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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Impact of the radiographic examination on diagnosis and treatment decision of caries lesions in primary teeth - the Caries Detection in Children (CARDEC-01) trial: study protocol for a randomized controlled trial

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Mendes, Fausto Medeiros [1] ; Antunes Pontes, Laura Regina [1] ; Gimenez, Thais [1] ; Lara, Juan Sebastian [1] ; de Camargo, Lucila Basto [2] ; Michel-Crosato, Edgard [3] ; Pannuti, Claudio Mendes [4] ; Raggio, Daniela Procida [1] ; Braga, Mariana Minatel [1] ; Novaes, Tatiane Fernandes [5] ; Grp, CARDEC Collaborative
Total Authors: 11
[1] Univ Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo - Brazil
[2] Univ Paulista, Dept Pediat Dent, Sao Paulo - Brazil
[3] Univ Sao Paulo, Sch Dent, Dept Community Dent, Sao Paulo - Brazil
[4] Univ Sao Paulo, Sch Dent, Div Periodont, Sao Paulo - Brazil
[5] Univ Cruzeiro Sul, Inst Odontol, Sao Paulo - Brazil
Total Affiliations: 5
Document type: Journal article
Source: Trials; v. 17, FEB 9 2016.
Web of Science Citations: 4

Background: Although most clinical guidelines throughout the world indicate that clinicians take two bitewings for detecting caries lesions in primary molars of all children, evidence for this recommendation is essentially based on cross-sectional studies performed in laboratory settings or using convenience samples. The benefits and impact of performing radiographs on diagnosis and treatment decision of caries lesions in primary teeth, mainly considering relevant outcomes for patients, have not been evaluated yet. Thus, the aim of this randomized clinical trial will be to evaluate the impact of performing radiographic examination adjunct to the visual inspection for detecting and making treatment decision regarding caries lesions in primary teeth compared with visual inspection performed alone. We will consider different outcomes related to children's health and welfare. Methods/Design: To reach this objective, 250 children ages 3 to 6 years who sought dental treatment in our dental school will be randomly allocated in two groups according to the diagnostic strategy used for caries detection: visual inspection performed alone or visual inspection associated to radiographic examination. Two trained and calibrated examiners will carry out the examinations and elaborate the treatment decision plan. Then, children will be treated and followed up for 2 years, with evaluations after 12 and 24 months after the inclusion of children in the study. Children will also return after 6 and 18 months to reinforce the preventive orientations. Primary outcome will be the number of dental surfaces in need of dental treatment at the follow-up. Secondary outcomes will be the components of the primary outcome separately, as well as, proportion of false-positive results, the oral health-related quality of life, cost-efficacy, cost-adjusted life years, and number of new lesions in the first permanent molars. Discussion: Our working hypothesis is that radiographic examination would actually exert little influence on patient-centered outcomes, and visual inspection would be enough as diagnostic strategy for caries detection in primary teeth. (AU)

FAPESP's process: 12/24243-7 - Impact of radiographic examination on the diagnosis and treatment decision of caries lesions in primary teeth
Grantee:Fausto Medeiros Mendes
Support type: Regular Research Grants