Systematic Reviews
Copyright ©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 16, 2014; 2(5): 137-141
Published online May 16, 2014. doi: 10.12998/wjcc.v2.i5.137
Systematic review of noninvasive treatments to arrest dentin non-cavitated caries lesions
Isauremi Vieira de Assunção, Giovanna de Fátima Alves da Costa, Boniek Castillo Dutra Borges
Isauremi Vieira de Assunção, Giovanna de Fátima Alves da Costa, Boniek Castillo Dutra Borges, Department of Dentistry, Federal University of Rio Grande do Norte, Natal, 59056-000, Brazil
Author contributions: Assunção IV and Costa GF performed the literature research and wrote the introduction and result sections; Borges BC established the experimental design, wrote the discussion and conclusion sections, and reviewed the paper.
Correspondence to: Dr. Boniek Castillo Dutra Borges, Professor, Department of Dentistry, Federal University of Rio Grande do Norte, Av. Sen. Salgado Filho, 1787, Natal, 59056-000, Brazil. boniek.castillo@gmail.com
Telephone: +55-84-32154111 Fax: +55-84-32154111
Received: December 7, 2013
Revised: February 16, 2014
Accepted: March 11, 2014
Published online: May 16, 2014
Processing time: 160 Days and 9.5 Hours
Abstract

AIM: To systematically review the literature on the efficacy of noninvasive methods of arresting the progression of non-cavitated occlusal carious lesions in dentin.

METHODS: The Medline/PubMed, LILACS, SciELO and Scopus databases were searched to identify relevant publications through to November 2013. Only clinical trials evaluating the ability of noninvasive methods to arrest the progression of occlusal non-cavitated carious lesions in dentin were included. Screening, data extraction and quality assessment were conducted independently and in duplicate.

RESULTS: Of 167 citations identified, nine full text articles were screened and five were included in the analysis. All papers reported on occlusal fissure sealing using a self-curing glass ionomer (n = 1) or resin-based (n = 4) sealant. Only the use of resin-based sealant to obliterate occlusal fissures arrested the progression of non-cavitated occlusal carious lesions in dentin.

CONCLUSION: Occlusal fissure sealing with a resin-based sealant may arrest the progression of non-cavitated occlusal dentinal caries. Further clinical trials with longer follow-up times should be performed to increase scientific evidence.

Keywords: Dentin; Dental caries; Fissure sealants; Preventive therapy; Dental restoration

Core tip: Occlusal fissure sealing with a resin-based sealant may arrest the progression of non-cavitated occlusal dentinal caries.