Children’s self-reported discomfort of restorative treatments for deep caries lesions in primary teeth: results from a randomized clinical trial

da Silva, Gabriela Seabra, Raggio, Daniela Prócida ORCID: https://orcid.org/0000-0002-0048-2068, Mello-Moura, Anna Carolina Volpi, Gimenez, Thais, Lara, Juan Sebastian, Floriano, Isabela and Tedesco, Tamara Kerber 2021. Children’s self-reported discomfort of restorative treatments for deep caries lesions in primary teeth: results from a randomized clinical trial. Research, Society and Development 10 (16) , e519101623837. 10.33448/rsd-v10i16.23837

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Abstract

The aim of this study was to evaluate the impact of different restorative techniques to treat deep caries lesions of primary molars on children’s self-reported discomfort. A randomized clinical trial with two parallel arms (1:1) was conducted in São Paulo, Brazil. 4-8 years-old children with at least one occlusal or occlusoproximal deep caries lesion in primary molars were selected. Molars were randomly allocated into two groups: (1) restoration performed with calcium hydroxide cement followed by high-viscosity Glass Ionomer Cement (CHC+HVGIC), and (2) HVGIC restoration. Immediately after the intervention, children reported the experienced discomfort during restoration to an external examiner using a Wong-Baker face-scale. Children’s self-reported discomfort was analyzed using Poisson regression comparing both groups and assessing other variables’ influence (α=5%). One hundred and eight children fulfilled the eligibility criteria and were randomized in the two groups (n=54). Most of the children who received CHC+HVGIC restorations reported none or minimal discomfort (83.3%). Similar scores (92.6%) were reported for those treated with HVGIC (p=0.758). The mean reported discomfort in children with CHC+HVGIC restorations was 0.37(1.01), and 0.41(1.01) for those with HVGIC restorations. Children’s self-reported discomfort was associated with age, sex, children’s cooperation, and intervention duration. We can conclude that CHC+HVGIC or HVGIC restorations result in none or minimal discomfort in the management of deep caries lesions, being considered a reliable option.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Dentistry
ISSN:	2525-3409
Date of First Compliant Deposit:	30 March 2022
Date of Acceptance:	10 December 2021
Last Modified:	08 May 2023 08:16
URI:	https://orca.cardiff.ac.uk/id/eprint/148790

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