Evidence map›Paper›PMID 38499947›Full record

Trial reportClinical oral investigations2024

Comparing the effectiveness of caries arrest by micro-operative treatment to operative treatment: A 2-year randomized controlled clinical trial.

Yinuo Wang, Jie Wen, Ting Pan, Yina Cao, Huancai Lin, Yan Zhou

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 30% 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.

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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

6 authors at 2 institutions in 1 country.

Yinuo WangHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, China.
Jie WenHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, China.
Ting PanHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, China.
Yina CaoHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, China.
Huancai LinHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, China. linhc@mail.sysu.edu.cn.
Yan ZhouHospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou, China. zhouy75@mail.sysu.edu.cn.
Stomatology Hospital · CNSun Yat-sen University · CN

Funding

Science and Technology Projects of Guangzhou 202201011034the Enterprise Joint Fund of Guangdong Province of China 2022A1515220125
6 · The paper itself

Abstract

objectivesTo compare the effectiveness of caries arrest by micro-operative treatment (sealing) to operative treatment (flowable resin composite restoration) through a 2-year randomized controlled clinical trial. MATERIALS AND

methodsA prospective randomized controlled trial was conducted among 7-9-year-old children. At baseline, 630 subjects were screened and 92 children who had at least one carious lesion classified as ICDAS 3 on the pit and fissure of first permanent molar were included. Then they were randomly assigned to the sealant group (73 lesions) and the flowable resin composite group (76 lesions) to receive the corresponding intervention. Lesions status in each group was evaluated every 6 months up to 24 months. Clinical progression of dental caries and materials retention were the outcomes used for group comparisons at p-value < 0.05.

resultsAfter 24 months, three lesions (4.1%) in the sealant group clinically progressed to dentin caries. No lesion in the flowable composite group was observed a progression. The results of Life-table survival analysis show that the cumulative caries arrest rate had no statistically significant difference between the two groups (p = 0.075). However, the cumulative retention rate was 57.5% in the sealant group and 92.1% in the flowable composite group, with significant differences (p < 0.001). The multilevel mixed model showed the sealant had higher risk of retention failure than the flowable composite (OR = 8.66, p < 0.001), while tooth position did not influence material retention (p = 0.083). In addition, the results of Fisher Exact test show that dentin lesions had more retention failure than enamel lesions in the sealant group (p = 0.026).

conclusionAlthough sealing microcavitated carious lesions of the first permanent molar achieved lower retention rate than resin composite restoration, both sealing and restoration effectively arrested caries progression for two years. CLINICAL RELEVANCE: To preserving dental structure and delaying or eliminating the need for operative procedures, microcavitated carious lesion can be arrested by sealing.

trial registrationRegistered at http://www.chictr.org.cn ; Feb 15th, 2020; No. ChiCTR2000029862.

Indexed as

Dental CariesChildDental Caries SusceptibilityHumansMolarPit and Fissure SealantsProspective StudiesPit and Fissure SealantsClinical trialDental cariesFlowable resin compositeSealant

Identifiers

PMID38499947
OpenAlexW4393095164

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.