Management of Occlusal Dentinal Caries in Deciduous Molars

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Management of Occlusal Dentinal Caries in Deciduous Molars- A Clinical and Radiographic Evaluation of Three Approaches

Conditions
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Caries, Dental

Intervention / Treatment
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* Procedure: no caries removal
* Procedure: partial caries removal upto soft dentin
* Procedure: partial caries removal upto firm dentin


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 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 Exclusion Criteria: 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

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 7 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: occlusal dentinal caries were managed by either partial caries removal upto soft dentin or partial caries removal upto firm dentin or no caries removal and were compared
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: no caries removal<br>mandibular occlusal caries were treated with placement of stainless steel crown with no caries removal | Procedure: no caries removal<br>* occlusal caries were treated with no caries removal and placement of stainless steel crown<br>|
| Experimental: partial caries removal upto soft dentin<br>mandibular occlusal caries were treated by partial caries removal upto soft dentin | Procedure: partial caries removal upto soft dentin<br>* occlusal caries were treated by partial caries removal upto soft dentin followed by Glass Ionomer Cement placement as a base and composite restoration<br>|
| Experimental: partial caries removal upto firm dentin<br>mandibular occlusal caries were treated by partial caries removal upto firm dentin | Procedure: partial caries removal upto firm dentin<br>* occlusal caries were treated by partial caries removal upto firm dentin followed by Glass Ionomer Cement placement as a base and composite restoration<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| correlation between caries activity and efficacy of three groups | 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 | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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no caries removal, partial caries removal upto soft dentin, partial caries removal upto firm dentin