Evidence map›Paper›PMID 28698331›Full record

Trial reportBMJ open2017

Efficacy of conventional treatment with composite resin and atraumatic restorative treatment in posterior primary teeth: study protocol for a randomised controlled trial.

Nathalia Miranda Ladewig, Cíntia Saori Sahiara, Laysa Yoshioka, Isabel Cristina Olegário, Isabela Floriano, Tamara Kerber Tedesco, Fausto Medeiros Mendes, Mariana Minatel Braga, Daniela Procida Raggio

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02562456 (Difference of Cost-efficacy Between Atraumatic Restoration Treatment), which is not on this map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT02562456 naunknown statusnot on this map

Difference of Cost-efficacy Between Atraumatic Restoration Treatment (ART) and Composite Resin Restorations in Primary Molars: A Randomized Clinical Trial

TypeinterventionalSponsorUniversity of Sao PauloRan2015 to 2019Enrolled428ConditionsDental CariesArmsART using Fuji IX, Conventional Treatment
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. 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

9 authors.

Nathalia Miranda LadewigDepartment of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Cíntia Saori SahiaraDepartment of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Laysa YoshiokaDepartment of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Isabel Cristina OlegárioDepartment of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Isabela FlorianoDepartment of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Tamara Kerber TedescoDepartment of Pediatric Dentistry, School of Dentistry, University of Ibirapuera, São Paulo, Brazil.
Fausto Medeiros MendesDepartment of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Mariana Minatel BragaDepartment of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Daniela Procida RaggioDepartment of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite the widespread acceptance of conventional treatment using composite resin in primary teeth, there is limited evidence that this approach is the best option in paediatric clinics. Atraumatic restorative treatment (ART) using high-viscosity glass ionomer cement has gradually become more popular because it performs well in clinical studies, is easy to handle and is patient friendly. Therefore, the aim of this randomised clinical trial study is to compare the restoration longevity of conventional treatment using composite resin with that of ART in posterior primary teeth. As secondary outcomes, cost-efficacy and patient self-reported discomfort will also be tested. METHODS AND ANALYSIS: Children aged 3-6 years presenting with at least one occlusal and/or occlusal-proximal cavity will be randomly assigned to one of two groups according to the dental treatment: ART (experimental group) or composite resin restoration (control group). The dental treatment will be performed at a dental care trailer located in an educational complex in Barueri/SP, Brazil. The unit of randomisation will be the child. A sample size of 240 teeth with occlusal cavities and 188 teeth with occlusal-proximal cavities has been calculated. The primary outcome will be restoration longevity, which will be clinically assessed after 6, 12, 18 and 24 months by two examiners. The duration of the dental treatment and the cost of all materials used will be considered when estimating the cost-efficacy of each treatment. Individual discomfort will be measured after each dental procedure using the Facial Scale of Wong-Baker. ETHICS AND DISSEMINATION: This clinical trial was approved by the local ethics committee from the Faculty of Dentistry of the University of São Paulo (registration no. 1.556.018). Participants will be included after their legal guardians have signed an informed consent form containing detailed information about the research. TRIAL REGISTRATION NUMBER: www.clinicaltrials.gov, NCT02562456; Pre-results.

Indexed as

Dental Atraumatic Restorative TreatmentBrazilChildChild, PreschoolComposite ResinsCost-Benefit AnalysisDental CariesDental Restoration FailureFemaleGlass Ionomer CementsHumansKaplan-Meier EstimateMaleProportional Hazards ModelsResearch DesignSelf ReportComposite ResinsGlass Ionomer Cementshealth economicsoral medicinepaediatrics

Identifiers

PMID28698331
PMCPMC5734398

What OpenQuestion holds

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LicenceCC BY-NC
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.