Caries Arrest
Conditions
Brief summary
Testing 3 different caries arresting techniques and the quality of life of a group of preschool children in Mansoura city, Egypt.
Detailed description
135 preschoolers were allocated randomly into 3 groups to receive 3 techniques to evaluate caries arrestment. The first group received 38% silver diamine fluoride, the second received conventional Atraumatic restorative technique and the third group received ultra consevative treatment (UCT). The subjects were followed up at 3, 6 and 12 months to check caries activity according to the ICDAS. The parents of the children answered the Arabic ECOHIS before treatment and after 3 months to assess oral health related quality of life.
Interventions
DRUG38 % silver diamine fluoride
Application of 38% SDF on carious dentine lesions.
PROCEDUREAtraumatic restorative technique
Hand excavation of carious dentine followed by application of Glass ionomer
PROCEDUREUltra conservative dentistry
Removal of soft dentine and enlarging of cavity to control bio film
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Masking description
The operator must know the group in which the participant is enrolled so as to provide and carry out the intended treatment protocol. Randomization was preformed by block randomization by the nurse.
Intervention model description
3 equal groups receiving 3 different protocols
Eligibility
Sex/Gender
ALL
Age
3 Years to 5 Years
Healthy volunteers
Yes
Inclusion criteria
* healthy children aged 3-5 * residents of mansoura city * having at least one carious dentine lesion
Exclusion criteria
* large carious lesions approximating the pulp * signs of pulpitis, fistula, abscess.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Caries arrestment assessed by the International caries detection and assessment system (ICDAS) and absence of pain and signs of pulpal involvement. | 1 year | Absence of pains and signs of pulpal involvement and caries classified as inactive by ICDAS was considered a successful outcome. When the lesions appeared shiny and felt hard on probing (for SDF and UCT). For ART success was measures by the presence of intact restoration and avsence of pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Early childhood oral health impact scale (ECOHIS) | 3 months | Comprises 13 questions of four domains; child symptoms, function, pscychology and social interactions. Questionnaire answered at the first appointment and 21 days later. Lowest score is 0, highest is 52 and higher score indicates poor oral health related quality of life. |
Countries
Egypt
Outcome results
None listed