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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] [What about the content of this article? (0)] [Affiliation(s)] [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.
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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.
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da Silva GS, Moreira MS, Fukushima KA, Raggio DP, V Mello-Moura AC, Lara JS, Gimenez T, Junior SA, Morimoto S, Tedesco TK. Current evidence of tissue engineering for dentine regeneration in animal models: a systematic review. Regen Med 2020; 15:1345-1360. [PMID: 32148166 DOI: 10.2217/rme-2019-0005] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Aim: The aim of this study is to verify the type of scaffold effect on tissue engineering for dentine regeneration in animal models. Materials & methods: Strategic searches were conducted through MEDLINE/PubMed, Web of Science and Scopus databases. The studies were included with the following eligibility criteria: studies evaluating dentine regeneration, and being an in vivo study. Results: From 1392 identified potentially relevant studies, 15 fulfilled the eligibility criteria. All studies described characteristics of neoformed dentine, being that the most reported reparative dentine formation. Most of included studies presented moderate risk of bias. Conclusion: Up to date scientific evidence shows a positive trend to dentine regeneration when considering tissue engineering in animal models, regardless the type of scaffolds used.
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Affiliation(s)
- Gabriela S da Silva
- Graduate Program in Dentistry, Ibirapuera University, São Paulo, SP, 04661-100, Brazil
| | - Maria Stella Moreira
- Graduate Program in Dentistry, Ibirapuera University, São Paulo, SP, 04661-100, Brazil
| | - Karen A Fukushima
- Graduate Program in Dentistry, Ibirapuera University, São Paulo, SP, 04661-100, Brazil
| | - Daniela P Raggio
- Department of Orthodontic & Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, SP, 05508-000, Brazil
| | | | - Juan S Lara
- Department of Cariology, Operative Dentistry & Dental Public Health, School of Dentistry, Indiana University, Indianapolis, IN 46202-2876, USA
| | - Thais Gimenez
- Graduate Program in Dentistry, Ibirapuera University, São Paulo, SP, 04661-100, Brazil
| | | | - Susana Morimoto
- Graduate Program in Dentistry, Ibirapuera University, São Paulo, SP, 04661-100, Brazil
| | - Tamara K Tedesco
- Graduate Program in Dentistry, Ibirapuera University, São Paulo, SP, 04661-100, Brazil
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Rosa RFM, Correia EPE, Bastos CS, da Silva GS, Correia JD, da Rosa EB, Silveira DB, Targa LV, da Cunha AC, Zen PRG. Trisomy 18 and holoprosencephaly. Am J Med Genet A 2017; 173:1985-1987. [DOI: 10.1002/ajmg.a.38129] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Revised: 11/07/2016] [Accepted: 12/24/2016] [Indexed: 11/09/2022]
Affiliation(s)
- Rafael F. M. Rosa
- Clinical Genetics; Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA) and Complexo Hospitalar Santa Casa de Porto Alegre (CHSCPA); Porto Alegre RS Brazil
- Graduate Program in Pathology; UFCSPA; Porto Alegre RS Brazil
- Graduate Program in Biosciences; UFCSPA; Porto Alegre RS Brazil
| | | | | | | | | | | | | | - Luciano V. Targa
- Pediatric Radiology; Hospital Materno Infantil Presidente Vargas (HMIPV); Porto Alegre RS Brazil
| | | | - Paulo R. G. Zen
- Clinical Genetics; Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA) and Complexo Hospitalar Santa Casa de Porto Alegre (CHSCPA); Porto Alegre RS Brazil
- Graduate Program in Pathology; UFCSPA; Porto Alegre RS Brazil
- Graduate Program in Biosciences; UFCSPA; Porto Alegre RS Brazil
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