Dental Health: Current ResearchISSN: 2470-0886

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Research Article, Dent Health Curr Res Vol: 2 Issue: 3

Atraumatic Restorative Treatment vs. Conventional Treatment for Early Childhood Caries - Randomized Clinical Trial for Survival Analysis and Physiological Discomfort Assessment

Camargo LB1, Olegário IC2, Aldrigui JM2, Calvo AFB2, Carvalho C3, Mendes FM2 and Raggio DP2*
1Discipline of Pediatric Dentistry, School of Dentistry, Paulista University– UNIP/Campinas, Brazil
2Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of São Paulo, Brazil
3Department of Stomatology, School of Dentistry, University of São Paulo, Brazil
Corresponding author : Daniela Prócida Raggio
Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of São Paulo, Brazil
Tel:
+55 11 30917835
E-mail: [email protected]
Received: August 31, 2016 Accepted: October 04, 2016 Published: October 09, 2016
Citation: Camargo LB, Olegário IC, Aldrigui JM, Calvo AFB, Carvalho C, et al. (2016) Atraumatic Restorative Treatment vs. Conventional Treatment for Early Childhood Caries - Randomized Clinical Trial for Survival Analysis and Physiological Discomfort Assessment. Dent Health Curr Res 2:3. doi:10.4172/2470-0886.1000122

Abstract

Atraumatic Restorative Treatment vs. Conventional Treatment for Early Childhood Caries - Randomized Clinical Trial for Survival Analysis and Physiological Discomfort Assessment

Objective: The aim of this study was to evaluate patient discomfort during dental treatment and the restoration survival after Atraumatic Restorative Treatment (ART) or Conventional Treatments (CT) for Early Childhood Caries (ECC). Methods: Seventy three (73) primary teeth with dentin caries lesions were selected from children aged from 12 to 48 months in the ART Clinic of the Faculty of Dentistry, University of São Paulo, Brazil. The patients were randomly allocated in two groups: ARTcaries removal with hand instruments followed by restoration with glass ionomer cement and CT-use of local anesthesia, rubber dam, rotary instruments for caries removal and restoration with adhesive system and composite resin. The heart rates were evaluated in different moments during the dental treatment in both groups. The restorations were evaluated after every three months up to 3 years by a single calibrated evaluator. The results were tested by Kaplan Meier survival analysis, log-rank test, Cox regression, ANOVA for Repeated Measures and Student´s t test at 95% confidence level. Results: The mean values of heart rate were higher in CT and there was a statistically significant difference for the moment of anesthesia and rubber dam application (p<0.001). There was no difference between the restoration survival between ART and CT groups after 3 years follow-up (p>0.05). Conclusion: ART presented similar restorations survival with lower discomfort levels when compared to CT in young children.

Keywords: Atraumatic restorative treatment; Early childhood caries; Discomfort assessment; Survival

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