Métodos precisos para remoción del sustrato dental cariado en preparaciones cavitarias. Revisión de la literatura.

Abstract

Introduction: Dentists are still faced with the question of how much carious dental tissue to remove, and it is necessary to know the shape and extent of carious lesions in the different dental substrates and their removal methods. Objective: To determine which is the most precise method for the removal of carious dental substrate in cavity preparations. Materials and methods: A bibliographic review was carried out with a qualitative, retrospective, crosssectional, descriptive design and deductive method. The search for scientific articles was carried out in Pubmed, Cochrane, and Google Scholar. A total of 40 articles were obtained from 1993 to 2021, of which 36 articles met the inclusion criteria. Results: The most convenient method of enamel identification was air abrasion with bioactive glass, while the most accurate method of dentin caries removal was the use of chemomechanical agents. Conclusion: The best identification method in both enamel and dentin was the use of stains and DIAGNOdent. Bioactive glass air abrasion was considered the best treatment option for enamel caries removal. Chemomechanical agents seem to be the best option for dentin caries removal due to their many advantages for both the patient and the patient. the dentist. Among the best advantages of chemomechanical agents are: avoiding the use of anesthetics, avoiding dental pain and anxiety. The selective removal of carious tissue turned out to be the best option to help achieve a better-quality restoration that lasts over time.