الفهرس 
SUMMARYOnly 14 pages are availabe for public view
 |  | from | 84 |  |  |
| | | from | 84 | | |
Abstract
The success rate of restorations reported in the present study was similar to that of other studies reporting
100% success rates among pregnant women with chemo-
mechanical caries removal agents and 97.6% with ART
[39]. The relatively lower success rate in the present study
may be attributed to loss to follow up and assigning the
worst score to lost cases based on the intention-to-treat
analysis. Restoration success had significant impact on
OHRQoL improvement in the present study. This indicates that the impact on OHRQoL is mainly related to
the effectiveness of the restoration and not just an effect
attributed to receiving the treatment regardless of its
success.
The present study revealed that besides being effective
in caries treatment, Papacarie-Duo had greater impact on
OHRQoL of expectant mothers with mild to moderate
dental pain. It is important to include patient-reported
outcome measures in clinical trials besides clinical and
dentist-assessed measures. OHRQoL measures capture
the impact of treatment from patients’ perspectives and
this is critical for interventions addressing oral health
problems that are partly perpetuated by patient behavior
or misconceptions such as in the present study.
One of the limitations of this study is related to the
short time frame of pregnancy which did not allow a
longer follow-up period. There might have been a tendency to report lower impact of oral health because of
social desirability bias. In addition, patients with poor
oral health and poor expectation may not consider themselves to have poor OHRQoL and consequently report
lower scores on OHIP-14. The findings apply to pregnant
women and to occlusal caries. In other population groups
or types of caries, the findings may not apply and further studies are needed to study these differences. Future
studies are needed with larger sample size and longer follow-up periods to assess the long-term effect of minimal
invasive caries removal methods.
Papacarie-Duo does not require extensive training for
dental health care professionals to be able to use it and
does not need sophisticated equipment. It is recommended to integrate this caries removal method as a part
of the WHO proposed Basic Package of Oral Care [44]
which includes pain relief, preventive, promotional and
atraumatic restorative treatments for pregnant women in
primary health centers in low- and middle- income countries. Integrating this package with their routine antenatal health care may have great benefits for their oral
health and needs to be addressed in future research to
help in the control and prevention of dental caries.