Tania Carola Padilla-Cáceres, Heber Isac Arbildo-Vega, Vilma Mamani-Cori, Luz Marina Caballero-Apaza, Fredy Hugo Cruzado-Oliva, Carlos Alberto Farje-Gallardo, Consuelo Marroquín-Soto, Rubén Aguirre-Ipenza, Hernán Vásquez-Rodrigo, Sara Antonieta Luján-Valencia, Joan Manuel Meza-Málaga, Tania Belú Castillo-Cornock, Franz Tito Coronel-Zubiate
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引用次数: 0
摘要
目的：通过综述，评价微创干预治疗乳牙龋齿的效果。材料与方法：全面检索PubMed、Cochrane Library、Scopus、Web of Science、Embase、SciELO、谷歌Scholar、ProQuest disserthesis and Theses、OpenGrey等数据库，涵盖截至2025年9月的文献。包括系统评价，有或没有荟萃分析，评估最小干预对乳牙龋齿损害的影响。叙述性综述、快速综述、临床试验、观察性或实验性研究、病例报告、社论、信件、协议和海报均被排除在外。使用AMSTAR-2工具评估综述的方法学质量，使用ROBIS工具评估偏倚风险。结果：从最初检索的498条记录中，49篇系统评价符合纳入标准。数据显示微创干预对乳牙龋齿损伤的影响。结论：基于高置信度的系统评价，在微创干预措施中，氟化二胺银、霍尔技术和树脂浸润治疗乳牙龋齿病变效果显著。系统评价注册：https://doi.org/10.17605/OSF.IO/3T2GV，开放科学框架（OSF）： doi: 10.17605/OSF. io / 32gv。
Effect of minimal intervention on carious lesions in primary teeth. An Umbrella review.
Aim: To assess the effect of minimal intervention on carious lesions in primary teeth through an umbrella review.
Material and methods: A comprehensive search was conducted in databases such as PubMed, Cochrane Library, Scopus, Web of Science, Embase, SciELO, Google Scholar, ProQuest Dissertations and Theses, and OpenGrey, covering literature up to September 2025. Systematic reviews, with or without meta-analyses, that assessed the effect of minimal intervention on carious lesions in primary teeth were included. Narrative reviews, rapid reviews, clinical trials, observational or experimental studies, case reports, editorials, letters, protocols, and posters were excluded. The methodological quality of the reviews was assessed using the AMSTAR-2 tool, and the risk of bias was assessed using the ROBIS tool.
Results: From an initial retrieval of 498 records, 49 systematic reviews met the inclusion criteria. The data showed an impact of minimally invasive interventions on carious lesions in primary teeth.
Conclusion: Based on high-confidence systematic reviews, among the minimally invasive interventions, the use of silver diamine fluoride, the Hall technique, and resin infiltration showed significant benefits for managing carious lesions in primary teeth.
Systematic review registration: https://doi.org/10.17605/OSF.IO/3T2GV, Open Science Framework (OSF): doi: 10.17605/OSF.IO/3T2GV.
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