This study aimed to evaluate the clinical success of the 'Silver Modified Atraumatic Restorative Technique '(SMART) with different modifications in asymptomatic deep carious lesions of primary molars.
Who can participate
Age range4 Years – 9 Years
SexALL
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Inclusion criteria
✓. Patients and parents of the patients who accept to participate and sign the informed consent.
✓. Children between the ages of 4-9
✓. Healthy children without a history of serious systemic conditions necessitating chronic use of medications.
✓. Children whose dental examination reveals at least one untreated asymptomatic cavitated carious lesion (ICDAS II index: code 4,5,6) affecting primary molars.
✓. Absence of former history of spontaneous pain from the offending tooth/teeth.
✓. Patients with an appropriate level of cooperation to complete treatment under clinical conditions.
✓. Teeth are in a restorable condition.
✓. Natural exfoliation of primary teeth to be treated should not be expected within two years.
Exclusion criteria
✕. Patients and parents of the patients who does not accept to participate and sign the informed consent
✕. Patients with proven allergy to silver compounds or any component of dental materials to be applied.
✕. Patients with special health care needs or any medical conditions.
✕. Primary molar teeth with excessive crown damage that cannot be restored.
✕. Primary molar teeth in which bone loss exceeds 1/3 of the roots.
✕. Primary molar teeth that have previously undergone root canal treatment or pulpotomy treatment.
✕. Presence of internal/external and root resorption in primary teeth to be treated.
✕. Root fracture, ankylosis or mobility in the primary teeth to be treated.
What they're measuring
1
1.Change from 3 months to 12 months regarding "Anatomic form"
Timeframe: 3-month,6-month,12 month
2
Change from 3 months to 12 months regarding "Marginal adaptation"
Timeframe: 3-month,6-month,12 month
3
Change from 3 months to 12 months regarding "Surface roughness"
Timeframe: 3-month,6-month,12 month
4
Change from 3 months to 12 months regarding "Marginal staining"
Timeframe: 3-month,6-month,12 month
5
Change from 3 months to 12 months regarding "Retention"
Timeframe: 3-month,6-month,12 month
6
Change from 3 months to 12 months regarding "Incisal wear"
Timeframe: 3-month,6-month,12 month
7
Functional properties according to revised FDI (World Dental Federation) criteria.
Timeframe: 3-month,6-month,12 month
8
Biological properties according to revised FDI criteria.