dc.contributor.author
Schwendicke, Falk
dc.contributor.author
Schweigel, Hardy
dc.contributor.author
Petrou, Marina Agathi
dc.contributor.author
Santamaria, Ruth
dc.contributor.author
Hopfenmüller, Werner
dc.contributor.author
Finke, Christian
dc.contributor.author
Paris, Sebastian
dc.date.accessioned
2018-06-08T03:54:07Z
dc.date.available
2015-03-06T13:33:47.280Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/16177
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-20361
dc.description.abstract
Background For treating deep caries lesions, selective or stepwise (one- and
two-step) incomplete excavation seems advantageous compared with complete
caries removal. However, current evidence regarding the success, as defined by
not requiring any retreatments, or survival of teeth after different
excavations is insufficient for definitive recommendation, especially when
treating deciduous teeth. Moreover, restoration integrity has not been
comparatively analyzed longitudinally, and neither patients’, dentists’ or
parents’ preferences nor the clinical long-term costs emanating from both
initial and retreatments have been reported yet. Methods/Design The planned
study is a prospective multicenter, two-arm parallel group, randomized
controlled clinical trial comparing selective and stepwise excavation in
deciduous molars with deep, active caries lesions without pulpal symptoms. We
will recruit 300 children aged between three and nine-years-old with a minimum
of one such molar. Patients participating in another study, or those with
systemic diseases, disabilities or known allergies to used materials as well
patients with teeth expected to exfoliate within the next 18 months will be
excluded. After inclusion, sequence generation will be performed. Initial
treatment will follow dental routine. During excavation, leathery, moist and
reasonably soft dentin will be left in proximity to the pulp followed by
adhesive restoration of the cavity. Afterwards, patients’, dentists’ and
parents’ subjective assessment of the treatment will be recorded using visual
analogue or Likert scales. Re-examination will be performed after six months,
and only then teeth will be allocated to one of the two interventions.
Selectively excavated teeth will not be treated further, whilst for stepwise
caries removal, a second excavation will be performed until only hard dentin
remains. Clinical re-evaluations will be performed after 12, 24 and 36 months.
Restorations will be reassessed using modified Ryge criteria. Objectively or
subjectively required retreatments will determine success and survival.
Retreatments will be evaluated both subjectively and regarding generated
costs. Discussion Based on the results of the trial, decision-making for
treating deep caries lesions in deciduous molars based on multiple criteria
should be feasible.
en
dc.rights.uri
http://creativecommons.org/licenses/by/4.0/
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit
dc.title
Selective or stepwise removal of deep caries in deciduous molars
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation
Trials. - 16 (2015), 1, Artikel Nr. 11
dc.title.subtitle
study protocol for a randomized controlled trial
dcterms.bibliographicCitation.doi
10.1186/s13063-014-0525-9
dcterms.bibliographicCitation.url
http://www.trialsjournal.com/content/16/1/11
refubium.affiliation
Charité - Universitätsmedizin Berlin
de
refubium.mycore.fudocsId
FUDOCS_document_000000021982
refubium.note.author
Der Artikel wurde in einer Open-Access-Zeitschrift publiziert.
refubium.resourceType.isindependentpub
no
refubium.mycore.derivateId
FUDOCS_derivate_000000004631
dcterms.accessRights.openaire
open access