1
|
Fux-Noy A, Goldberg T, Shmueli A, Halperson E, Ram D, Davidovich E, Moskovitz M. Evaluation of proximal slicing in primary maxillary incisors with proximal caries- a retrospective cohort study. BMC Oral Health 2023; 23:904. [PMID: 37990222 PMCID: PMC10664308 DOI: 10.1186/s12903-023-03648-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Accepted: 11/09/2023] [Indexed: 11/23/2023] Open
Abstract
BACKGROUND Modern management of dental caries should be more conservative and include early detection of lesions and active surveillance, in order to apply preventive measures and carefully monitor for signs of arrest or progression. Proximal slicing was suggested for nonrestorative caries treatment for primary incisors. The aim of the study was to examine the success of proximal slicing in primary maxillary incisors in arresting caries progression. METHODS A retrospective cohort study. Data were collected from medical records of patients who had undergone proximal slicing in primary maxillary incisors with a follow-up period of at least 6 months. Treatment was considered a success when no further invasive clinical intervention was required within the follow-up period of at least 6 months. Treatment was considered a failure when further invasive clinical intervention was needed during the follow-up period (restoration, crown, or extraction). Additional variables included were the patient's gender, treated tooth, treated surface, age during their first visit to the clinic, age during slicing treatment, follow-up period, number of follow-up visits, and number of fluoride applications and additional slicing during follow-up. RESULTS Seventy-one patients were included in the study. Proximal slicing was successful in 76% of participants with a follow-up of at least 6 months. Success was associated with older age at the first dental visit (3.5yo vs. 2.5yo, p = 0.0011) and age when proximal slicing was performed (4yo vs. 3yo, p < 0.001). CONCLUSION Proximal slicing may successfully arrest proximal caries in primary maxillary incisors.
Collapse
Affiliation(s)
- Avia Fux-Noy
- Department of Pediatric Dentistry, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, P.O.B. 12272, Jerusalem, 9112102, Israel.
| | - Tamar Goldberg
- Undergraduate student, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem, Israel
| | - Aviv Shmueli
- Department of Pediatric Dentistry, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, P.O.B. 12272, Jerusalem, 9112102, Israel
| | - Elinor Halperson
- Department of Pediatric Dentistry, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, P.O.B. 12272, Jerusalem, 9112102, Israel
| | - Diana Ram
- Department of Pediatric Dentistry, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, P.O.B. 12272, Jerusalem, 9112102, Israel
| | - Esti Davidovich
- Department of Pediatric Dentistry, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, P.O.B. 12272, Jerusalem, 9112102, Israel
| | - Moti Moskovitz
- Department of Pediatric Dentistry, Hadassah Medical Center, Faculty of Dental Medicine, Hebrew University of Jerusalem, P.O.B. 12272, Jerusalem, 9112102, Israel
| |
Collapse
|
2
|
Bianchi RMD, Pascareli-Carlos AM, Floriano I, Raggio DP, Braga MM, Gimenez T, Holanda MC, da Silva GS, de Natal KH, Tedesco TK. Impact of non-restorative cavity control on proximal carious lesions of anterior primary teeth on the tooth survival and patient-centered outcomes (CEPECO 2): study protocol for a non-inferiority randomized clinical trial. BMC Oral Health 2021; 21:167. [PMID: 33789643 PMCID: PMC8011071 DOI: 10.1186/s12903-021-01524-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 03/18/2021] [Indexed: 11/29/2022] Open
Abstract
Background Studies have questioned the necessity of restoring cavitated carious lesion on primary teeth, once the control of biofilm is the most important factor to arrest these lesions. This randomized clinical trial aimed to compare the survival of teeth treated with a non-restorative cavity control (NRCC) compared to resin composite restorations (RCR) on proximal carious lesion in anterior primary teeth, as well as the impact of these treatments on patient-centered outcomes. Methods A randomized clinical trial with two parallels arms (1:1) will be conducted. Children between 3 and 6 years old will be selected from the Center of Clinic Research of Pediatric Dentistry of Ibirapuera University (UNIB), a dental trailer (FOUSP) located on Educational Complex Professor Carlos Osmarinho de Lima, the Pediatric Dentistry Clinic of Santa Cecília University and from the Pediatric Dentistry Clinic of University Center UNINOVAFAPI. One hundred and forty-eight teeth will be randomly distributed in two experimental groups: (1) Selective removal of carious tissue and RCR; or (2) NRCC through cavity enlargement using a metallic sandpaper. The primary outcome will be tooth survival after 6, 12, 18 and 24 months. The duration and the cost of dental treatments will be considered for the estimation of the cost-effectiveness of the evaluated treatments. The discomfort reported by the participants will be measured after each treatment using the FIS scale. The participants’ satisfaction and perception of the parents/legal guardians will be evaluated through questionnaires. For the primary outcome, Kaplan–Meier’s survival and Long-Rank test will be used for comparison between the two groups. All the variables will be modeled by Cox regression with shared fragility. Significance will be considered at 5%. Discussion The NRCC could be an option to manage carious lesions on proximal surfaces of primary teeth, and the approach could be well accepted by the children and parents/legal guardians. Trial registration Clinicaltrials.gov registration: NCT03785730, Registered on December 18th 2018, first participant recruited 30/04/2019, https://clinicaltrials.gov/ct2/show/NCT03785730. Ethics Reference No: 91569118.8.0000.5597. Trial Sponsor: Universidade Ibirapuera. The Trial was prospectively registered.
Collapse
Affiliation(s)
- Renata M D Bianchi
- Graduate Program in Dentistry, Ibirapuera University, Av. Interlagos 1329, São Paulo, SP, 04661-100, Brazil
| | - Aline M Pascareli-Carlos
- Graduate Program in Dentistry, Ibirapuera University, Av. Interlagos 1329, São Paulo, SP, 04661-100, Brazil.,School of Dentistry, Universidade Do Norte, Uninorte, Av. Joaquim Nabuco, Centro, Manaus, 12811355, Brazil
| | - Isabela Floriano
- School of Dentistry, University Center UNINOVAFAPI, Rua Vitorino Orthiges Fernandes 6123, Teresina, Brazil
| | - Daniela P Raggio
- Department of Orthodontic and Pediatric Dentistry, School of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, São Paulo, 2221, Brazil
| | - Mariana M Braga
- Department of Orthodontic and Pediatric Dentistry, School of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, São Paulo, 2221, Brazil
| | - Thais Gimenez
- Graduate Program in Dentistry, Ibirapuera University, Av. Interlagos 1329, São Paulo, SP, 04661-100, Brazil
| | - Mariana C Holanda
- School of Dentistry, FAESF Faculty, Rua Olemar Alves de Sousa 401, Floriano, Brazil
| | - Gabriela S da Silva
- Department of Orthodontic and Pediatric Dentistry, School of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, São Paulo, 2221, Brazil
| | - Karina H de Natal
- Department of Orthodontic and Pediatric Dentistry, School of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, São Paulo, 2221, Brazil
| | - Tamara K Tedesco
- Graduate Program in Dentistry, Ibirapuera University, Av. Interlagos 1329, São Paulo, SP, 04661-100, Brazil.
| |
Collapse
|
3
|
Pentapati KC, Yeturu SK, Siddiq H. Global and regional estimates of dental pain among children and adolescents-systematic review and meta-analysis. Eur Arch Paediatr Dent 2021; 22:1-12. [PMID: 32557184 PMCID: PMC7943429 DOI: 10.1007/s40368-020-00545-7] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2020] [Accepted: 06/07/2020] [Indexed: 01/13/2023]
Abstract
AIM We aimed to evaluate the pooled prevalence of dental pain amongst children and adolescents. METHODS Studies conducted in children and adolescents up to18 years of age and where prevalence of dental is reported or calculated were included. Search was performed in four major databases from inception to June 1st, 2019. Prevalence estimate at the maximal recall for the dental pain for the individual study was used to calculate the overall pooled estimate. RESULTS The prevalence of dental pain ranged from 1.33 to 87.8% in the included publications for quantitative synthesis (n = 97). More than half of the publications reported the lifetime prevalence of dental pain (n = 51) while few studies reported the current prevalence of dental pain (n = 3) and only one study evaluated the dental pain in the past one week. Heterogeneity was high among the included publications (Q = 49,063.12; P < 0.001; df = 96 and I2 = 99.8; P < 0.001). Overall pooled prevalence of dental pain was 32.7 (CI = 29.6-35.9). No difference was seen with respect to the trends in prevalence of dental pain (Coefficient: 0.005; 95% CI - 0.001-0.011; P-value: 0.101). CONCLUSION Two out of ten children below five years, four out of ten children between 6 and 12 years and three out of ten adolescents between 13 and 18 years would have experienced pain in the past. Overall, three out of ten children or adolescents might have experienced dental pain in the past. There was no difference in the pain prevalence between male and females. Studies from Africa reported highest pooled prevalence (50.1%) with least being from Australia (20.7%). Studies from India (40.4%), China (41.3%) and Iran (42.6%) reported high pooled prevalence estimates of dental pain.
Collapse
Affiliation(s)
- Kalyana Chakravarthy Pentapati
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, 576104, Karnataka, India.
| | - Sravan Kumar Yeturu
- grid.411370.00000 0000 9081 2061Department of Public Health Dentistry, Amrita School of Dentistry, Amrita Viswavidya Peetham, Kochi, India
| | - Hanan Siddiq
- grid.411639.80000 0001 0571 5193Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, 576104 Karnataka India
| |
Collapse
|
4
|
Hilgert LA, Frencken JE, de Amorim RG, Mulder J, Leal SC. A study on the survival of primary molars with intact and with defective restorations. Int J Paediatr Dent 2016; 26:383-90. [PMID: 26567086 DOI: 10.1111/ipd.12215] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Failed restorations in primary teeth are not always re-restored. Is re-restoration not required anymore? OBJECTIVE To compare survival rates of primary molars with intact and defective amalgam and ART restorations. METHODS A total of 649 restored primary molars, of which 162 were assessed with defective restorations for mechanical reasons, from a cluster-randomised controlled clinical trial, were followed up over a period of 3.5 years. Restored primary molars, extracted because of dental sepsis or toothache, were considered a failure. Primary molars with defective restorations were followed up from the time they were assessed defective. Data were analysed using PHREG model with frailty correction, Wald test, t-test, and jackknife procedure. RESULTS The survival rate of primary molars with intact restorations (96.3%) was statistically significantly higher than that of primary molars with defective restorations (75.9%) over a 3-year period (P < 0.0001). Neither the effect of treatment protocol (amalgam or ART) (P = 0.05) nor the type of surface (single or multiple) (P = 0.73) was observed with respect to the survival rate of restored primary molars. CONCLUSIONS Survival rates for primary molars with intact and defective amalgam and ART restorations were high. The 3-year survival rate of primary molars with intact restorations was significantly higher than that of primary molars with defective restorations.
Collapse
Affiliation(s)
- Leandro Augusto Hilgert
- Department of Dentistry, Faculty of Health Sciences, University of Brasília, Brasília, Brazil
| | - Jo E Frencken
- Department of Oral Rehabilitation and Prosthetics, College of Dental Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
| | | | - Jan Mulder
- Department of Oral Rehabilitation and Prosthetics, College of Dental Sciences, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Soraya Coelho Leal
- Department of Dentistry, Faculty of Health Sciences, University of Brasília, Brasília, Brazil
| |
Collapse
|
5
|
Mijan MC, de Amorim RG, Mulder J, Frencken JE, Leal SC. Exfoliation rates of primary molars submitted to three treatment protocols after 3.5 years. Community Dent Oral Epidemiol 2015; 43:232-9. [DOI: 10.1111/cdoe.12147] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2014] [Accepted: 12/19/2014] [Indexed: 11/28/2022]
Affiliation(s)
- Maite C. Mijan
- Department of Global Oral Health; College of Dental Sciences; Radboud University Medical Centre; Nijmegen The Netherlands
- Department of Pediatric Dentistry; School of Health Sciences; University of Brasília; Brasília Brazil
| | - Rodrigo G. de Amorim
- Department of Global Oral Health; College of Dental Sciences; Radboud University Medical Centre; Nijmegen The Netherlands
| | - Jan Mulder
- Department of Global Oral Health; College of Dental Sciences; Radboud University Medical Centre; Nijmegen The Netherlands
| | - Jo E. Frencken
- Department of Global Oral Health; College of Dental Sciences; Radboud University Medical Centre; Nijmegen The Netherlands
| | - Soraya C. Leal
- Department of Pediatric Dentistry; School of Health Sciences; University of Brasília; Brasília Brazil
| |
Collapse
|
6
|
Santamaria RM, Innes NPT, Machiulskiene V, Evans DJP, Splieth CH. Caries management strategies for primary molars: 1-yr randomized control trial results. J Dent Res 2014; 93:1062-9. [PMID: 25216660 PMCID: PMC4293767 DOI: 10.1177/0022034514550717] [Citation(s) in RCA: 76] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2014] [Revised: 08/15/2014] [Accepted: 08/19/2014] [Indexed: 11/17/2022] Open
Abstract
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, parallel-group, 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).
Collapse
Affiliation(s)
- R M Santamaria
- Department of Preventive and Paediatric Dentistry, Ernst-Moritz-Arndt University of Greifswald, Greifswald, Germany
| | - N P T Innes
- The Division of Oral Health Science, School of Dentistry, University of Dundee, Dundee, Scotland, UK
| | - V Machiulskiene
- Clinic of Dental and Oral Pathology, Faculty of Odontology, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - D J P Evans
- The Division of Oral Health Science, School of Dentistry, University of Dundee, Dundee, Scotland, UK
| | - C H Splieth
- Department of Preventive and Paediatric Dentistry, Ernst-Moritz-Arndt University of Greifswald, Greifswald, Germany
| |
Collapse
|
7
|
Hilgert LA, de Amorim RG, Leal SC, Mulder J, Creugers NHJ, Frencken JE. Is high-viscosity glass-ionomer-cement a successor to amalgam for treating primary molars? Dent Mater 2014; 30:1172-8. [PMID: 25132283 DOI: 10.1016/j.dental.2014.07.010] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2013] [Revised: 05/13/2014] [Accepted: 07/16/2014] [Indexed: 11/26/2022]
Abstract
OBJECTIVES To assess and compare the cumulative survival rate of amalgam and atraumatic restorative treatment (ART) restorations in primary molars over 3 years. METHODS 280 children aged 6-7 years old were enrolled in a cluster randomized controlled clinical trial using a parallel group design covering two treatment groups: conventional restorative treatment with amalgam (CRT) and atraumatic restorative treatment (ART) using a high-viscosity glass-ionomer (HVGIC) Ketac Molar Easymix. Three pedodontists placed 750 restorations (364 amalgam and 386 ART in 126 and 154 children, respectively) which were evaluated at 0.5, 1, 2 and 3 years. The proportional hazard rate regression model with frailty correction, ANOVA and Wald tests, and the Jackknife procedure were applied in analysing the data. RESULTS The cumulative survival rates over 3 years for all, single- and multiple-surface CRT/amalgam restorations (72.6%, 93.4%, 64.7%, respectively) were no different from those of comparable ART/HVGIC restorations (66.8%; 90.1% and 56.4%, respectively) (p=0.10). Single-surface restorations had higher survival rates than multiple-surface restorations for the both treatment procedures (p<0.0001). A higher proportion of restorations failed because of mechanical reasons (94.8%) than of secondary caries (5.2%). No difference in reasons for restoration failures between all types of amalgam and ART/HVGIC restorations were observed (p=0.24). SIGNIFICANCE The high-viscosity glass-ionomer used in this study in conjunction with the ART is a viable option for restoring carious dentin lesions in single surfaces in vital primary molars.
Collapse
Affiliation(s)
- Leandro A Hilgert
- Department of Operative Dentistry, School of Health Sciences, University of Brasília, Brazil.
| | | | - Soraya C Leal
- Department of Pediatric Dentistry, School of Health Sciences, University of Brasília, Brazil
| | - Jan Mulder
- Department of Global Oral Health, College of Dental Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - Nico H J Creugers
- Department of Oral Rehabilitation, College of Dental Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - Jo E Frencken
- Department of Global Oral Health, College of Dental Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands
| |
Collapse
|
8
|
Minimal intervention dentistry in the management of the paediatric patient. Br Dent J 2014; 216:623-7. [DOI: 10.1038/sj.bdj.2014.449] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/04/2014] [Indexed: 11/08/2022]
|