Discomfort Evaluation During Atraumatic Restorative Treatment in Children

NCT ID: NCT03143387

Last Updated: 2018-12-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-01

Study Completion Date

2017-10-30

Brief Summary

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This study evaluates the patient 's discomfort when submitted to partial caries removal through the atraumatic restorative treatment compared to chemo-mechanical caries removal using Papacarie™ gel.

Detailed Description

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This study will evaluate the patient 's discomfort through oximeter (measuring the heart rate of the caries) prior to removal of the carious tissue, and when subjected to partial caries removal through the atraumatic restorative treatment compared to removal of chemo - mechanical caries with Papacarie gel ™.

Conditions

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Dental Caries Primary Teeth Post Dental Restoration

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Atraumatic Restorative Treatment

Partial removal of carious tissue using manual instruments.

Group Type ACTIVE_COMPARATOR

Caries removal using only manual instruments

Intervention Type OTHER

Caries removal using only manual instruments according to Atraumatic Restorative Treatment

Chemo-mechanical Removal

Partial removal of carious tissue using manual instruments and the material Chemo-mechanical removal group using Papacarie™gel.

Group Type EXPERIMENTAL

Caries removal using Papacarie gel

Intervention Type OTHER

Caries removal using a chemical-mechanical method - Papacarie gel and manual instruments.

Interventions

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Caries removal using only manual instruments

Caries removal using only manual instruments according to Atraumatic Restorative Treatment

Intervention Type OTHER

Caries removal using Papacarie gel

Caries removal using a chemical-mechanical method - Papacarie gel and manual instruments.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* normoreactive,
* in good general health conditions,
* cooperative during screening,
* with at least one oclusal caries cavity in primary molars.
* Caregivers and/or children's parents must accept and sign the consent form.
* Children must accept their participation by nodding (assent).

Exclusion Criteria

* pulp exposition,
* spontaneous pain,
* mobility,
* fistula,
* swollen area around the tooth,
* furcation,
* cervical lesion,
* restorations,
* sealants,
* developmental defect of enamel.
Minimum Eligible Age

4 Years

Maximum Eligible Age

9 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Faculty Sao Leopoldo Mandic Campinas

OTHER

Sponsor Role lead

Responsible Party

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Jose Carlos P Imparato

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Faculdade Sao Leopoldo Mandic

Campinas, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Berggren U, Meynert G. Dental fear and avoidance: causes, symptoms, and consequences. J Am Dent Assoc. 1984 Aug;109(2):247-51. doi: 10.14219/jada.archive.1984.0328.

Reference Type BACKGROUND
PMID: 6590605 (View on PubMed)

Bussadori SK, Guedes CC, Bachiega JC, Santis TO, Motta LJ. Clinical and radiographic study of chemical-mechanical removal of caries using Papacarie: 24-month follow up. J Clin Pediatr Dent. 2011 Spring;35(3):251-4. doi: 10.17796/jcpd.35.3.75803m02524625h5.

Reference Type BACKGROUND
PMID: 21678665 (View on PubMed)

Colares V, Franca C, Ferreira A, Amorim Filho HA, Oliveira MC. Dental anxiety and dental pain in 5- to 12-year-old children in Recife, Brazil. Eur Arch Paediatr Dent. 2013 Feb;14(1):15-9. doi: 10.1007/s40368-012-0001-8. Epub 2013 Jan 30.

Reference Type BACKGROUND
PMID: 23532809 (View on PubMed)

Frencken JE, Holmgren CJ. Caries management through the Atraumatic Restorative Treatment (ART) approach and glass-ionomers: update 2013. Braz Oral Res. 2014;28:5-8. doi: 10.1590/S1806-83242013000600001. No abstract available.

Reference Type BACKGROUND
PMID: 24402057 (View on PubMed)

Frencken JE, Leal SC, Navarro MF. Twenty-five-year atraumatic restorative treatment (ART) approach: a comprehensive overview. Clin Oral Investig. 2012 Oct;16(5):1337-46. doi: 10.1007/s00784-012-0783-4. Epub 2012 Jul 24.

Reference Type BACKGROUND
PMID: 22824915 (View on PubMed)

Mattos-Silveira J, Floriano I, Ferreira FR, Vigano ME, Frizzo MA, Reyes A, Novaes TF, Moriyama CM, Raggio DP, Imparato JC, Mendes FM, Braga MM. New proposal of silver diamine fluoride use in arresting approximal caries: study protocol for a randomized controlled trial. Trials. 2014 Nov 19;15:448. doi: 10.1186/1745-6215-15-448.

Reference Type BACKGROUND
PMID: 25409545 (View on PubMed)

Simon AK, Bhumika TV, Nair NS. Does atraumatic restorative treatment reduce dental anxiety in children? A systematic review and meta-analysis. Eur J Dent. 2015 Apr-Jun;9(2):304-309. doi: 10.4103/1305-7456.156841.

Reference Type BACKGROUND
PMID: 26038668 (View on PubMed)

Staman NM, Townsend JA, Hagan JL. Observational study: discomfort following dental procedures for children. Pediatr Dent. 2013 Jan-Feb;35(1):52-4.

Reference Type BACKGROUND
PMID: 23635899 (View on PubMed)

Soares FC, Lima RA, Santos Cda F, de Barros MV, Colares V. Predictors of dental anxiety in Brazilian 5-7years old children. Compr Psychiatry. 2016 May;67:46-53. doi: 10.1016/j.comppsych.2016.01.006. Epub 2016 Jan 21.

Reference Type BACKGROUND
PMID: 27095334 (View on PubMed)

Venkataraghavan K, Kush A, Lakshminarayana C, Diwakar L, Ravikumar P, Patil S, Karthik S. Chemomechanical Caries Removal: A Review & Study of an Indigen-ously Developed Agent (Carie Care (TM) Gel) In Children. J Int Oral Health. 2013 Aug;5(4):84-90. Epub 2013 Aug 28.

Reference Type BACKGROUND
PMID: 24155626 (View on PubMed)

Other Identifiers

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ART discomfort

Identifier Type: -

Identifier Source: org_study_id