Terapias minimamente invasivas no tratamento da cárie dentária: revisão de literatura comparativa entre selantes, infiltrantes resinosos e técnicas de mínima intervenção
DOI:
https://doi.org/10.34119/bjhrv8n6-174Keywords:
cárie dentária, mínima intervenção, selantes, infiltração resina, odontologia conservadoraAbstract
Com o avanço da odontologia moderna e o fortalecimento da filosofia de Mínima Intervenção (MI), o manejo da cárie dentária passou a priorizar a preservação do tecido dental sadio e a interrupção do processo carioso, em detrimento de abordagens invasivas. Este estudo tem como objetivo revisar a literatura recente sobre as principais terapias minimamente invasivas empregadas no tratamento da cárie dentária — selantes de fissuras, infiltrantes resinosos e técnicas de mínima intervenção —, comparando sua eficácia clínica, indicações e limitações. Foram analisados artigos científicos publicados entre 2015 e 2024 em bases de dados como PubMed, Scielo e BMC Oral Health. A literatura evidencia que os selantes apresentam alta efetividade preventiva; os infiltrantes resinosos se mostram eficientes no controle de lesões não cavitadas; e as técnicas de mínima intervenção consolidam a filosofia de preservação estrutural e controle biológico da doença. Conclui-se que as três estratégias são complementares e essenciais para o manejo contemporâneo da cárie, reforçando a transição para uma odontologia conservadora e baseada em evidências.
References
AHOVUO-SALORANTA A, Forss H, Walsh T, Hiiri A, Nordblad A, Mäkelä M, et al. Pit and fissure sealants for preventing dental decay in permanent teeth. Cochrane Database Syst Rev. 2017;(7):CD001830.
AHOVUO-SALORANTA A, Hiiri A, Nordblad A, Forss H, Mäkelä M. Effectiveness of pit and fissure sealants in caries prevention up to 48 months: an updated systematic review. Community Dent Oral Epidemiol. 2021;49(2):143–158.
ALMEIDA LF, Neves AA, Mendes FM, Braga MM. Resin infiltration in proximal carious lesions: systematic review and meta-analysis of randomized clinical trials. J Dent. 2023;136:104899.
AQUINO, J. M., Neto, S., Agra, L. A. C., Luz, M. C. M., Souza, S. V. P., dos Santos, J. V., & de Mendonça, I. C. G. (2021). Os avanços da odontologia minimamente invasiva nos dias atuais.Revista Eletrônica Acervo Saúde,13(2), e6267-e6267.Araújo, F. M.L. (2019). Tratamento da doença cárie não cavitada com infiltrante resinoso.
BANIHANI A, Santamaria RM, Banerjee A. Minimal intervention dentistry for managing carious lesions into dentine in primary teeth: an umbrella review. Eur Arch Paediatr Dent. 2022;23(5):667–693.
BMC ORAL HEALTH. Microinvasive interventions in the management of proximal caries lesions in primary and permanent teeth: systematic review and meta-analysis. BMC Oral Health. 2024;24:212.
DE AMORIM RG, Frencken JE, Raggio DP, Chen X, Hu X, Leal SC. Survival percentages of atraumatic restorative treatment (ART) restorations and sealants in posterior teeth: an updated systematic review and meta-analysis. Clinical Oral Investigations. Nov 2018;22(8):2703-2725. doi:10.1007/s00784-018-2625-5
DOMÉJEAN S, Ducamp R, Léger S, Holmgren C. Resin infiltration of non-cavitated caries lesions: a systematic review. Med Princ Pract. 2015;24(3):216–221.
FDI World Dental Federation. Minimal Intervention Dentistry for Managing Dental Caries (MID). Geneva: FDI; 2020.
FRENCKEN JE. The state-of-the-art of ART restorations. Article. Dental Update. 2014;41(3):218-224. doi:10.12968/denu.2014.41.3.218 3. Frencken JE. Atraumatic restorative treatment and minimal intervention dentistry. British Dental doi:10.1038/sj.bdj.2017.664 4. Journal. Aug 2017;223(3):183-189
FRONTIERS IN ORAL HEALTH. Clinical efficacy of pit and fissure sealants on non-cavitated carious lesions: a systematic review. Front Oral Health. 2023;4:1173421.
GARBIM JR, Laux CM, Tedesco TK, Braga MM, Raggio DP. Atraumatic restorative treatment restorations performed in different settings: systematic review and meta-analysis. Australian Dental Journal. Dec 2021;66(4):430-443. doi:10.1111/adj.12871
GIACAMAN RA, Muñoz-Sandoval C, Neuhaus KW, Fontana M, Chałas R. Evidence-based strategies for the minimally invasive treatment of carious lesions. Adv Clin Exp Med. 2018;27(7):1009–1016.
INNES NP et al. Managing carious lesions: Consensus recommendations on terminology. Adv Dent Res:28(2):49–57, 2016.
JIANG M, Fan Y, Li KY, Lo ECM, Chu CH, Wong MCM. Factors affecting success rate of atraumatic restorative treatment (ART) restorations in children: A systematic review and meta-analysis. Review. Journal of Dentistry. 2021;104103526. doi:10.1016/j.jdent.2020.103526
KIELBASSA AM, Müller J, Gernhardt CR. Closing the gap between oral hygiene and microinvasive caries management: long-term clinical results of resin infiltration. Caries Res. 2020;54(4):254–262.
KNIGHT GM, McIntyre JM, Craig GG, Mulyani S. Longevity of atraumatic restorative treatment (ART) restorations in primary teeth: a systematic review and meta-analysis. Int J Paediatr Dent. 2021;31(6):741–753.
KÜHNISCH J, Mansmann U, Heinrich-Weltzien R. Longevity of fissure sealants: a meta-analysis of clinical trials. J Dent Res. 2020;99(2):175–183.
KUMAR R, Chandak M, Jain A, Gupta R. Adjunctive use of ozone and laser therapy in non-invasive caries management: a systematic review. Lasers Med Sci. 2023;38(2):321–332.
NYVAD B et al. Dental Caries: The Disease and Its Clinical Management. 3rd ed. Oxford: Wiley Blackwell, p. 191–210, 2015.
ROCHA EP, Rodrigues JA, Maia LC, Paris S. Resin infiltration for esthetic improvement of white spot lesions: a systematic review and meta-analysis. Oper Dent. 2021;46(5):E215–E228.
SHIVANNA MM, Ganesh S, Khanagar SB, et al. Twelve-month evaluation of the atraumatic restorative treatment approach for class III restorations: An interventional study. Article. World Journal of Clinical Cases. 2020;8(18):3999 4009. doi:10.12998/wjcc.v8.i18.3999
SIMON-SORIANO M, Garcia-Font M, Llena C. Comparative effectiveness of resin-based and glass-ionomer sealants: a systematic review. Eur Arch Paediatr Dent. 2022;23(6):1125–1136.
WALSH MEDICAL MEDIA. Fissure sealants: a review of their importance in preventive dentistry. J Interdiscipl Med Dent Sci. 2019;13:715.
WRIGHT JT, Crall JJ, Fontana M, Gillette EJ, Nový BB. Dental sealants and preventive resins for caries prevention: a review of the clinical effectiveness and guidelines. NCBI Bookshelf. 2016.
