Restoration of severely decayed primary teeth is a clinical challenge in Pediatric Dentistry. Among the restorative treatment options, the use of prefabricated crowns and resin composite restorations, either by means of direct or indirect techniques is mentioned in the literature. The purpose of this article is to describe the rehabilitation of primary anterior teeth in a 5-year-old patient. Dental treatment consisted on an anterior space maintainer prosthesis made with natural primary teeth, plus human dental enamel veneer (facet) restorations. The advantages of this technique are better esthetics and the natural enamel has physiologic wear and offers superficial smoothness and cervical adaptation compatible with those of the surrounding teeth.
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Article Synopsis
- Smart burs and chemo-mechanical caries removal (CMCR) systems are alternative techniques for cavity preparation, but existing studies show mixed results regarding their efficacy, efficiency, and patient comfort.
- This systematic review analyzed in vivo studies comparing these methods, excluding lower-quality sources and conducting a thorough risk of bias assessment on the included studies.
- The analysis revealed that, although 154 studies were initially reviewed, only a few were suitable for meta-analysis, showing no significant difference in clinical efficacy between CMCR systems and smart burs.
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