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de Lavôr JR, de Abreu RSA, Costa SGDA, de Brito DHS, Dos Santos TGFT, Almeida NKVDL, da Silva MCPM, Júnior ADFC, Heimer MV, Galembeck A, Rosenblatt A. Efficacy of a high concentration of nano silver fluoride in preventing caries: A randomized controlled trial. J Clin Exp Dent 2024; 16:e263-e269. [PMID: 38600926 PMCID: PMC11003279 DOI: 10.4317/jced.60776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Accepted: 12/18/2023] [Indexed: 04/12/2024] Open
Abstract
Background To investigate the effectiveness of a novel agent containing Nano Silver Fluoride 1500 (NSF 1500) and chitosan to inactivate carious lesions in children. Material and Methods The study included eighty children. While both groups had fluoride dentifrice applied to their teeth, only the experimental group received treatment with the NSF 1500-ppm solution. The first and sixth-month interval examinations were conducted by two calibrated dentists (k = 0.85). Results The NSF 1500 group had 69.2% of their teeth with arrested decay, while the control group had 24.1%. The difference was statistically significant (p 0.001), with a preventive fraction of 59.4%. The number needed to treat (NNT) was approximately two. The NSF 1500 formulation was more effective than toothbrushing alone with fluoridated dentifrice in preventing dental caries. Conclusions The effectiveness of NSF 1500 is determined by the size and depth of the dental cavity. Its ability to arrest caries lesions was comparable to previously tested products, NSF 400 and NSF 600. Key words:Preventive dentistry, dental caries, nanoparticles.
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Affiliation(s)
- Juliane-Rolim de Lavôr
- DDS, MSc, PhD student. University of Pernambuco, School of Dentistry - Department of Pediatric Dentistry, Recife, Pernambuco, Brazil
| | | | - Samylla-Glória-de Araújo Costa
- DDS, MSc student. University of Pernambuco, School of Dentistry - Department of Pediatric Dentistry, Recife, Pernambuco, Brazil
| | - Débora-Heloísa-Silva de Brito
- DDS, MSc, PhD student. University of Pernambuco, School of Dentistry - Department of Pediatric Dentistry, Recife, Pernambuco, Brazil
| | | | | | | | - Arnaldo-de França-Caldas Júnior
- DDS, PhD, Professor. University of Pernambuco, School of Dentistry - Department of Pediatric Dentistry, Recife, Pernambuco, Brazil
| | - Mônica-Vilela Heimer
- DDS, PhD, Professor. University of Pernambuco, School of Dentistry - Department of Pediatric Dentistry, Recife, Pernambuco, Brazil
| | - André Galembeck
- DDS, PhD, Professor. Federal University of Pernambuco - Chemistry Department, Recife, Pernambuco, Brazil
| | - Aronita Rosenblatt
- DDS, PhD, Professor. University of Pernambuco, School of Dentistry - Department of Pediatric Dentistry, Recife, Pernambuco, Brazil
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Wambier LM, Gonçalves ADR, Wambier DS, Reis A, Chibinski ACR. Adherence to the CONSORT statement of randomized clinical trials on ART restorations in children: current status and reporting characteristics. Braz Oral Res 2022; 36:e017. [DOI: 10.1590/1807-3107bor-2022.vol36.0017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Accepted: 08/03/2021] [Indexed: 11/22/2022] Open
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Oliveira RDC, Camargo LB, Novaes TF, Pontes LRA, Olegário IC, Gimenez T, Pássaro AL, Tedesco TK, Braga MM, Mendes FM, Raggio DP. Survival rate of primary molar restorations is not influenced by hand mixed or encapsulated GIC: 24 months RCT. BMC Oral Health 2021; 21:371. [PMID: 34301217 PMCID: PMC8305516 DOI: 10.1186/s12903-021-01710-0] [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: 03/03/2021] [Accepted: 07/12/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Glass ionomer cements (GIC) have been considered the top option to restore primary teeth by dentists. The most common supply forms are hand mixed and encapsulated GIC. There is a lack of information about the impact of different GIC supply forms on restoration survival. METHODS This randomized clinical trial compared the survival rate of occlusal and occlusoproximal restorations in primary molars using two glass ionomer cements versions: hand-mixed (H/M) and encapsulated (ENC) after 24 months. Children aged 3-10 years who presented dentin caries lesions in primary molars were selected at School of Dentistry, University of São Paulo, Brazil. They were randomly assigned to groups: H /M (Fuji IX®, GC Europe) or ENC (Equia Fill®, GC Europe). The occurrence of restoration failure was evaluated by two blinded and calibrated examiners. The analyses were performed in Stata 13 (StataCorp, USA). To evaluate the primary outcome (restoration survival), we performed a survival analysis. Additionally an intention to treat (ITT) analysis were done at 24 months of follow-up. Cox Regression with shared frailty was performed to assess association between restoration failure and independent variables (α = 5%). RESULTS A total of 324 restorations were performed in 145 children. The survival for H/M group was 58.2% and 60.1% for ENC, with no difference (p = 0.738). Occlusoproximal restorations had lower survival rate when compared to occlusal ones (HR = 3.83; p < 0.001). CONCLUSIONS The survival rate in primary molars is not influenced by the different supply forms of GIC. Also, occlusoproximal restorations present reduced performances when compared to occlusal cavities. TRIAL REGISTRATION This randomized clinical trial was registered on ClinicalTrials.Gov on 10/15/2014 under protocol (NCT02274142).
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Affiliation(s)
| | | | | | | | - Isabel Cristina Olegário
- Department of Public & Child Dental Health, Dublin Dental University Hospital, Trinitty College Dublin, Dublin, Ireland
| | - Thais Gimenez
- Department of Dentistry, Ibirapuera University, São Paulo, Brazil
| | - Ana Laura Pássaro
- Department of Orthodontics and Pediatric Dentistry, University of São Paulo, São Paulo, Brazil
| | | | - Mariana Minatel Braga
- Department of Orthodontics and Pediatric Dentistry, University of São Paulo, São Paulo, Brazil
| | - Fausto Medeiros Mendes
- Department of Orthodontics and Pediatric Dentistry, University of São Paulo, São Paulo, Brazil
| | - Daniela Prócida Raggio
- Department of Orthodontics and Pediatric Dentistry, University of São Paulo, São Paulo, Brazil. .,School of Dentistry, University of Sao Paulo, Av. Professor Lineu Prestes, 2227, São Paulo, SP, 05508-000, Brazil.
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Braga MM, Machado GM, Rocha ES, ViganÓ ME, Pontes LRA, Raggio DP. How can we associate an economic evaluation with a clinical trial? Braz Oral Res 2020; 34 Suppl 2:e076. [PMID: 32785484 DOI: 10.1590/1807-3107bor-2020.vol34.0076] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2019] [Accepted: 09/22/2019] [Indexed: 11/21/2022] Open
Abstract
Economic evaluations in Dentistry have been increasing in recent years. They are a relevant contribution if an economic issue exists. Knowing if a new intervention is an efficient way of allocating available (and scarce) resources (the concept of opportunity costs), a well-designed economic evaluation may be helpful. One option is to conduct a trial-based economic analysis, which extracts a considerable board of information from a trial. This approach produces a more controlled result since many sources of variations might be reduced. On the other hand, some aspects could not be predicted directly from the trial or even extrapolated. Thus, combining model-based analysis may be an idea. In this paper, we intended to discuss important aspects to be considered by researchers in further economic evaluations. This paper will be systematically divided into sessions related to the study design as time horizon and perspective, health effects, costs, and data analysis. In the end, we expect the reader could be able to plan a trial-based economic evaluation, which should be a careful, meticulous, quite laborious and especially transparent process.
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Affiliation(s)
- Mariana Minatel Braga
- Department of Paedriatric Dentistry, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Gabriela Manco Machado
- Department of Paedriatric Dentistry, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Elizabeth Souza Rocha
- Department of Paedriatric Dentistry, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Maria Eduarda ViganÓ
- Department of Paedriatric Dentistry, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil
| | | | - Daniela Prócida Raggio
- Department of Paedriatric Dentistry, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil
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Ladewig NM, Tedesco TK, Gimenez T, Braga MM, Raggio DP. Patient-reported outcomes associated with different restorative techniques in pediatric dentistry: A systematic review and MTC meta-analysis. PLoS One 2018; 13:e0208437. [PMID: 30521577 PMCID: PMC6283634 DOI: 10.1371/journal.pone.0208437] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2018] [Accepted: 11/17/2018] [Indexed: 12/14/2022] Open
Abstract
BACKGROUND Despite the increasing number of studies evaluating patient reported outcome measures (PROs), there is no clearness regarding which restorative treatment offers major benefits based on the pediatric patient perspective. AIM To compare different restorative techniques in pediatric dentistry regarding patient-reported outcomes. DESIGN Literature searching was carried out on prospective studies indexed in PubMed, Scopus and OpenGrey. A Mixed Treatment Comparisons (MTC) meta-analysis was undertaken considering the results from reviewed studies. Anxiety, pain and quality of life were extracted as mean with standard deviation, percentage of pain, and mean difference of scores with standard deviation, respectively. For direct comparisons, data were combined using a random-effect model. Heterogeneity was assessed with the I2 statistic. For indirect comparisons, fixed and random effects were chosen through comparison of competing models based on the Deviance Information Criteria (DIC). The expected efficacy ranking based on the posterior probabilities of all treatment rankings was also calculated. RESULTS An initial search resulted in 4,322 articles, of which 17 were finally selected. Due to unavailability of data, only pain, anxiety and oral health related quality of life (OHRQoL) were statistically analyzed. The difference in means (95% CI) of anxiety between treatments using only hand instruments with or without chemomechanical agents were -5.35 (-6.42 to -4.20) and -5.79 (-7.77 to -3.79) respectively when compared to conventional treatment using rotary instruments and/or local anesthesia. Regarding pain, there was a trend for treatments without rotary instruments and local anesthesia to be less frequently reported as painful. No statistical difference was found intragroup nor among treatments for OHRQoL. CONCLUSIONS Anxiety and pain are directly related with more invasive restorative treatments. On the other hand, quality of life is not improved regardless of the restorative technique used. Further well-designed prospective studies regarding PROs in children are still necessary.
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Affiliation(s)
- Nathalia Miranda Ladewig
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, University of São Paulo, São Paulo, São Paulo, Brazil
| | - Tamara Kerber Tedesco
- Department of Pediatric Dentistry, Faculty of Dentistry, University of Ibirapuera, São Paulo, São Paulo, Brazil
| | - Thaís Gimenez
- Department of Pediatric Dentistry, Faculty of Dentistry, University of Ibirapuera, São Paulo, São Paulo, Brazil
| | - Mariana Minatel Braga
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, University of São Paulo, São Paulo, São Paulo, Brazil
| | - Daniela Prócida Raggio
- Department of Pediatric Dentistry and Orthodontics, Faculty of Dentistry, University of São Paulo, São Paulo, São Paulo, Brazil
- * E-mail:
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de Amorim RG, Frencken JE, Raggio DP, Chen X, Hu X, Leal SC. Survival percentages of atraumatic restorative treatment (ART) restorations and sealants in posterior teeth: an updated systematic review and meta-analysis. Clin Oral Investig 2018; 22:2703-2725. [PMID: 30232622 DOI: 10.1007/s00784-018-2625-5] [Citation(s) in RCA: 60] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Accepted: 09/06/2018] [Indexed: 02/06/2023]
Abstract
OBJECTIVE The aim of the present study is to update the results of two previous meta-analyses, published in 2006 and 2012, on the survival percentages of atraumatic restorative treatment (ART) restorations and ART sealants. The current meta-analysis includes Chinese publications not investigated before. MATERIALS AND METHODS Until February 2017, six databases were interrogated (two English, one Portuguese, one Spanish and two Chinese). Using six exclusion criteria, a group of six independent reviewers selected 43 publications from a total of 1958 potentially relevant studies retrieved. Confidence intervals and/or standard errors were calculated and the heterogeneity variance of the survival rates was estimated. RESULTS The survival percentages and standard errors of single-surface and multiple-surface ART restorations in primary posterior teeth over the first 2 years were 94.3% (± 1.5) and 65.4% (± 3.9), respectively; for single-surface ART restorations in permanent posterior teeth over the first 3 years, they were 87.1% (± 3.2); and for multiple-surface ART restorations in permanent posterior teeth over the first 5 years, they were 77% (± 9.0). The mean annual dentine-carious-lesion-failure percentages in previously sealed pits and fissures using ART sealants in permanent posterior teeth over the first 3 and 5 years were 0.9 and 1.9%, respectively. CONCLUSIONS ART single-surface restorations presented high survival percentages in both primary and permanent posterior teeth, whilst ART multiple-surface restorations presented lower survival percentages. ART sealants presented a high-caries-preventive effect. CLINICAL RELEVANCE ART is an effective evidence-based option for treating and preventing carious lesions in primary and permanent posterior teeth.
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Affiliation(s)
| | - J E Frencken
- Department of Oral Function and Prosthetic Dentistry, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - D P Raggio
- Orthodontics and Pediatric Dentistry Department, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - X Chen
- State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China
| | - X Hu
- State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China
| | - S C Leal
- Department of Dentistry, Faculty of Health Sciences, University of Brasília, Brasília, Brazil
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Ladewig NM, Camargo LB, Tedesco TK, Floriano I, Gimenez T, Imparato JCP, Mendes FM, Braga MM, Raggio DP. Management of dental caries among children: a look at the cost-effectiveness. Expert Rev Pharmacoecon Outcomes Res 2017; 18:127-134. [PMID: 29212394 DOI: 10.1080/14737167.2018.1414602] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Affiliation(s)
- Nathalia Miranda Ladewig
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Lucila Basto Camargo
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Tamara Kerber Tedesco
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Isabela Floriano
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Thais Gimenez
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - José Carlos P Imparato
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Fausto Medeiros Mendes
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Mariana Minatel Braga
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Daniela Prócida Raggio
- Department of Paediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
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