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Related Concept Videos

Tooth Anatomy01:21

Tooth Anatomy

1.9K
The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
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Systematic Approach to Identify Novel Antimicrobial and Antibiofilm Molecules from Plants' Extracts and Fractions to Prevent Dental Caries
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Child Caries Management: A Randomized Controlled Trial in Dental Practice.

N P Innes1, J E Clarkson2, G V A Douglas3

  • 1School of Dentistry, University of Dundee, Dundee, UK.

Journal of Dental Research
|November 28, 2019
PubMed
Summary
This summary is machine-generated.

This study found no significant difference in dental pain or infection rates between conventional caries management, biological management, or prevention alone in primary teeth. All three approaches proved equally effective in reducing pain and infection episodes over three years.

Keywords:
clinical studies/trialsdental cariesdental public healthpediatric dentistryprimary dentitionrestoration

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Area of Science:

  • Dentistry
  • Pediatric Dentistry
  • Public Health

Background:

  • Dental caries in primary teeth is a common childhood issue.
  • Effective management strategies are crucial to prevent pain and infection.
  • Comparing different treatment modalities is essential for evidence-based practice.

Purpose of the Study:

  • To compare the clinical effectiveness of three strategies for managing dental caries in primary teeth.
  • To evaluate the incidence and number of dental pain and/or infection episodes.
  • To assess conventional caries management (C+P), biological management (B+P), and prevention alone (PA).

Main Methods:

  • A multicenter, 3-arm, parallel-group, patient-randomized controlled trial.
  • 1,144 children aged 3-7 years with dentinal carious lesions were randomized.
  • Follow-up was conducted over a median of 33.8 months.

Main Results:

  • Proportions of participants with at least one episode of pain/infection: C+P (42%), B+P (40%), PA (45%).
  • No significant difference in incidence or number of pain/infection episodes between the three groups.
  • Adjusted risk difference for B+P vs C+P: -2% (97.5% CI: -10% to 6%).

Conclusions:

  • No evidence of a difference in dental pain and/or infection incidence or episodes among the three treatment approaches.
  • Conventional, biological, and prevention-only strategies showed similar outcomes for high-risk children.
  • Further research may explore long-term cost-effectiveness and patient-reported outcomes.