PMC:7546139 / 4895-11337 JSONTXT 10 Projects

Annnotations TAB TSV DIC JSON TextAE

Id Subject Object Predicate Lexical cue
T31 0-60 Sentence denotes Caries management strategies with reduced aerosol generation
T32 61-236 Sentence denotes Although they are changing frequently, in response to evidence, we have set this paper against a background of local, national and international standards and recommendations.
T33 237-449 Sentence denotes These include use of patient flow and environment cleaning processes, and standard and enhanced PPE use, as well as other measures put in place to practice safely practice while COVID-19 is still a health threat.
T34 450-649 Sentence denotes Dental professionals are familiar with infection control strategies, but after an outbreak of a highly infective, potentially airborne-transmitted virus, extra protective measures have to be adopted.
T35 650-864 Sentence denotes In this time of emerging evidence resulting in constant change, these measures should continue to be in line with national and local regulations, with vigilance to changes and by reference to Public Health England.
T36 865-997 Sentence denotes The paper will consider the alignment of traditional AGPs for caries management with 'non-AGPs' and 'low AGPs' (see Tables 1 and 2).
T37 998-1326 Sentence denotes Non-AGPs are those that generally do not include steps that generate aerosols, such as the use of rotary instruments and air-water syringes where air and water are used together in a spray, or procedures that can be modified to be carried out in a way that does not generate aerosols and compromise the quality of the procedure.
T38 1327-1509 Sentence denotes Low AGPs are those that also contain steps that might generate a lower amount of aerosol, such as the air-water syringe where the air and water are used independently of one another.
T39 1510-1629 Sentence denotes Non-AGPs still have potential for salivary contamination and low AGPs may need the air-water syringe in some instances.
T40 1630-1847 Sentence denotes However, there is less aerosol produced if the water is used to wash without combining it with air to give a spray.16,26 Use of rubber dam with sealing around tooth holes and high-volume evacuation help minimise risk.
T41 1848-1976 Sentence denotes Because of the possibility of viral load in the blood of COVID-19-positive patients, it is preferable to avoid pulpal exposures.
T42 1977-2205 Sentence denotes The non-invasive and minimally invasive procedures, such as selectively removing carious tissues during atraumatic restorative treatment (ART) and the Hall Technique (HT), are discussed below and make pulp exposures less likely.
T43 2206-2315 Sentence denotes However, if a pulp exposure did look likely during caries removal, an indirect pulp cap should be considered.
T44 2316-2518 Sentence denotes Table 1 Direct restorative procedures (ie not involving a laboratory stage) for managing coronal and root surface carious lesions for permanent and primary teeth with high, low and non-AGP alternatives
T45 2519-2561 Sentence denotes Lesion location High AGP* Low AGP* Non-AGP
T46 2562-2595 Sentence denotes Carious lesions limited to enamel
T47 2596-2673 Sentence denotes Smooth surface N/A Resin infiltration Maximise fluoride during tooth brushing
T48 2674-2698 Sentence denotes Topical fluoride therapy
T49 2699-2732 Sentence denotes (Other remineralisation agents**)
T50 2733-2793 Sentence denotes Occlusal surface N/A Resin fissure sealant ART/HVGIC sealant
T51 2794-2805 Sentence denotes GIC sealant
T52 2806-2856 Sentence denotes Approximal surface N/A Resin infiltration Fluoride
T53 2857-2890 Sentence denotes (Other remineralisation agents**)
T54 2891-2947 Sentence denotes Carious lesion extending into dentine or on root surface
T55 2948-3068 Sentence denotes Smooth or root surface Carious tissue removal (high-speed air rotor) and composite resin restoration N/A ART restoration
T56 3069-3073 Sentence denotes NRCC
T57 3074-3077 Sentence denotes SDF
T58 3078-3237 Sentence denotes Occlusal surface Carious tissue removal (high-speed air rotor) and composite resin restoration Resin fissure sealant (minimal enamel breakdown) ART restoration
T59 3238-3243 Sentence denotes NRCC†
T60 3244-3247 Sentence denotes SDF
T61 3248-3350 Sentence denotes Approximal/multi-surface Carious tissue removal (high-speed air rotor) and composite resin restoration
T62 3351-3397 Sentence denotes Stainless steel crown (conventional placement)
T63 3398-3468 Sentence denotes Zirconia crown Resin infiltration (outer 1/3 dentine) ART restoration†
T64 3469-3483 Sentence denotes Hall Technique
T65 3484-3489 Sentence denotes NRCC†
T66 3490-3494 Sentence denotes SDF†
T67 3495-3499 Sentence denotes Key:
T68 3500-3585 Sentence denotes * = use rubber dam with sealant around tooth/dam interface and high-volume aspiration
T69 3586-3670 Sentence denotes ** = CPP-ACP could be used as an additional measure but should not replace fluoride.
T70 3671-3748 Sentence denotes Peptides may be considered, though there is limited evidence to support them.
T71 3749-3790 Sentence denotes SDF is not recommended for anterior teeth
T72 3791-3817 Sentence denotes † = only for primary teeth
T73 3818-3856 Sentence denotes ART = atraumatic restorative treatment
T74 3857-3895 Sentence denotes CMCR = chemo-mechanical caries removal
T75 3896-3922 Sentence denotes GIC = glass-ionomer cement
T76 3923-3966 Sentence denotes HVGIC = high-viscosity glass-ionomer cement
T77 3967-4004 Sentence denotes NRCC = non-restorative cavity control
T78 4005-4034 Sentence denotes SDF = silver diamine fluoride
T79 4035-4081 Sentence denotes Table 2 Non-aerosol caries management options
T80 4082-4128 Sentence denotes Depth of carious lesion Occlusal Multi-surface
T81 4129-4188 Sentence denotes Primary teeth Permanent teeth Primary teeth Permanent teeth
T82 4189-4210 Sentence denotes Limited to enamel APP
T83 4211-4213 Sentence denotes TF
T84 4214-4221 Sentence denotes SDF APP
T85 4222-4224 Sentence denotes TF
T86 4225-4241 Sentence denotes ART/HVGIC FS APP
T87 4242-4244 Sentence denotes TF
T88 4245-4252 Sentence denotes SDF APP
T89 4253-4255 Sentence denotes TF
T90 4256-4315 Sentence denotes Extending no more than the outer 1/3 to 1/2 of dentine NRCC
T91 4316-4319 Sentence denotes SDF
T92 4320-4323 Sentence denotes ART
T93 4324-4337 Sentence denotes +/- CMCR ART*
T94 4338-4351 Sentence denotes +/- CMCR NRCC
T95 4352-4355 Sentence denotes SDF
T96 4356-4359 Sentence denotes ART
T97 4360-4368 Sentence denotes +/- CMCR
T98 4369-4376 Sentence denotes HT ART*
T99 4377-4385 Sentence denotes +/- CMCR
T100 4386-4420 Sentence denotes Over halfway through dentine ART**
T101 4421-4429 Sentence denotes +/- CMCR
T102 4430-4443 Sentence denotes +/- SDF ART**
T103 4444-4452 Sentence denotes +/- CMCR
T104 4453-4466 Sentence denotes +/- SDF ART**
T105 4467-4475 Sentence denotes +/- CMCR
T106 4476-4478 Sentence denotes HT
T107 4479-4492 Sentence denotes +/- SDF ART**
T108 4493-4501 Sentence denotes +/- CMCR
T109 4502-4509 Sentence denotes +/- SDF
T110 4510-4514 Sentence denotes Key:
T111 4515-4668 Sentence denotes * = because the lesion is shallow, it is likely that complete carious tissue removal will be necessary to give adequate depth to the restorative material
T112 4669-4755 Sentence denotes ** = because the lesion is deeper, selective carious tissue removal can be carried out
T113 4756-4787 Sentence denotes APP = active primary prevention
T114 4788-4826 Sentence denotes ART = atraumatic restorative treatment
T115 4827-4932 Sentence denotes ART/HVGIC FS = atraumatic restorative treatment fissure sealant using high-viscosity glass-ionomer cement
T116 4933-4971 Sentence denotes CMCR = chemo-mechanical caries removal
T117 4972-4991 Sentence denotes HT = Hall Technique
T118 4992-5029 Sentence denotes NRCC = non-restorative cavity control
T119 5030-5059 Sentence denotes SDF = silver diamine fluoride
T120 5060-5081 Sentence denotes TF = topical fluoride
T121 5082-5103 Sentence denotes +/- = with or without
T122 5104-5390 Sentence denotes The procedures discussed here are based around minimal intervention dentistry approaches, aiming to maintain the dentition throughout the course of life by handling the disease, dental caries, in a biological manner; treating the cause and not just its symptoms (the carious lesions).27
T123 5391-5852 Sentence denotes The non-AGPs and low AGPs for managing carious lesions can be grouped into:Control the disease - prevention, early detection and managing the carious lesion (whether confined to enamel or cavitated) through controlling the biofilm, by making the lesion cleansable with non-restorative cavity control (NRCC) or by removing the plaque and using chemicals to stop its progress and promote remineralisation (commonly silver diamine fluoride [SDF]; topical fluoride)
T124 5853-6125 Sentence denotes Cover and seal the biofilm and carious lesion - involves no caries removal and creates a seal to deprive the carious biofilm of nutrients, oxygen etc, causing the carious lesion to arrest, such as fissure sealing and resin infiltration for non-cavitated lesions and the HT
T125 6126-6330 Sentence denotes Carious tissue removal - only decomposed, infected dentine and unsupported demineralised enamel should be removed selectively using hand instruments (eg ART and/or chemo-mechanical caries removal [CMCR]).
T126 6331-6442 Sentence denotes The online supplementary information file details further sources and some video tutorials of these techniques.