Source:http://linkedlifedata.com/resource/pubmed/id/12771499
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2003-5-28
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pubmed:abstractText |
The present randomised clinical trial was aimed at comparing three minimally invasive restorative treatment approaches for managing dental caries in occlusal surfaces using a non-gamma-2 amalgam and a low-viscosity glass-ionomer as the restorative material. The treatment approaches tested in parallel groups were: conventional in a university setting, modified-conventional and ultraconservative (Atraumatic Restorative Treatment, ART) approaches in a field setting. A split-mouth design was used in which the two restorative materials were randomly placed in 430 matched contralateral pairs of permanent molar teeth. A total of 152 children from five primary schools were recruited and treated by a dental therapist. The restorations were evaluated after 6 years by 2 calibrated independent examiners. The 6-year successes for all occlusal amalgam and glass-ionomer restorations were 72.6 and 72.3%, respectively. There were no statistically significant differences observed between the successes for both amalgam and glass-ionomer restorations placed either by the ART (68.6%, with 95% CI = 61-76%) approach or by the conventional (74.5%, with 95% CI = 65-82%) and the modified-conventional (75.8%, with 95% CI = 67-83%) approaches after 6 years. There was also no statistically significant difference observed between the successes of occlusal ART restorations with glass-ionomer (67.1%, with 95% CI = 56-77%) and occlusal conventional restorations with amalgam (74%, with 95% CI = 61-85%) after 6 years. 'Restoration fracture/marginal defects' and 'loss of material' were the most common causes for failure. The former was more often recorded in amalgam restorations and the latter in glass-ionomer restorations. Secondary caries was observed for 2% of glass-ionomer and for 10% of amalgam restorations. This difference was statistically significant (p = 0.001). The ART approach using glass-ionomer performed equally well as conventional restorative approaches using electrically driven equipment and amalgam for treating dentinal lesions in occlusal surfaces after 6 years.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
D
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0008-6568
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pubmed:author | |
pubmed:copyrightInfo |
Copyright 2003 S. Karger AG, Basel
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pubmed:issnType |
Print
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pubmed:volume |
37
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
246-53
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pubmed:dateRevised |
2011-5-3
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pubmed:meshHeading |
pubmed-meshheading:12771499-Aminobutyric Acids,
pubmed-meshheading:12771499-Child,
pubmed-meshheading:12771499-Dental Amalgam,
pubmed-meshheading:12771499-Dental Caries,
pubmed-meshheading:12771499-Dental Cavity Preparation,
pubmed-meshheading:12771499-Dental Restoration, Permanent,
pubmed-meshheading:12771499-Dental Restoration Failure,
pubmed-meshheading:12771499-Developing Countries,
pubmed-meshheading:12771499-Glass Ionomer Cements,
pubmed-meshheading:12771499-Humans,
pubmed-meshheading:12771499-Longitudinal Studies,
pubmed-meshheading:12771499-Surgical Procedures, Minimally Invasive,
pubmed-meshheading:12771499-Tanzania
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pubmed:articleTitle |
Six-year success rates of occlusal amalgam and glass-ionomer restorations placed using three minimal intervention approaches.
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pubmed:affiliation |
Department of Restorative Dentistry, University of Dar es Salaam, Dar es Salaam, Tanzania.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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