Dental Health Services, Perth, Western Australia.
Aust Dent J. 2020 Jun;65(2):158-167. doi: 10.1111/adj.12749. Epub 2020 Mar 20.
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.
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.
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).
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.
牙科全麻（DGA）常用于治疗幼儿龋齿。一项随机对照试验旨在测试使用无创伤性修复治疗和 Hall 技术（ART/HT）来管理建议接受 DGA 的儿童的牙科治疗的可行性。
同意参与的儿童，在西澳口腔健康中心建议接受 DGA 进行龋齿管理，随机分组。实验组儿童采用 ART/HT 方法治疗，对照组在 DGA 下治疗。儿童在 12 个月后由两名盲法、经过校准的检查者进行检查。分析采用意向治疗原则；采用适当的配对和非配对检验进行组间和组内比较。采用逻辑回归检验修复成功，控制牙齿聚类。
65 名儿童参与研究，（实验组=32 名；对照组=33 名）。在研究结束时，ART/HT 组 28 名儿童（88%）和 DGA 组 20 名儿童（61%）已接受治疗，P<0.01。多元逻辑回归模型显示，冠修复对修复失败有保护作用（OR 0.05，P<0.01）。
使用 ART/HT 方法能够及时治疗建议接受 DGA 的幼儿，应作为治疗选择之一。
