Pain perception of children after restorative treatments Atraumatic restorative treatment versus chemomechanical removal – A noninferiority randomized clinical trial
Article
| IMSEAR
| ID: sea-216747
ABSTRACT
Background:
Atraumatic restorative treatment (ART) and chemomechanical removal of dental caries have been shown to be safe and effective restorative procedures. However, current literature lacks well-design studies comparing the pain perceived by infants using ART and chemo-mechanical removal techniques.Aims:
To compare pain perception of children of two techniques (ART vs. chemomechanical removal) of restorative treatments for dental caries removal. Settings andDesign:
A randomized clinical trial with two parallels arms (11) was conducted in the cities of Manaus (AM) and Uberlândia (MG), Brazil.Methods:
Children between 4 and 9 years old were selected. In both groups - ART (n = 20) and chemomechanical caries removal (Papaya® gel) (n = 20) - oximeter measurements (heart rate and blood oxygenation) were performed before the intervention and until the complete removal of the infected caries dentin. At the end of the treatment, a Wong-Baker scale was used to assess pain perception during the procedure. An independent researcher measured, in minutes, the duration of each technique. StatisticalAnalysis:
Poisson regression analysis was used to evaluate the association between the outcome and the explicative variables.Results:
No statistical difference in pain perception between the two procedures of carious tissue removal was observed. By contrast, a lower heart rate was observed when chemomechanical removal was used (P = 0.013).Conclusion:
Children that underwent chemomechanical caries removal presented lower heart rate compared to those who underwent ART. However, both techniques showed minimal or absent perceived pain.
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Índice:
IMSEAR
Ano de publicação:
2021
Tipo de documento:
Article