Biological Restorations in Paediatric Dentistry: A Systematic Review of Case Reports With Thematic Cross-Case Synthesis

Introduction This systematic review of case reports was done to understand the treatment strategies and success rate of biological restorations in paediatric dentistry. The cases were qualitatively analysed, and a thematic cross-case synthesis helped to better understand biological restorations as a treatment modality. Methods A thorough literature search was carried out on the following databases and gray literature: PubMed, Cochrane Library, ProQuest, Global Index Medicus, TRIP database, MedNar, ScienceDirect, and Google Scholar. After a thorough screening with the help of Rayyan (selection software for systematic reviews), 14 studies that met the inclusion criteria were chosen for the final data synthesis. The quality of the selected studies was critically appraised using Pierson’s five-component scheme. Results A thematic cross-case synthesis yielded five common themes observed in all reported cases: technique, treatment choice, outcome, advantages, and limitations. Conclusion Within the limitations of this review, it was concluded that biological restorations show promise as aesthetic restorative reconstructions of damaged teeth in paediatric patients. However, more longitudinal studies and high-quality studies are required on the subject. This review helps clinicians understand the success of biological restorations in paediatric dentistry based on standardised case reports.