Management of Occlusal Dentinal Caries in Deciduous Molars- A Clinical and Radiographic Evaluation of Three Approaches
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- correlation between caries activity and efficacy of three groups
研究概览
简要总结
This study evaluated and compared the efficacy of no caries removal and sealing with a well-adapted and crimped stainless steel crown verses selective caries removal upto soft dentin and upto firm dentin in healing and/or preventing progression of moderate to deep occlusal dentinal caries.
详细描述
Dental caries is a complex multifactorial disease and is one of the most prevalent diseases throughout history. It can cost a lot of money to treat and causes infection, pain and the loss of teeth. Choices for managing a carious lesion cover a spectrum of options-from complete surgical excision, where no part of the visible carious tissue is left in the tooth before a restoration is placed, to the opposite extreme, where none of the carious tissue is removed and noninvasive methods are used to prevent progression of the lesion. Thus, this study compared efficacy of no caries removal and sealing the entire lesion verses partial selective caries removal to soft and to firm dentin in healing and/or preventing progression of moderate to deep occlusal dentinal caries in previously unrestored teeth by clinical and radiographic analysis in 4-7 year old children.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 4 Years 至 7 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Children in the age group of 4 - 7 years
- •Previously untreated first and second mandibular deciduous molars with moderate to deep occlusal caries i.e. caries involving middle 1/3rd to pulpal 1/3rd of dentin
- •No root resorption or physiologic resorption not exceeding 2/3rd of the root length
- •Children having positive and definitely positive behavior
排除标准
- •Children with special health care needs
- •Children with dental crowding limiting the child's ability to maintain oral hygiene
- •Teeth with clinical and/or radiological signs or symptoms of non- vitality
- •Teeth with clinical and radiological signs or symptoms of irreversible pulpitis or dental abscess (Pain, mobility, tenderness to percussion, draining sinus, pulp polyp, furcal or periapical radiolucency, root resorption)
- •Mobility of the tooth
- •Pathologic root resorption
- •Physiologic root resorption exceeding 2/3rd of root length in preoperative x-ray
研究组 & 干预措施
no caries removal
mandibular occlusal caries were treated with placement of stainless steel crown with no caries removal
干预措施: no caries removal (Procedure)
partial caries removal upto soft dentin
mandibular occlusal caries were treated by partial caries removal upto soft dentin
干预措施: partial caries removal upto soft dentin (Procedure)
partial caries removal upto firm dentin
mandibular occlusal caries were treated by partial caries removal upto firm dentin
干预措施: partial caries removal upto firm dentin (Procedure)
结局指标
主要结局
correlation between caries activity and efficacy of three groups
时间窗: 12 months
to check for caries activity and efficacy of three groups i.e. no caries removal, partial caries removal upto soft dentin and partial caries removal upto firm dentin
次要结局
未报告次要终点
研究者
Sneha D. Suwarnkar
Principal investigator
Saraswati-Dhanwantari Dental College & Hospital