ArticleEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2022
Best clinical practice guidance for treating deep carious lesions in primary teeth: an EAPD policy document.
Article in European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Pulpotomy for treating primary teeth with irreversible pulpitis: a call for action.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026Pooled it
- Evidence mapping and quality assessment of randomised trials related to molar incisor hypomineralisation.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025Pooled it
- Direct pulp capping versus partial pulpotomy using RetroMTABMC oral health · 2026Trial
- Comparative evaluation of anesthetic delivery systems on pain, anxiety, and physiological responses in pediatric dental patients: A randomized clinical trial.Scientific reports · 2026Trial
- Conventional versus Hall technique for preformed metal crown restorations of carious primary molars-a randomised controlled trial comparing treatment duration and child and parental perceptions.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026Trial
- Success rate and acceptability of conventional and modified hall crowns among children and parents: a randomised clinical trial.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026Trial
- Clinical and radiographic outcomes of three calcium silicate-based cements in primary tooth pulpotomy: a randomized clinical trial.BMC oral health · 2026Trial
- Economic Evaluation of ART and Hall in Primary Molars.BMC oral health · 2025Trial
- Trial
- Comparative evaluation of cervical pulpotomy and pulpectomy for primary molars with irreversible pulpitis: a multicentre randomised controlled trial.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2024Trial
- Influence of high-irradiance light curing on the marginal integrity of composite restorations in primary teeth.BMC oral health · 2023Trial
- Clinical performance of Class II resin composite restorations in primary molars with or without pulpotomy: a prospective 24-month clinical study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026Article
- Clinical decision-making in pulp therapy of primary teeth among Tunisian dental practitioners: a cross-sectional study.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026Article
- How do clinicians treat irreversibly inflamed and necrotic primary molars? A worldwide survey of decision-making and practice.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026Article
- A long-term retrospective evaluation of pulpectomy and calcium hydroxide/iodoform paste resorption in primary teeth managed under dental general anaesthesia.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026Article
- Knowledge and Perceptions of Preformed Metal Crowns and Pulpotomies in Primary Molars Amongst Dental Students in Amsterdam, the Netherlands-A Questionnaire-Based Cross-Sectional Study.European journal of dental education : official journal of the Association for Dental Education in Europe · 2026Article
- Digitally fabricated custom esthetic crowns for primary molars: A systematic review of in vitro and clinical evidence.Journal of clinical and experimental dentistry · 2026Review
- Radiographic indicators of favorable second permanent molar eruption are infrequently present at the time of first permanent molar extraction: a retrospective study.BMC oral health · 2026Article
- Dental Rehabilitation Improves Oral Health-Related Quality of Life in Children with Molar-Incisor Hypomineralisation: A 12-Month Prospective Controlled Study.Children (Basel, Switzerland) · 2026Article
- Evaluation of the cyclic fatigue resistance of four specialist nickel-titanium files for primary teeth under simulated body temperature.Scientific reports · 2026Article
Corrections and comments
- Commented on byEditorial.2022
Authors and funding
23 authors at 13 institutions in 9 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe European Academy of Paediatric Dentistry (EAPD) has developed this best clinical practice guidance to help clinicians manage deep carious lesions in primary teeth.
methodsThree expert groups conducted systematic reviews of the relevant literature. The topics were: (1) conventional techniques (2) Minimal Intervention Dentistry (MID) and (3) materials. Workshops were held during the corresponding EAPD interim seminar in Oslo in April 2021. Several clinical based recommendations and statements were agreed upon, and gaps in our knowledge were identified.
resultsThere is strong evidence that indirect pulp capping and pulpotomy techniques, and 38% Silver Diamine Fluoride are shown to be effective for the management of caries in the primary dentition. Due to the strict criteria, it is not possible to give clear recommendations on which materials are most appropriate for restoring primary teeth with deep carious lesions. Atraumatic Restorative Technique (ART) is not suitable for multi-surface caries, and Pre-formed Metal Crowns (PMCs) using the Hall technique reduce patient discomfort. GIC and RMGIC seem to be more favourable given the lower annual failure rate compared to HVGIC and MRGIC. Glass carbomer cannot be recommended due to inferior marginal adaptation and fractures. Compomers, hybrid composite resins and bulk-fill composite resins demonstrated similar values for annual failure rates.
conclusionThe management of deep carious lesions in primary teeth can be challenging and must consider the patient's compliance, operator skills, materials and costs. There is a clear need to increase the use of MID techniques in managing carious primary teeth as a mainstream rather than a compromise option.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.