Management of deep caries lesions with or without pulp involvement in primary teeth: a systematic review and network meta-analysis

There is a lack of evidence about the best approach for cavitated caries lesions with possibility pulpal involvement in primary teeth. Thus, present authors aimed to verify treatment deep or without pulp The search was conducted MEDLINE/Pubmed and Web Science databases until May 2020. Studies that compared techniques manage at least 12 months follow-up were included. risk bias evaluated using RoB tool. Network meta-analysis pairwise meta-analyses considering clinical success as an outcome, according health condition. From 491 potentially eligible studies, 9 For vitality, Hall Technique presented highest probability (78%). In event accidental exposure, pulpectomy 76% chance providing results. necrosis, no difference observed between non-instrumented endodontic (RR = 0.69; 95%CI: 0.21–2.33) it concluded may be better option vitality. cases exposure vital teeth during removal, considered option. However, there are insufficient studies build up when irreversible pulpitis necrosis present.