Class I restorations and restorations placed using rubber dam presented better AFR .
An elevated number of failures were observed due to recurrent caries , highlighting the need for professionals to work with a health-promoting approach .
BACKGROUND Several restorative material s with specific indications are used for filling cavities in primary teeth .
AIM To systematic ally review the literature in order to investigate the longevity of primary teeth restorations  and the reasons for failure .
The FiCTION dental trial protocol – filling children’s teeth: indicated or not?
Background There is a lack of evidence for effective management of  dental caries ( decay ) in children ’s primary ( baby ) teeth and an apparent failure of conventional dental restorations ( fillings ) to prevent dental pain and infection for UK children in Primary Care . UK dental schools ’ teaching has been based on British Society of Paediatric Dentistry guidance which recommends that caries in primary teeth should be removed and a restoration placed . However , the evidence base for this is limited in volume and quality , and comes from studies conducted in either secondary care or specialist practice s. Restorations provided in specialist environments can be effective but the generalisability of this evidence to Primary Care has been question ed . The FiCTION trial addresses the Health Technology Assessment ( HTA ) Programme ’s commissioning brief and research question “ What is the clinical and cost effectiveness of restoration caries in primary teeth , compared to no treatment ? ” It compares conventional restorations with an intermediate treatment strategy based on the biological ( sealing-in ) management of caries and with no restorations . Methods / Design This is a Primary Care-based multi-centre , three-arm , parallel group , patient-r and omised controlled trial . Practitioners are recruiting 1461 children , ( 3–7 years ) with at least one primary molar tooth where caries extends into dentine . Children are r and omized and treated according to one of three treatment approaches ; conventional caries management with best practice prevention , biological management of caries with best practice prevention or best practice prevention alone . Baseline measures and outcome data ( at review /treatment during three year follow-up ) are assessed through direct reporting , clinical examination including blinded radiograph assessment , and child/parent question naires . The primary outcome measure is the incidence of either pain or infection related to dental caries . Secondary outcomes are ; incidence of caries in primary and permanent teeth , patient quality of life , cost-effectiveness , acceptability of treatment strategies to patients and parents and their experiences , and dentists ’ preferences . Discussion FiCTION will provide evidence for the most clinical ly-effective and cost-effective approach to managing caries in children ’s primary teeth in Primary Care . This will support general dental practitioners in treatment decision making for child patients to minimize pain and infection in primary teeth . The trial is currently recruiting patients .Trial registration Protocol ID : NCTU : IS RCT
Class I restorations and restorations placed using rubber dam presented better AFR .
An elevated number of failures were observed due to recurrent caries , highlighting the need for professionals to work with a health-promoting approach .
BACKGROUND Several restorative material s with specific indications are used for filling cavities in primary teeth .
AIM To systematic ally review the literature in order to investigate the longevity of primary teeth restorations  and the reasons for failure .