Early childhood caries (ECC) affects millions of children up to 6 years old. Its treatment positively impacts the quality of life of children and their families. However, there is no consensus on how to treat ECC. Thus, we performed a scoping review to identify the recommended procedures for the management of ECC lesions. A search was performed in PubMed, Scopus, The Cochrane Library, The International Guideline Library and pediatric dentistry associations around the world were contacted by email for unpublished search documents. ECC guidelines/guidance/policies were considered eligible regardless of language and publication date. From a total of 828 references, 52 full-text articles were assessed for eligibility and 22 included in the scoping review. We found different procedures recommendations for the management of ECC lesions. For incipient lesions, minimally invasive methods such as professional fluoride and cariostatic (silver diamine) applications, as well as surveillance were recommended. If restoration was required, the recommended materials were glass ionomer cement, composite resin, amalgam and stainless-steel crown. Interim restorations and Atraumatic Restorative Treatment (ART) were also recommended. Extractions have been suggested for teeth with lesions with pulpal involvement, depending on the child’s behaviour and other clinical conditions. Non-operative procedures, restorative and extraction were recommended for the management of ECC, depending on the extent of the lesions. There is no difference between different management guidelines/guidance/policies for ECC lesions.

中文翻译：

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儿童早期龋齿病变管理的推荐程序 - 经历牙科焦虑的儿童：研究和教育合作组织 (CEDACORE) 的范围审查。

儿童早期龋齿 (ECC) 影响数百万 6 岁以下儿童。它的治疗对儿童及其家庭的生活质量产生积极影响。然而，对于如何治疗ECC尚未达成共识。因此，我们进行了范围审查，以确定 ECC 病变管理的推荐程序。在 PubMed、Scopus、Cochrane 图书馆、国际指南图书馆和世界各地的儿科牙科协会中进行了检索，并通过电子邮件联系了世界各地的儿科牙科协会，以获取未发表的检索文件。无论语言和发布日期如何，ECC 指南/指南/政策均被视为合格。在总共 828 篇参考文献中，对 52 篇全文进行了资格评估，其中 22 篇纳入了范围界定审查。我们发现了针对 ECC 病变管理的不同程序建议。对于初期病变，建议采用微创方法，例如专业氟化物和防龋剂（二胺银）应用以及监测。如果需要修复，推荐的材料是玻璃离子水门汀、复合树脂、汞合金和不锈钢冠。还建议进行临时修复和无创修复治疗 (ART)。根据孩子的行为和其他临床情况，建议对病变并累及牙髓的牙齿进行拔牙。建议根据病变程度采用非手术、修复和拔除术来治疗 ECC。不同的 ECC 病变管理指南/指南/政策之间没有差异。