Atraumatic restorative treatments reduce the need for dental general anaesthesia: a non-inferiority randomized, controlled trial

P. Arrow, H. Forrest

Research output: Contribution to journalArticlepeer-review

12 Citations (Web of Science)

Abstract

Background: A dental general anaesthesia (DGA) is commonly undertaken for the management of dental caries in young children. A randomized-controlled trial was undertaken to test the feasibility of using the Atraumatic Restorative Treatment and Hall Technique approaches (ART/HT) to manage the dental treatment of children recommended for a DGA. Methods: Consenting children, recommended a DGA for caries management, at the Oral Health Centre of Western Australia were randomized. Test group children were treated using the ART/HT approach and the control group under a DGA. Children were examined after 12 months by two blinded, calibrated examiners. Analysis was on an intention to treat basis; between and within group comparisons were undertaken using appropriate paired and unpaired tests. Logistic regression was used to test restorative success, controlling for clustering of teeth. Results: Sixty-five children participated, (Test = 32; Control = 33). At study termination, 28 children (88%) in the ART/HT group and 20 children (61%) in the DGA group had been provided with care, P < 0.01. Crown restorations were protective of restorative failure in a multivariate logistic model (OR 0.05, P < 0.01). Conclusion: Use of the ART/HT approach enabled timely dental treatment of young children recommended for a DGA, and should be among the treatment options considered.

Original languageEnglish
Pages (from-to)158-167
Number of pages10
JournalAustralian Dental Journal
Volume65
Issue number2
DOIs
Publication statusPublished - 1 Jun 2020
Externally publishedYes

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