Evidence map›Paper›PMID 35300657›Full record

Trial reportBMC oral health2022

Comparison of two clinical approaches based on visual criteria for secondary caries assessments and treatment decisions in permanent posterior teeth.

Cacia Signori, CaCIA collaborative group, Juliana Lays Stolfo Uehara, Vitor Henrique Digmayer Romero, Bruna Lorena Pereira Moro, Mariana Minatel Braga, Fausto Medeiros Mendes, Maximiliano Sérgio Cenci

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC oral health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Article
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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

8 authors.

Cacia SignoriGraduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457, Pelotas, RS, 96015-560, Brazil. caciasignori@gmail.com.
CaCIA collaborative group
Juliana Lays Stolfo UeharaGraduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457, Pelotas, RS, 96015-560, Brazil.
Vitor Henrique Digmayer RomeroGraduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457, Pelotas, RS, 96015-560, Brazil.
Bruna Lorena Pereira MoroDepartment of Pediatric Dentistry, School of Dentistry, University of São Paulo, Avenida Prof. Lineu Prestes, 2227, São Paulo, SP, 05508-000, Brazil.
Mariana Minatel BragaDepartment of Pediatric Dentistry, School of Dentistry, University of São Paulo, Avenida Prof. Lineu Prestes, 2227, São Paulo, SP, 05508-000, Brazil.
Fausto Medeiros MendesDepartment of Pediatric Dentistry, School of Dentistry, University of São Paulo, Avenida Prof. Lineu Prestes, 2227, São Paulo, SP, 05508-000, Brazil.
Maximiliano Sérgio CenciGraduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457, Pelotas, RS, 96015-560, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis cross-sectional study aimed to compare two clinical approaches based on visual criteria for secondary caries assessments and treatment decisions in permanent posterior teeth.

methodsThe two clinical visual criteria tested for the assessments of restored teeth were: FDI criteria-based on the caries presence, marginal adaptation and staining criteria, adapted from the FDI (International Dental Federation) criteria and CARS criteria-"Caries Associated with Restorations or Sealants" (CARS) criteria described by the International Caries Classification and Management System. Adults were randomized according to the criteria. One calibrated examiner assessed the restorations and assigned the treatment according to the criteria. The primary outcome was replacement indication.

resultsA total of 185 patients were included, totalling 718 restorations. The strongest correlation founded between the methods was for the presence of caries lesions (Rho = 0.829). A moderate correlation (Rho = 0.420) was founded between the treatment decisions proposed by the CARS and by the FDI criteria. The multilevel regression analysis showed that the FDI criteria indicated five times more replacements when compared to the CARS (< 0.001). Also, using the FDI criteria restorations were 2.7 times more related to caries around restorations (p < 0.001) compared to the other criterion.

conclusionsThe visual criteria used on the restoration's assessment directly influences the treatment decision to intervene or not on the restoration. The use of a minimally invasive based approach for assessing secondary caries may prevent overtreatment.

Indexed as

Dental CariesDental Caries SusceptibilityAdultCross-Sectional StudiesDental MaterialsDental Restoration, PermanentHumansDental MaterialsCaries detectionDental cariesRestorationsSecondary cariesVisual inspection

Identifiers

PMID35300657
PMCPMC8931988

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Registered trials

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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.