Evidence map›Paper›PMID 39382720›Full record

SynthesisClinical oral investigations2024

ART with or without the aid of chemo-mechanical agents: a systematic review.

Luísa Buoro da Silva, Marcela Baraúna Magno, Andréa Fonseca-Gonçalves, Andréa Vaz Braga Pintor

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Luísa Buoro da SilvaProfessional Master's Degree Program of Dentistry, School of Dentistry, Universidade Federal do Rio de Janeiro (UFRJ), Rua Rodolpho Paulo Rocco, 325, Rio de Janeiro, RJ, 21941-913, Brazil.ORCID 0000-0003-1138-6298
Marcela Baraúna MagnoPostgraduation Program of Dentistry, School of Dentistry, Universidade Veiga de Almeida (UVA), Rio de Janeiro, RJ, Brazil.ORCID 0000-0003-3618-190X
Andréa Fonseca-GonçalvesProfessional Master's Degree Program of Dentistry, School of Dentistry, Universidade Federal do Rio de Janeiro (UFRJ), Rua Rodolpho Paulo Rocco, 325, Rio de Janeiro, RJ, 21941-913, Brazil.ORCID 0000-0001-6467-7078
Andréa Vaz Braga PintorProfessional Master's Degree Program of Dentistry, School of Dentistry, Universidade Federal do Rio de Janeiro (UFRJ), Rua Rodolpho Paulo Rocco, 325, Rio de Janeiro, RJ, 21941-913, Brazil. andrea_pintor@hotmail.com.ORCID 0000-0002-3323-7691

Funding

Lacrimal Gland Repair Using Progenitor CellsR01EY026202 · NEI · SCRIPPS RESEARCH INSTITUTE, THE · PI MAKARENKOVA, HELEN P. · 2016 to 2025
$5.2M
Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro E-26/203.868/2022Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ), E-26/202.766.2019
6 · The paper itself

Abstract

objectivesTo investigate whether the use of chemo-mechanical carious tissue removal (CMCTR) agents is effective for Atraumatic Restorative Treatment (ART). MATERIALS AND

methodsSearches were conducted in 6 databases for inclusion of clinical studies. Risk of bias was assessed (RoB 2 and ROBINS-I), a meta-analysis was performed with data from time of carious tissue removal (TCTR), and the certainty of evidence was estimated. ART + CMCTR was compared to ART for the treatment of caries lesions in primary teeth (pt) and permanent teeth (PT) of humans, considering acceptability, pain/discomfort, survival and success of restorations (SSR), Oral Health-Related Quality of life (OHRQol), satisfaction, TCTR, total treatment time (TTT), carious tissue removal efficacy and adverse effects.

resultsOf 12 included studies, 4 showed low risk of bias, considering pain, TTT and TCTR outcomes. ART + CMCTR was similar or more accepted than ART for pt, causing similar or less pain/discomfort for both dentitions. There was no difference in SSR, OHRQol for PT, and adverse effects (pt), although greater satisfaction was reported after ART + CMCTR in case of PT. ART + CMCTR was better or as effective as ART in removing carious tissue (pt). TTT for pt was divergent between the groups, but without difference of TCTR for both, pt and PT (MD 0.11 [-1.56, 1.77] p = 0.90, I

conclusionsIn general, ART + CMCTR is effective, providing greater satisfaction, with no difference in SSR, OHRQol and adverse effects compared to ART, which did not present advantages in relation to pain/discomfort and efficacy in removing carious tissue. The TTT was influenced by the CMCTR agent; however, there was no difference for TCTR in the overall quantitative synthesis with Papacárie DuoGel CLINICAL RELEVANCE: The use of chemo-mechanical agents for carious tissue removal in the ART may benefit patients with reduced pain/discomfort.

Indexed as

Dental Atraumatic Restorative TreatmentDental CariesHumansQuality of LifeAtraumatic restorative dental treatmentDental cariesMeta-analysisSystematic review

Identifiers

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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.