CE Hours: 1.5

Seq# 197 - FiCTION: Filling Children's Teeth: Indicated Or Not?: Trial Results & Discussion

This session will be recorded and available through IADR CE On Demand after the meeting for Continuing Education Credit.  

This symposium will be the first public reveal of the results of the National Institute of Healthcare Research (NIHR) UK sponsored FiCTION Trial, which began in 2009. At that time there was a lack of evidence for effective management of caries in deciduous teeth and in the UK an apparent failure of conventional restorations to prevent dental pain and infection.

FiCTION was funded following a call for commissioned research by NIH's Health Technology Assessment Programme. Our trial was funded £2.9M to answer the research question “What is the clinical and cost effectiveness of restoring caries in primary teeth, compared to no treatment?"

FiCTION is a primary care-based multi-centre, three-arm, parallel group, patient-randomised controlled trial comparing conventional restorations with an intermediate treatment strategy based on the biological (sealing-in) management of caries and with no restorations only prevention alone. 72 practices across the UK recruited 1114 children, (3-7 years) with at least one primary molar tooth where caries extended into dentine. Participants were followed up for up to 36 months. The primary outcome is the incidence of either pain or infection related to dental caries and secondary outcomes include caries incidence, quality of life and cost effectiveness.

The Symposium will describe the design and conduct of the trial in addition to presenting the clinical, cost-effectiveness and qualitative results. The implications for clinical practice, education and policy will be discussed and participants will be actively involved in debating how FiCTION fits in the Global Dental Data Ecosystem.

Learning Objectives:

  • Understand the design and methodological requirements of a multi-centre practice based RCT involving young children with caries.
  • Discuss the findings of the FiCTION Trial.
  • Debate how the results can help inform practice, education and policy.