Journal of Indian Society of Pedodontics and Preventive Dentistry
Journal of Indian Society of Pedodontics and Preventive Dentistry
                                                   Official journal of the Indian Society of Pedodontics and Preventive Dentistry                           
Year : 2021  |  Volume : 39  |  Issue : 2  |  Page : 202--207

Pain perception of children after restorative treatments: Atraumatic restorative treatment versus chemomechanical removal – A noninferiority randomized clinical trial


Aline Maquiné Pascareli-Carlos1, Laíza Fernandes Martins2, Monicque da Silva Gonçalves3, José Carlos Pettorossi Imparato4, Tamara Kerber Tedesco1 
1 Graduate Programme in Dentistry, Ibirapuera University, São Paulo, Brazil
2 Graduate Programme in Dental Science, School of Dentistry, Federal University of Uberlândia, Uberlândia, Brazil
3 Department of Pediatric Dentistry, School of Dentistry, Nilton Lins University, Manaus, Brazil
4 Graduate Programme in Dentistry, Faculdade São Leopoldo Mandic, São Leopoldo Mandic Institute, Campinas, Brazil

Correspondence Address:
Dr. Tamara Kerber Tedesco
Ibirapuera University, Av. Interlagos, 1329, Sao Paulo, SP 04661-100
Brazil

Background: Atraumatic restorative treatment (ART) and chemomechanical removal of dental caries have been shown to be safe and effective restorative procedures. However, current literature lacks well-design studies comparing the pain perceived by infants using ART and chemo-mechanical removal techniques. Aims: To compare pain perception of children of two techniques (ART vs. chemomechanical removal) of restorative treatments for dental caries removal. Settings and Design: A randomized clinical trial with two parallels arms (1:1) was conducted in the cities of Manaus (AM) and Uberlândia (MG), Brazil. Methods: Children between 4 and 9 years old were selected. In both groups - ART (n = 20) and chemomechanical caries removal (Papaya® gel) (n = 20) - oximeter measurements (heart rate and blood oxygenation) were performed before the intervention and until the complete removal of the infected caries dentin. At the end of the treatment, a Wong-Baker scale was used to assess pain perception during the procedure. An independent researcher measured, in minutes, the duration of each technique. Statistical Analysis: Poisson regression analysis was used to evaluate the association between the outcome and the explicative variables. Results: No statistical difference in pain perception between the two procedures of carious tissue removal was observed. By contrast, a lower heart rate was observed when chemomechanical removal was used (P = 0.013). Conclusion: Children that underwent chemomechanical caries removal presented lower heart rate compared to those who underwent ART. However, both techniques showed minimal or absent perceived pain.


How to cite this article:
Pascareli-Carlos AM, Martins LF, Silva Gonçalves Md, Pettorossi Imparato JC, Tedesco TK. Pain perception of children after restorative treatments: Atraumatic restorative treatment versus chemomechanical removal – A noninferiority randomized clinical trial.J Indian Soc Pedod Prev Dent 2021;39:202-207


How to cite this URL:
Pascareli-Carlos AM, Martins LF, Silva Gonçalves Md, Pettorossi Imparato JC, Tedesco TK. Pain perception of children after restorative treatments: Atraumatic restorative treatment versus chemomechanical removal – A noninferiority randomized clinical trial. J Indian Soc Pedod Prev Dent [serial online] 2021 [cited 2022 Aug 14 ];39:202-207
Available from: http://www.jisppd.com/article.asp?issn=0970-4388;year=2021;volume=39;issue=2;spage=202;epage=207;aulast=Pascareli-Carlos;type=0