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Sealing caries in primary molars

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Sealing caries in primary molars : randomized control trial, 5-year results. / Innes, N. P. T. (Lead / Corresponding author); Evans, D. J. P.; Stirrups, D. R.

In: Journal of Dental Research, Vol. 90, No. 12, 12.2011, p. 1405-1410.

Research output: Contribution to journalArticle

Harvard

Innes, NPT, Evans, DJP & Stirrups, DR 2011, 'Sealing caries in primary molars: randomized control trial, 5-year results' Journal of Dental Research, vol 90, no. 12, pp. 1405-1410.

APA

Innes, N. P. T., Evans, D. J. P., & Stirrups, D. R. (2011). Sealing caries in primary molars: randomized control trial, 5-year results. Journal of Dental Research, 90(12), 1405-1410doi: 10.1177/0022034511422064

Vancouver

Innes NPT, Evans DJP, Stirrups DR. Sealing caries in primary molars: randomized control trial, 5-year results. Journal of Dental Research. 2011 Dec;90(12):1405-1410.

Author

Innes, N. P. T. (Lead / Corresponding author); Evans, D. J. P.; Stirrups, D. R. / Sealing caries in primary molars : randomized control trial, 5-year results.

In: Journal of Dental Research, Vol. 90, No. 12, 12.2011, p. 1405-1410.

Research output: Contribution to journalArticle

Bibtex - Download

@article{f881171e9eb2411aa8f22b32ed1bcce0,
title = "Sealing caries in primary molars",
author = "Innes, {N. P. T.} and Evans, {D. J. P.} and Stirrups, {D. R.}",
year = "2011",
volume = "90",
number = "12",
pages = "1405--1410",
journal = "Journal of Dental Research",
issn = "0022-0345",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - Sealing caries in primary molars

T2 - randomized control trial, 5-year results

A1 - Innes,N. P. T.

A1 - Evans,D. J. P.

A1 - Stirrups,D. R.

AU - Innes,N. P. T.

AU - Evans,D. J. P.

AU - Stirrups,D. R.

PY - 2011/12

Y1 - 2011/12

N2 - <p>The Hall Technique (HT) is a method for managing carious primary molars. Decay is sealed under preformed metal crowns without any caries removal, tooth preparation, or local anesthesia. The aim of this study was to compare HT clinical/radiographic failure rates with General Dental Practitioners' (GDPs) standard (control) restorations. We conducted a split-mouth, randomized control trial (132 children, aged 3-10 yrs, GDPs n = 17) in Scotland. There were 264 study teeth with initial lesions, 42% of which were radiographically &gt; half-way into dentin, and 67% of which had Class II restorations. Teeth were randomized to HT (intervention) or GDPs' usual treatment (control). Annual clinical/radiographic follow-up data were recorded. Ninetyone patients (69%) had 48 months' minimum follow-up. At 60 months, 'Major' failures (irreversible pulpitis, loss of vitality, abscess, or unrestorable tooth) were recorded: HT, 3 (3%); control restorations, 15 (16.5%) (p = 0.000488; NNT 8); and 'Minor' failures (reversible pulpitis, restoration loss/wear/fracture; or secondary caries): HT, 4 (5%); control restorations, 38 (42%) (p &lt; 0.000001; NNT 3). Overall, there were follow-up data for 130 patients (2-60 mos): 'Major' failures: HT, 3 (2%); control restorations, 22 (17%) (p = 0.000004; NNT 7); and 'Minor' failures, HT, 7 (5%); control restorations, 60 (46%) (p &lt; 0.000001; NNT 3). Sealing in caries by the Hall Technique statistically, and clinically, significantly outperformed GDPs' standard restorations in the long term (Trial registration no. ISRCTN 47267892).</p>

AB - <p>The Hall Technique (HT) is a method for managing carious primary molars. Decay is sealed under preformed metal crowns without any caries removal, tooth preparation, or local anesthesia. The aim of this study was to compare HT clinical/radiographic failure rates with General Dental Practitioners' (GDPs) standard (control) restorations. We conducted a split-mouth, randomized control trial (132 children, aged 3-10 yrs, GDPs n = 17) in Scotland. There were 264 study teeth with initial lesions, 42% of which were radiographically &gt; half-way into dentin, and 67% of which had Class II restorations. Teeth were randomized to HT (intervention) or GDPs' usual treatment (control). Annual clinical/radiographic follow-up data were recorded. Ninetyone patients (69%) had 48 months' minimum follow-up. At 60 months, 'Major' failures (irreversible pulpitis, loss of vitality, abscess, or unrestorable tooth) were recorded: HT, 3 (3%); control restorations, 15 (16.5%) (p = 0.000488; NNT 8); and 'Minor' failures (reversible pulpitis, restoration loss/wear/fracture; or secondary caries): HT, 4 (5%); control restorations, 38 (42%) (p &lt; 0.000001; NNT 3). Overall, there were follow-up data for 130 patients (2-60 mos): 'Major' failures: HT, 3 (2%); control restorations, 22 (17%) (p = 0.000004; NNT 7); and 'Minor' failures, HT, 7 (5%); control restorations, 60 (46%) (p &lt; 0.000001; NNT 3). Sealing in caries by the Hall Technique statistically, and clinically, significantly outperformed GDPs' standard restorations in the long term (Trial registration no. ISRCTN 47267892).</p>

KW - Caries

KW - Primary teeth

KW - Restoration

KW - General dental practice

KW - Hall Technique

KW - Sealing caries

KW - Partial removal

KW - Carious dentin

KW - Restorations

KW - Children

KW - Fate

U2 - 10.1177/0022034511422064

DO - 10.1177/0022034511422064

M1 - Article

JO - Journal of Dental Research

JF - Journal of Dental Research

SN - 0022-0345

IS - 12

VL - 90

SP - 1405

EP - 1410

ER -

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