Papimon Chompu-inwai1, Kamolthip Boonsongsawat2, Thanapat Sastraruji3, Tidarat Sophasri4, Siripun Mankaen5, Sutasinee Nondon6, Sumattaya Tunlek7, Supitchaya Katwong8. 1. Division of Pediatric Dentistry, Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Chiang Mai University, Chiang Mai, Thailand. papimonin@hotmail.com. 2. Banglamung Hospital, Chonburi, Thailand. 3. Dental Research Center, the Faculty of Dentistry, Chiang Mai University, Chiang Mai, Thailand. 4. Khuntan Hospital, Chiang Rai, Thailand. 5. Nawa Hospital, Nakhon Phanom, Thailand. 6. Nan Hospital, Nan, Thailand. 7. Wangyang Hospital, Nakhon Phanom, Thailand. 8. Dokkhamtai Hospital, Phayao, Thailand.
Abstract
PURPOSE: To directly compare the survival rates of three incomplete caries removal techniques that differed in the amount of caries removal and the base material used. METHODS:Ninety-six primary molars with asymptomatic deep caries or reversible pulpitis were randomly assigned to three groups: (1) indirect pulp treatment (IPT); (2) minimal caries removal with both resin-modified glass ionomer base material and luting cement (MCRB/L); and (3) minimal caries removal with only resin-modified glass ionomer luting cement (MCRL). The treatments were followed clinically and radiographically for two years. RESULTS: The two-year survival probabilities in the IPT, MCRB/L, and MCRL groups were 0.90 (95 percent confidence interval [CI] equals 0.73 to 0.97), 0.93 (95 percent CI equals 0.76 to 0.98), and 0.77 (95 percent CI equals 0.58 to 0.89), respectively. There was no significant difference in the two-year survival probabilities of the three studied groups (generalized Wilcoxon P=.07). CONCLUSIONS: Following two years, neither the amount of caries removal nor the base material affected the success of incomplete caries removal treatment. However, minimal caries removal with MCRB/L presented the highest survival rate among the tested groups and resulted in no incidence of pulp exposure.
RCT Entities:
PURPOSE: To directly compare the survival rates of three incomplete caries removal techniques that differed in the amount of caries removal and the base material used. METHODS: Ninety-six primary molars with asymptomatic deep caries or reversible pulpitis were randomly assigned to three groups: (1) indirect pulp treatment (IPT); (2) minimal caries removal with both resin-modified glass ionomer base material and luting cement (MCRB/L); and (3) minimal caries removal with only resin-modified glass ionomer luting cement (MCRL). The treatments were followed clinically and radiographically for two years. RESULTS: The two-year survival probabilities in the IPT, MCRB/L, and MCRL groups were 0.90 (95 percent confidence interval [CI] equals 0.73 to 0.97), 0.93 (95 percent CI equals 0.76 to 0.98), and 0.77 (95 percent CI equals 0.58 to 0.89), respectively. There was no significant difference in the two-year survival probabilities of the three studied groups (generalized Wilcoxon P=.07). CONCLUSIONS: Following two years, neither the amount of caries removal nor the base material affected the success of incomplete caries removal treatment. However, minimal caries removal with MCRB/L presented the highest survival rate among the tested groups and resulted in no incidence of pulp exposure.
Authors: M M Uhlen; B Tseveenjav; E Wuollet; J Furuholm; V Ansteinsson; A Mulic; H Valen Journal: BMC Oral Health Date: 2021-04-12 Impact factor: 2.757
Authors: Falk Schwendicke; Tanya Walsh; Thomas Lamont; Waraf Al-Yaseen; Lars Bjørndal; Janet E Clarkson; Margherita Fontana; Jesus Gomez Rossi; Gerd Göstemeyer; Colin Levey; Anne Müller; David Ricketts; Mark Robertson; Ruth M Santamaria; Nicola Pt Innes Journal: Cochrane Database Syst Rev Date: 2021-07-19