This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. The overall objectives of this pilot study are to test data collect methods and the feasibility of recruiting children at a busy hospital dental practice for a larger scale cost-effectiveness study of two clinically acceptable methods of treating early childhood caries. The cost effectiveness study for treating early childhood caries will compare manual restorative treatment (MRT) to conventional restorative treatment using conscious sedation as an adjunct to behavior management (CRTS). Routinely, young, fearful, pre-cooperative children may be indicated to have conscious sedation for dental treatment including restorative dentistry. During conscious sedation, local anesthesia is usually given preceding the removal of tooth decay with a dental drill and placement of a restorative material. Sedating young children in the dental office is associated with safety concerns and is thought to be more costly in terms of the time and staffing resources required. On the other hand, MRT does not require local anesthesia or dental drilling.
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