Partial caries removal and cariostatic materials in carious primary molar teeth: a randomised controlled clinical trial.
OBJECTIVE
To determine the durability and effectiveness of a black copper cement (BCC) and a conventional glass ionomer cement (GIC) when used to restore primary molars following partial caries removal (PCR) and to compare these results with conventional cavity preparation and restoration.


METHODS
Split-mouth randomised controlled clinical trial.


METHODS
Department of Paediatric Dentistry, Dundee Dental Hospital, Dundee, 1998-1999.


METHODS
Patients with previously unrestored, matched carious cavities in non-pulpally involved primary molars.


METHODS
Three treatment groups: (1) Partial caries removal followed by lining with BCC and restoration with GIC (PCR:BCC); (2) Partial caries removal and restoration with GIC alone (PCR:GIC), and (3) Complete caries removal and conventional restoration (CR). Restoration durability and effectiveness was assessed both clinically and radiographically over 24 months.Main outcome measures Median survival time (MST) of restorations.


RESULTS
Forty-four patients (F: 31; M: 13), mean age 6.8 years (range: 3.7-9.5), had 120 restorations placed (PCR:GIC: 43; CR: 41; PCR:BCC: 36). Eighty-six molars (29 patients) (PCR:GIC: 30; CR: 29; PCR:BCC: 27) were reviewed at 24 months. The median survival times (MST) with 25% and 75% quartiles in parenthesis were as follows: PCR:BCC, MST = 24 months (6, 24); PCR:GIC, MST = 24 months (24, 24) and CR, MST = 24 months (24, 24). The MST for PCR:BCC restorations was significantly less than for PCR:GIC and CR restorations (W = 1163.5, P = 0.028 and W = 1081.0, P = 0.004 respectively).


CONCLUSIONS
There were no differences in the proportions of restorations lost between restoration types, although PCR:BCC restorations did have significantly more abscess/sinus formation over the 24-month study period.
Foley
J
J
Department of Paediatric Dentistry, Dundee Dental Hospital, Dundee DD1 4HN, Scotland, UK. jennifer.i.foley@tuht.scot.nhs.uk
Evans
D
D
Blackwell
A
A
D000538:Aluminum Silicates; D002327:Cariostatic Agents / Q000627:therapeutic use*; D002648:Child; D003300:Copper; D003731:Dental Caries / Q000628:therapy*; D003737:Dental Cavity Preparation / Q000379:methods*; D003738:Dental Cements; D019232:Dental Restoration Failure; D003793:Dental Restoration, Permanent / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005899:Glass Ionomer Cements; D006801:Humans; D008297:Male; D008963:Molar; D010482:Periapical Abscess / Q000209:etiology; D018709:Statistics, Nonparametric; D016019:Survival Analysis; D014094:Tooth, Deciduous
D000538:Aluminum Silicates; D002327:Cariostatic Agents; D003738:Dental Cements; D005899:Glass Ionomer Cements; C031354:black copper cement; D003300:Copper; C039733:Chemfil