AbstractThe
effect of non-operative caries control at cavity level is often
questioned. This prospective study of cases aims to evaluate the
suitability of non-operative treatment of active cavitated approximal
caries lesions in primary molars by assessing clinical changes of
lesions over time. Further, we evaluate childrens and parents attitudes
in response to non-operative cavity treatment. Thirty-nine children
attending a community dental service, aged 5–11 years, joined the
evaluation based on the following criteria: i) presence of at least one
active cavitated caries lesion in the distal surface of first primary
molar or mesial surface of the second primary molar extending up to two
thirds into dentin assessed radiographically, ii) absence of spontaneous
pain, iii) absence of pulpal or periapical pathology. After informed
consent one randomly selected lesion per child had overhanging enamel
margins adjusted and was treated non-operatively by the child/parent
performing daily site-specific oral hygiene with a fluoridated
toothpaste, supplemented by professional topical fluoride treatment and
dietary advice. Nine lesions/children dropped out. Fifteen lesions
survived without pulpal or periapical pathology for an average of 26 m
(range 9-44). Lesion failure was associated with poor compliance or
lesions not suited for the method. Children and parents were highly
satisfied with the treatment. Our study identifies key factors in the
performance of non-operative cavity treatment in a dental practice
setting. It is concluded that non-operative cavity treatment can be a
helpful method to control caries lesion progression in primary teeth and
may familiarize the child with dental treatment.
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