Influence of local anaesthesia on the quality of class II glass ionomer restorations.

Abstract:

OBJECTIVE:To investigate the influence of local anaesthesia on the quality of class II glass ionomer restorations with discomfort as cofactor. MATERIAL AND METHODS:The study population consisted of 6- to 7-year-old schoolchildren in Paramaribo and its environs. To be included, each child needed to have a proximally situated cavity in a primary molar that was accessible to hand instruments and where no pulp exposure was expected. They were randomly divided into four treatment groups: conventional method with and without local anaesthesia and atraumatic restorative treatment method (ART) with and without local anaesthesia. The restoration quality was scored using the evaluation criteria for ART restorations (successful if restoration is correct or has a minor defect and fails if defects are larger than 0.5 mm, if secondary caries is observed, if the restoration is fractured, partly or totally lost or if the pulp is involved) at 6 and 30 months after treatment. The extent of discomfort was registered by assessing the behaviour (modified Venham score) and observing the heart rate during treatment. RESULTS:For this study 153 children were treated with hand instruments (ART) and 146 children with rotary instruments (conventional method). A total of 198 restorations were evaluated during follow-up periods. There were no significant differences in patient discomfort between the ART and the conventional group and between the anaesthesia and the non-anaesthesia group. The conventional restorations demonstrated significantly higher success rates than ART restorations after 6 (P = 0.001) and 30 months (P = 0.032). There were no significant differences in success rate between the anaesthesia and the non-anaesthesia group. CONCLUSION:Local anaesthesia has no influence on discomfort during treatment. Furthermore, discomfort during treatment does not affect the success rate of restorations.

journal_name

Int J Paediatr Dent

authors

Van de Hoef N,Van Amerongen E

doi

10.1111/j.1365-263X.2007.00818.x

subject

Has Abstract

pub_date

2007-07-01 00:00:00

pages

239-47

issue

4

eissn

0960-7439

issn

1365-263X

pii

IPD818

journal_volume

17

pub_type

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