Evidence map›Paper›PMID 30552261›Full record

Trial reportBMJ open2018

Selective carious tissue removal using subjective criteria or polymer bur: study protocol for a randomised controlled trial (SelecCT).

Falk Schwendicke, Soraya Leal, Peter Schlattmann, Sebastian Paris, Ana Paula Dias Ribeiro, Marta Gomes Marques, Leandro Augusto Hilgert

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

Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02754466 (Oral Health and Its Relation to Growth, Development and Well-being of Schoolchildren Before and After Restorative Treatments), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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.

NCT02754466 naterminatednot on this map

Oral Health and Its Relation to Growth, Development and Well-being of Schoolchildren Before and After Restorative Treatments

TypeinterventionalSponsorUniversity of BrasiliaRan2017 to 2021Enrolled270ConditionsDental Caries, Dental Atraumatic Restorative Treatment, Oral HealthArmsSubjective vs objective criteria in selective excavation, Glass-ionomer vs Bulk fill composites in the ART approach
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. 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

7 authors at 4 institutions in 3 countries.

Falk SchwendickeDepartment of Operative and Preventive Dentistry, Charité-Universitätsmedizin, Berlin, Germany.
Soraya LealDepartment of Dentistry, School of Health Sciences, University of Brasília, Brasilia, Brazil.
Peter SchlattmannDepartment of Medical Statistics, Informatics and Documentation, Jena University Hospital, Jena, Germany.
Sebastian ParisDepartment of Operative and Preventive Dentistry, Charité-Universitätsmedizin, Berlin, Germany.
Ana Paula Dias RibeiroDepartment of Restorative Dental Sciences, University of Florida College of Dentistry, Gainesville, Florida, USA.
Marta Gomes MarquesDepartment of Dentistry, School of Health Sciences, University of Brasília, Brasilia, Brazil.
Leandro Augusto HilgertDepartment of Dentistry, School of Health Sciences, University of Brasília, Brasilia, Brazil.
Universidade de Brasília · BRCharité - Universitätsmedizin Berlin · DEJena University Hospital · DEUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSelective (incomplete/partial) carious tissue removal is suitable for treating deep carious lesions in teeth with vital, asymptomatic pulps. In the periphery of a cavity, removal to hard dentin is performed, while in pulpo-proximal areas, leathery or soft dentin is left to avoid pulp exposure. As the decision of what contains 'soft' or 'leathery' dentin is subjective, using self-limiting burs which help to standardise the hardness of the remaining dentin, has been suggested to increase the reliability of carious tissue removal. The trial compares subjectively measured selective carious tissue removal in deep lesions in primary teeth with objectively measured selective removal with a self-limiting bur (Polybur, Komet). METHODS AND ANALYSIS: A community-based single-blind clustered randomised controlled superiority trial nested into a larger evaluation is performed. Recruitment for this trial has been concluded. We have recruited 115 children aged 6-8 years with ≥1 vital primary molar with a deep dentin lesion. The unit of randomisation was the child, with all eligible molars per child treated identically. Treatment was performed in a mobile dental unit. Subjective and objective carious tissue removal was performed at random. Teeth were restored using glass ionomer cement (Equia Forte, GC). Our primary outcome will be the time until complications occur, evaluated via multilevel survival analysis. Secondary outcomes will be the time until extraction is needed, subjective satisfaction of the child with the treatment (measured using a Likert scale) and cost-effectiveness. Re-examination will be performed after 12, 24 and 36 months (the final examination is expected in 2020). ETHICS AND DISSEMINATION: This trial has been approved by the Ethics Committee of the Health Sciences of the University of Brasília (CAAE 51310415.0.0000.0030). Trial results will be published in peer-reviewed journals and presented on conferences. TRIAL REGISTRATION NUMBER: NCT02754466.

Indexed as

PolymersChildCluster AnalysisDental Atraumatic Restorative TreatmentDental CariesDental Cavity PreparationEquivalence Trials as TopicFemaleFollow-Up StudiesHumansMaleSingle-Blind MethodPolymerscariesclinical trialsdentaloral medicinepaediatric dentistry

Identifiers

PMID30552261
PMCPMC6303626
OpenAlexW2905298616

What OpenQuestion holds

Textmetadata
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.