Acceptability of different caries management methods for primary molars in a <scp>RCT</scp>

Santamaría, Ruth M.; Innes, Nicola; Mačhiulskienė, Vita; Evans, Dafydd; Alkilzy, Mohammad; Splieth, Christian H.

doi:10.1111/ipd.12097

Cited by 86 publications

(93 citation statements)

References 27 publications

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“…Patient recruitment and follow-up are presented in the CONSORT diagram (Schulz et al, 2010;Figure). Further study methodology details have been reported (Santamaria et al, 2014). Details of outcome criteria are presented in Table 1. sample Sample size calculation was based on the comparison of minor failure rates for HT (5%) vs. CR (46%) (Innes et al, 2007a).…”

Section: Methodsmentioning

confidence: 99%

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Caries Management Strategies for Primary Molars

et al. 2014

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Minimal invasive approaches to managing caries, such as partial caries removal techniques, are showing increasing evidence of improved outcomes over the conventional complete caries removal. There is also increasing interest in techniques where no caries is removed. We present the 1-yr results of clinical efficacy for 3 caries management options for occlusoproximal cavitated lesions in primary molars: conventional restorations (CR; complete caries removal and compomer restoration), Hall technique (HT; no caries removal, sealing in with stainless steel crowns), and nonrestorative caries treatment (NRCT; no caries removal, opening up the cavity, teaching brushing and fluoride application). In sum, 169 children (3-8 yr old; mean, 5.56 ± 1.45 yr) were enrolled in this secondary care-based, 3-arm, parallelgroup, randomized clinical trial. Treatments were carried out by specialist pediatric dentists or postgraduate trainees. One lesion per child received CR, HT, or NRCT. Outcome measures were clinical failure rates, grouped as minor failure (restoration loss/ need for replacement, reversible pulpitis, caries progression, etc.) and major failure (irreversible pulpitis, abscess, etc.). There were 148 children (87.6%) with a minimum follow-up of 11 mo (mean, 12.23 ± 0.98 mo). Twenty teeth were recorded as having at least 1 minor failure: NRCT, n = 8 (5%); CR, n = 11 (7%); HT, n = 1 (1%) (p = .002, 95% CI = 0.001 to 0.003). Only the comparison between NRCT and CR showed no significant difference (p = .79, 95% CI = 0.78 to 0.80). Nine (6%) experienced at least 1 major failure: NRCT, n = 4 (2%); CR, n = 5 (3%); HT, n = 0 (0%) (p = .002, 95% CI = 0.001 to 0.003). Individual comparison of NRCT and CR showed no statistically significant difference in major failures (p = .75, 95% CI = 0.73 to 0.76). Success and failure rates were not significantly affected by pediatric dentists' level of experience (p = .13, 95% CI = 0.12 to 0.14). The HT was significantly more successful clinically than NRCT and CR after 1 yr, while pairwise analyses showed comparable results for treatment success between NRCT and CR (ClinicalTrials.gov NCT01797458).

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Section: Methodsmentioning

confidence: 99%

“…The patient-relevant outcomes at time of treatment-children's behavior and pain perception, acceptability of the techniques to parents and dentists-have been reported (Santamaria et al, 2014). This report is part of a longitudinal clinical trial that aims to evaluate long-term outcomes of HT, NRCT, and CR.…”

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Caries Management Strategies for Primary Molars

et al. 2014

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“…The second appointment involves removal of separators 3-5 days after the fi rst appointment and selection and cementation of the SSC with GIC by digital and patient bite pressure. 10 There was a mixed international reaction to the development to the HT in paediatric dentistry circles 28 with many authors supporting it 29,30 and others condemning it outright. 8 In the UK, some had gone so far as to describe it as the "Gold Standard" for restoring the multi-surface carious molar.…”

Section: Discussion Of the Hall Technique (Ht)mentioning

confidence: 99%