Evidence map›Paper›PMID 27527342›Full record

Trial reportTrials2016

One-step partial or complete caries removal and bonding with antibacterial or traditional self-etch adhesives: study protocol for a randomized controlled trial.

Cyril Villat, Jean-Pierre Attal, Nathalie Brulat, Franck Decup, Sophie Doméjean, Elisabeth Dursun, Hélène Fron-Chabouis, Bruno Jacquot, Michèle Muller Bolla, Nelly Plasse-Pradelle and 7 more

Registry-linked trialOpen access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02286388 (Multicenter Randomized Controlled Trial Comparing One-step Partial Caries Removal to Complete Caries Removal for the Treatment of Deep Carious Lesions in Permanent Teeth DECAT DEep CAries Treatment), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02286388 phase3unknown statusnot on this map

Multicenter Randomized Controlled Trial Comparing One-step Partial Caries Removal to Complete Caries Removal for the Treatment of Deep Carious Lesions in Permanent Teeth DECAT DEep CAries Treatment

TypeinterventionalSponsorHospices Civils de LyonRan2015 to 2020Enrolled464ConditionsDeep CariesArmsA one-step partial caries removal procedure for the treatment of deep carious lesions in posterior permanent teeth., A complete caries removal procedure for the treatment of deep carious lesions in posterior permanent teeth., The application of an antibacterial dental adhesive (ClearfilTM SE Protect, Kuraray Dental)., The application of a conventional dental adhesive (ClearfilTM SE Bond, Kuraray Dental)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
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  3. Review
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  5. Observational
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 7 institutions in 2 countries.

Cyril VillatUniversité Lyon 1 and Hospices Civils de Lyon, LMI UMR CNRS, 5615, Lyon, France. cyril.villat@univ-lyon1.fr.ORCID 0000-0001-8282-0624
Jean-Pierre AttalUniversité Paris Descartes and Assistance Publique des Hôpitaux de Paris, URB2i, EA 4462, Paris, France.
Nathalie BrulatUniversité de Nice Sophia Antipolis and CHU de Nice, Mines Paris Tech, CEMEF, UMR, CNRS 7635, Nice, France.
Franck DecupUniversité Paris Descartes and Assistance Publique des Hôpitaux de Paris, EA 2496, Paris, France.
Sophie DoméjeanUniversité d'Auvergne Clermont-Ferrand and CHU de Clermont-Ferrand, CROC, EA 4847, Clermont-Ferrand, France.
Elisabeth DursunUniversité Paris Descartes and Assistance Publique des Hôpitaux de Paris, URB2i, EA 4462, Paris, France.
Hélène Fron-ChabouisUniversité Paris Descartes and Assistance Publique des Hôpitaux de Paris, URB2i, EA 4462, Paris, France.
Bruno JacquotUniversité d'Aix-Marseille and Assistance Publique des Hôpitaux de Marseille, BioSanté, EA 4203, Marseille, France.
Michèle Muller BollaUniversité de Nice Sophia Antipolis and CHU de Nice, URB2i, EA 4462, Nice, France.
Nelly Plasse-PradelleUniversité Paris Diderot and Assistance Publique des Hôpitaux de Paris, LMI UMR CNRS, 5615, Paris, France.
Laurent RocheUniversité Lyon 1 and Hospices Civils de Lyon, LBBE UMR CNRS, 5558, Lyon, France.
Delphine Maucort-BoulchUniversité Lyon 1 and Hospices Civils de Lyon, LBBE UMR CNRS, 5558, Lyon, France.
Patrice NonyUniversité Lyon 1 and Hospices Civils de Lyon, LBBE UMR CNRS, 5558, Lyon, France.
Kerstin GritschUniversité Lyon 1 and Hospices Civils de Lyon, LMI UMR CNRS, 5615, Lyon, France.
Pierre MilletUniversité de Reims Champagne Ardenne and CHU de Reims, LISM, EA4695, Reims, France.
François GueyffierUniversité Lyon 1 and Hospices Civils de Lyon, LBBE UMR CNRS, 5558, Lyon, France.
Brigitte GrosgogeatUniversité Lyon 1 and Hospices Civils de Lyon, LMI UMR CNRS, 5615, Lyon, France.
Université Claude Bernard Lyon 1 · FRDélégation Paris 5 · FRCentre National de la Recherche Scientifique · FRAix-Marseille Université · FRCentre Hospitalier Universitaire de Reims · FRUniversité Côte d'Azur · FRUniversity of Clermont Auvergne · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent concepts in conservative dentistry advocate minimally invasive dentistry and pulp vitality preservation. Moreover, complete removal of carious dentin in deep carious lesions often leads to pulp exposure and root canal treatment, despite the absence of irreversible pulp inflammation. For years, partial caries removal has been performed on primary teeth, but little evidence supports its effectiveness for permanent teeth. Furthermore, the recent development of new antibacterial adhesive systems could be interesting in the treatment of such lesions. The objectives of this study are to compare the effectiveness of partial versus complete carious dentin removal in deep lesions (primary objective) and the use of an antibacterial versus a traditional two-step self-etch adhesive system (main secondary objective). METHODS/

designThe DEep CAries Treatment (DECAT) study protocol is a multicenter, randomized, controlled superiority trial comparing partial versus complete caries removal followed by adhesive restoration. The minimum sample size required is 464 patients. Two successive randomizations will be performed (allocation ratio 1:1): the first for the type of excavation (partial versus complete) and the second (if no root canal treatment is required) for the type of adhesive (antibacterial versus traditional). For the two objectives, the outcome is the success of the treatment after 1 year, measured according to a composite outcome of five FDI criteria: material fracture and retention, marginal adaptation, radiographic examination (including apical pathologies), postoperative sensitivity and tooth vitality, and carious lesion recurrence. DISCUSSION: The study will investigate the interest of a conservative approach for the management of deep carious lesions in terms of dentin excavation and bioactive adhesive systems. The results may help practitioners achieve the most efficient restorative procedure to maintain pulp vitality and increase the restoration longevity.

trial registrationClinicalTrials.gov Identifier NCT02286388 . Registered in November 2014.

Indexed as

Acid Etching, DentalAdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsChildClinical ProtocolsDental BondingDental CariesDental CementsDental Pulp CappingDentinFemaleFranceHumansAnti-Bacterial AgentsDental CementsPulp Capping and Pulpectomy AgentsCavity preparationComposite resinsDeep carious lesionDental adhesivesPartial caries removalPermanent dentitionPulp cappingRandomized controlled trial

Identifiers

PMID27527342
PMCPMC4986347
OpenAlexW2511481454

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.