Restorative Treatment on Class I and II Restorations in Primary Molars: A Survey of Brazilian Dental Schools

2006 ◽  
Vol 30 (2) ◽  
pp. 175-178 ◽  
Author(s):  
Cristiane Motisuki ◽  
Luciana Monti Lima ◽  
Lourdes dos Santos-Pinto ◽  
Márcio Guelmann

A survey was sent to 70 Brazilian dental schools evaluating techniques and restorative materials being taught for Class I and II preparation in posterior primary teeth by Pediatric Dentistry courses. After a 54% response rate, marked teaching diversity was found among Brazilian dental schools. Amalgam continues to be taught, but a tendency of preference towards more esthetic-like materials was observed.

2018 ◽  
Vol 66 (3) ◽  
pp. 239-244
Author(s):  
Daiana Back GOUVEA ◽  
Sonia GROISMAN ◽  
Marcelo José Strazzeri BÖNECKER ◽  
Fabio SAMPAIO ◽  
Saul Martins PAIVA ◽  
...  

ABSTRACT This study sought to provide an overview of current cariology education for undergraduate Brazilian dental students. Data collection was via a Portuguese version of a 12-item questionnaire (Schulte et al., 2011) that was sent to all Brazilian dental schools (n = 219). The response rate was 57.0% (n = 125). Of the schools that returned the questionnaire, 84.8% supported the development of a Brazilian cariology curriculum. The units responsible for teaching cariology were predominantly operative dentistry (49.6%), pediatric dentistry (49.6%), dental public health (44.8%), and cariology (32%). Theoretical teaching of cariology (74.4%) and pre-clinical exercises (63.2%) were cited to occur mainly during the second year of the course, while clinical activities were placed in the third (71.2%) and fourth (64.8%) years. Among respondents, 76.8% of the schools included dental erosion and 86.4% included defects of dental hard tissues, such as abrasion, in teaching cariology. This survey was able to determine the panorama of cariology education in Brazil and to detect some differences among Brazilian geographic areas. The promotion of a workshop to discuss the topics that should be taught to undergraduate dental students and the development of a Brazilian core curriculum in cariology would be likely to reduce the differences in teaching cariology in Brazil.


2017 ◽  
Vol 11 (03) ◽  
pp. 376-379 ◽  
Author(s):  
Lavanya Govindaraju ◽  
Ganesh Jeevanandan ◽  
E. M. G. Subramanian

ABSTRACT Objective: In permanent dentition, different rotary systems are used for canal cleaning and shaping. Rotary instrumentation in pediatric dentistry is an emerging concept. A very few studies have compared the efficiency of rotary instrumentation for canal preparation in primary teeth. Hence, this study was performed to compare the obturation quality and instrumentation time of two rotary files systems – Protaper, Mtwo with hand files in primary molars. Materials and Methods: Forty-five primary mandibular molars were randomly allotted to one of the three groups. Instrumentation was done using K-files in Group 1; Protaper in Group 2; and Mtwo in Group 3. Instrumentation time was recorded. The canal filling quality was assessed as underfill, optimal fill, and overfill. Statistical analysis was done using Chi-square, ANOVA, and post hoc Tukey test. Results: No significant difference was observed in the quality of obturation among three groups. Intergroup comparison of the instrumentation time showed a statistically significant difference between the three groups.Conclusion: The use of rotary instrumentation in primary teeth results in marked reduction in the instrumentation time and improves the quality of obturation.


2011 ◽  
Vol 12 (5) ◽  
pp. 372-378 ◽  
Author(s):  
Daniela Gonçalves Bittar ◽  
Christiana Murakami ◽  
Daniela Hesse ◽  
José Carlos Pettorossi Imparato ◽  
Fausto Medeiros Mendes

ABSTRACT Aim This in vitro study aimed to compare the time required for removal, the presence of residues of restorative material, tooth structure loss and dental surface morphology after removal of composite resin and amalgam restorations from occlusal cavities in primary molars using conventional high-speed bur and CVDentus® ultrasonic diamond tips. Materials and methods A total of 37 primary molars were allocated into four groups: Group 1 (n=9)—amalgam restorations removed using high-speed bur; Group 2 (n=10)—amalgam restorations removed using ultrasonic tip; Group 3 (n=8)— composite resin restorations removed using high-speed bur; Group 4 (n=10)—composite resin restorations removed using ultrasonic tip. After being restored, teeth were sectioned and analyzed through stereoscopic microscope images before and after restoration removal. The structural loss was analyzed by software of image analysis, and an examiner assessed for the presence of residues. Scanning electron microscopy was used to evaluate the morphology. Time and structural loss values were compared using ANOVA, and the percentages of samples with residues using Fisher test. Results There was no statistically significant difference in the tooth structure loss among different methods and restorative materials, as well as in the presence of residues of restorative material. However, diamond burs were faster than the ultrasonic method for both materials. Differences in dental morphology were observed between the methods of restoration removal, but not related to the restorative material. Conclusion Both conventional high-speed bur and ultrasonic diamond tip methods remove similar amounts of tooth structure, but the removal performed with diamond tips in ultrasonic devices is slower. Clinical significance This study shows that both ultrasonic and conventional high-speed bur methods for removing restorations generate similar loss of sound dental tissue, but the former is slower. How to cite this article Bittar DG, Murakami C, Hesse D, Imparato JCP, Mendes FM. Efficacy of Two Methods for Restorative Materials’ Removal in Primary Teeth. J Contemp Dent Pract 2011;12(5):372-378.


2017 ◽  
Vol 41 (3) ◽  
pp. 219-224 ◽  
Author(s):  
AMG Abdul Khalek ◽  
MA Elkateb ◽  
WE Abdel Aziz ◽  
M El Tantawi

Objective: To compare the effect of Papacarie and Atraumatic Restorative Treatment (ART) on pain and discomfort during caries removal among children. Study Design: Fifty healthy, 4–8 year-old children were equally and randomly allocated to Papacarie and ART to remove caries from decayed primary teeth. A randomized, controlled, blinded, two parallel-arms clinical trial was conducted in the clinic of the Pediatric Dentistry and Dental Public Health Department, Alexandria University, Egypt in March 2014. Pain and discomfort were assessed blindly by two independent investigators watching videotaped treatment sessions using the Sound, Eye and Motor scale (SEM). Their reliability was assessed using Kappa statistics. The effect of caries removal methods, time spent to remove caries and other confounders on SEM score was assessed using regression analysis. Results: Mean time to remove caries using Papacarie and ART was 5.8 and 4.8 minutes, P= 0.005. Median Paparie and ART scores for the S, E and M components were 1, 1, 1 and 3, 2, 3. Adjusted mean SEM score= 3.6 and 7.8, P <0.0001. Method of caries removal was the only factor significantly affecting pain and discomfort. Conclusion: Papacarie is associated with minimal pain during caries removal from primary teeth compared to ART, although it has longer working time.


2019 ◽  
Vol 26 (1) ◽  
pp. 37-49
Author(s):  
Omar A. El Meligy ◽  
Amani A. Al Tuwirqi

This study assessed different restorative materials in primary teeth over a one-year period. Sixty carious primary molars were selected from 30 patients; ages 5-10 years. Class I and II cavities were divided into four groups: Group I: 15 Class I cavities were restored with a compomer, Group II: 15 Class I cavities were restored with a resin composite, Group III: 15 Class II cavities were restored with a compomer and Group IV: 15 Class II cavities were restored with a resin composite. Each child had two teeth restored, one with compomer and the other with composite resin as control. Direct clinical and radiographic evaluations were performed by one examiner after 24 hours, 6- and 12-months. Indirect clinical evaluations were performed using a Scanning Electron Microscope after 24 hours and 12-months periodically. Clinical and radiographic evaluations revealed no significant differences between the compomer and resin composite at 6- and 12-months. Indirect clinical evaluation showed good marginal interfaces between the restorations and the tooth structure throughout the evaluation periods. Both materials presented significant clinical and radiographic performances in Class I and II restorations of primary molars after one year.


2007 ◽  
Vol 31 (1) ◽  
pp. 17-20 ◽  
Author(s):  
Patricia Villalta ◽  
Luciana Butini Oliveira ◽  
José Carlos Pettorossi Imparato ◽  
Célia Regina Martins Delgado Rodrigues

The authors describe a clinical case of oral rehabilitation, in a 4-year-old patient, using indirect composite onlay restorations. Eight severely decayed primary molars were restored. The clinical findings after 4 years demonstrated the efficiency of the technique as well as its indication in extensive restorations in Pediatric Dentistry, reestablishing function and aesthetics of these primary teeth. The indirect composite onlay restorations seem to wear at rate compatible with primary tooth wear and maintain a smooth, continuous anatomic form.


2013 ◽  
Vol 77 (10) ◽  
pp. 1306-1314 ◽  
Author(s):  
Elham T. Kateeb ◽  
John J. Warren ◽  
Peter Damiano ◽  
Elizabeth Momany ◽  
Michael Kanellis ◽  
...  

2006 ◽  
Vol 30 (4) ◽  
pp. 277-279
Author(s):  
Luciana Butini Oliveira ◽  
Tereza Keiko Tamay ◽  
Marta Dutra Machado Oliveira ◽  
Célia Regina Martins Delgado Rodrigues ◽  
Marcia Turolla Wanderley

Restoration of severely decayed primary teeth is a clinical challenge in Pediatric Dentistry. Among the restorative treatment options, the use of prefabricated crowns and resin composite restorations, either by means of direct or indirect techniques is mentioned in the literature. The purpose of this article is to describe the rehabilitation of primary anterior teeth in a 5-year-old patient. Dental treatment consisted on an anterior space maintainer prosthesis made with natural primary teeth, plus human dental enamel veneer (facet) restorations. The advantages of this technique are better esthetics and the natural enamel has physiologic wear and offers superficial smoothness and cervical adaptation compatible with those of the surrounding teeth.


2021 ◽  
Author(s):  
Rokaia Ahmed Elagami ◽  
Tamara Kerber Tedesco ◽  
Claudio Mendes Pannuti ◽  
Gabriela Seabra da Silva ◽  
Mariana Minatel Braga ◽  
...  

Abstract BackgroundSelective outcome reporting (SOR) is a type of bias that occurs when the primary outcome of a randomized clinical trial (RCT) is omitted or changed prospectively. We evaluated the prevalence of SOR in RCTs on restorative caries treatment in primary teeth.MethodsWe conducted an electronic search on ClinicalTrials.gov and the World Health Organization (WHO) platform up to April/2021. We included RCT protocols that tested restorative treatments in primary teeth and excluded any protocol that has not resulted in at least one publication in a peer-reviewed scientific journal. The Chi-square test was used to detect the association between SOR and other variables (α = 5%).ResultsOut of 294 potential protocols, thirty were included. We found 34 corresponding publications and had the one that seemed to report the primary outcome and longest follow-up, resulting in 30 publications. SOR was observed in 53.3% (n=16) of the published trials and was significantly associated with the discrepancy in the follow-up period (p=0.017).ConclusionThere is a considerable prevalence of selective outcome reporting (SOR) on restorative trials in primary teeth. Properly pre-registered protocols and assessing them for the peer review processes will help decrease SOR.Practical implicationsRestorative treatment trials in primary teeth that selectively modify outcomes of interest have been shown to distort the treatment effect. Practitioners should avoid using restorative treatments based on misleading results in clinical practice.


2015 ◽  
Vol 39 (4) ◽  
pp. 315-321 ◽  
Author(s):  
F Sengul ◽  
T Gurbuz

Objective: The aim of this study was to evaluate clinical success of primary teeth class II lesions restored with different restorative materials [Hybrid Composite Resin (HCR), Resin Modified Glass Ionomer Cement (RMGIC), compomer, and Giomer Composite Resin (GCR)] followed up for 24 months. Study Design: This study was carried out on 146 primary molars of 41 children in the age range of 5–7 years. The class II lesions in primary molars of a patient were restored using different restorative materials. Restorations were evaluated according to FDI-criteria and their survival rates were determined. Data were analysed with Pearson chi-square, Kaplan-Meier and Wilcoxon (Breslow) tests (α = 0.05). Results: The failure rates of restorative materials were as follows: compomer 33.3%, RMGIC 28.1%, HCR 22.5% and GCR 21.1%. Conclusions: While the functional failure was the most important factor in restorative material failure, RMGIC was the most successful material in terms of biological evaluation criterion and GCR had the longest survival rate.


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