Restoring carious primary teeth in children Oral Health
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Clinical participant inclusion criteria: 1. Restorable primary molars with one proximal carious lesion (code 4 or 5 proximal carious lesions according to ICDAS II) 2. No signs of pulpal involvement (spontaneous or persistent pain, pathological mobility, tenderness to percussion) 3. Have a good likelihood of recall availability Radiographic participant inclusion criteria: 1. Proximal radiolucency in the outer half of the dentin 2. No more than two-thirds of physiologic root resorption 3. No radiographic signs of pulp pathologies such as (widening of the PDL, internal or external root resorption, apical or furcal radiolucency)
Exclusion criteria
Exclusion criteria: 1. Parents who refuse to consent 2. Non-restorable primary molars 3. Teeth with clinical or radiographic signs of pulpal involvement 4. More than two-thirds of physiologic root resorption
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Treated teeth will be followed up for clinical and radiographic evaluation at 6 and 12 months: 1. Clinical criteria: a modification of the United States Public Health Service (USPHS) criteria will be used to evaluate the following parameters: retention, color matching, marginal discoloration, secondary caries, anatomical form, marginal adaptation, and postoperative sensitivity. Restorations will be scored as “Alpha” (ideal clinical outcome), “Bravo” (clinically acceptable), or “Charlie” (clinically unacceptable). 2. Radiographic criteria: secondary caries, detectable radiolucency, furcal radiolucency, periapical radiolucency. Restorations will be scored for radiographic evaluations as “Alpha” (no evidence of secondary caries, no detectable radiolucencies, no periradicular, or furcal radiolucency), “Charlie” (evidence of caries along the margin of the restoration, radiolucencies adjacent to the restoration, and presence of periradicular or furcal radiolucency). Teeth will be evaluated clinically and radiographically by two calibrated blinded experienced dentists. The inter and intra- examiner reliability will be calculated using Cohen unweighted kappa statistics. Any disagreement between the evaluators will be discussed and if no consensus was reached the worst evaluation will be considered. | — |
Secondary
| Measure | Time frame |
|---|---|
| The McNemar test will be used to observe temporal changes after 6, and 12 months for each group. Logistic regression might be used if needed to calculate the odds ratio | — |
Countries
Saudi Arabia