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dc.contributor.authorOlegário da Costa, Isabel
dc.date.accessioned2022-02-15T16:30:57Z
dc.date.available2022-02-15T16:30:57Z
dc.date.issued2020
dc.date.submitted2020en
dc.identifier.citationAraujo MP, Innes NP, Bonifácio CC, Hesse D, Olegário IC, Mendes FM, Raggio DP., Atraumatic restorative treatment compared to the Hall Technique for occluso-proximal carious lesions in primary molars; 36-month follow-up of a randomised control trial in a school setting, BMC Oral Health, 2020, 20, 1en
dc.identifier.otherY
dc.identifier.urihttp://hdl.handle.net/2262/98111
dc.description.abstractBackground: Atraumatic Restorative Treatment (ART) and the Hall Technique (HT) are both minimally invasive, non-aerosol generating procedures (non-AGPs). They seem to have never been directly compared, nor has the HT been studied in a non-clinical setting. This study compared the HT and ART restorations placed in a school setting after 36 months. Methods: Children (5-10 yo) who had a primary molar with a dentinal occluso-proximal, cavitated carious lesion were allocated to the ART (selective removal) or HT arms. Primary outcome: restoration survival over 36-months (using Kaplan-Meier survival analysis, log rank test, and Cox regression). Secondary outcomes: (1) occlusal vertical dimension (OVD) (1, 2, 3, 4 weeks) and (2) child self-reported discomfort; (3) treatment acceptability (immediately following interventions); (4) Child Oral Health Related Quality of Life (OHRQoL), before treatment and after 6 months and (5) a post hoc analysis of time to tooth exfoliation (1, 6, 12, 18, 24, 30, 36 months). Results: One-hundred and thirty-one children (ART = 65; HT = 66) were included (mean age = 8.1 ± 1.2). At 36 months, 112 (85.5%) children were followed-up. Primary outcome: restoration survival rates ART = 32.7% (SE = 0.08; 95% CI 0.17-0.47); HT = 93.4% (0.05; 0.72-0.99), p < 0.001; Secondary outcomes: (1) OVD returned to pre-treatment state within 4 weeks; (2) treatment discomfort was higher for the HT (p = 0.018); (3) over 70% of children and parents showed a high acceptability for treatments, with crown aesthetics being a concern for around 23% of parents; (4) Child OHRQoL improved after 6 months; and (5) teeth treated with the HT exfoliated earlier than those in the ART group (p = 0.007). Conclusions: Both ART and the HT were acceptable to child participants and their parents and all parents thought both restorations protected their child's tooth. However, the crown appearance concerned almost a quarter of parents in the HT arm. Children experienced less discomfort in the ART group. Although both treatments can be performed in a non-clinical setting and have the advantage of being non-aerosol generating procedures (non-AGPs), the HT had almost three times higher survival rates (93.4%) for restoring primary molar occluso-proximal cavities compared to ART (32.7%). Trial registration: This trial was registered in ClinicalTrials.gov (NCT02569047), 5th October 2015. https://clinicaltrials.gov/ct2/show/study/NCT02569047?cond=Hall+Technique+Atraumatic+Rest orative+Treatment&draw=2&rank=2.en
dc.language.isoenen
dc.relation.ispartofseriesBMC Oral Health;
dc.relation.ispartofseries20;
dc.relation.ispartofseries1;
dc.rightsYen
dc.subjectRestorationen
dc.subjectRandomized controlled trialen
dc.subjectPrimary molarsen
dc.subjectNon-AGPsen
dc.subjectManagementen
dc.subjectHall Techniqueen
dc.subjectDental cariesen
dc.subjectAtraumatic Restorative Treatmenten
dc.titleAtraumatic restorative treatment compared to the Hall Technique for occluso-proximal carious lesions in primary molars; 36-month follow-up of a randomised control trial in a school settingen
dc.typeJournal Articleen
dc.type.supercollectionscholarly_publicationsen
dc.type.supercollectionrefereed_publicationsen
dc.identifier.peoplefinderurlhttp://people.tcd.ie/olegrioi
dc.identifier.rssinternalid238273
dc.identifier.doi10.1186/s12903-020-01298-x
dc.rights.ecaccessrightsopenAccess
dc.subject.TCDTagDENTAL CARIESen
dc.subject.TCDTagPAEDIATRIC DENTISTRYen
dc.identifier.rssurihttps://www-ncbi-nlm-nih-gov.elib.tcd.ie/pmc/articles/PMC7656501/
dc.identifier.orcid_id0000-0003-2262-8061
dc.subject.darat_thematicChildrenen
dc.subject.darat_thematicHealthen
dc.status.accessibleNen


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