as its main principles, eliminating the need for complete carious tissue removal, extensive tooth preparation, and local anesthesia. The present study aimed to conduct a literature review on the use of orthodontic bands for the biomechanical rehabilitation of severely destroyed primary molars affected by carious lesions. A search was carried out in the PubMed, Scopus, Cochrane, and Web of Science databases using the descriptors Dental Caries; Deciduous Teeth; Orthodontic Bands; and Dental Crowns., combined with the Boolean operator AND. After applying the inclusion and exclusion criteria, the eligible articles were selected for review.The findings indicate that orthodontic bands represent a low-cost and minimally invasive alternative, particularly suitable for patients with behavioral management difficulties, in public health settings, or in cases where other rehabilitation approaches have not been effective. They also serve as an excellent long-term provisional treatment, preserving occlusion, functionality, and durability until the exfoliation of the permanent successor. It can therefore be concluded that the use of orthodontic bands is a viable and effective alternative for the rehabilitation of severely destroyed primary molars.