DT News - UK - FiCTION trial highlighted at BSPD 2018

Dental Tribune UK

Tue. 11 September 2018

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DUNDEE, UK: Seven years ago, one of the most important clinical trials to ever be undertaken on dental caries in British children commenced in Dundee. The findings of the FiCTION (Filling Children’s Teeth: Indicated Or Not) study are now being discussed at the British Society of Paediatric Dentistry's (BSPD) 2018 Annual Conference underway in this Scottish city, and dentists from as far off as Dubai have flown in to participate.

This randomised controlled trial aimed to address the National Institute for Health Research Health Technology Assessment Programme’s inquiry into the clinical and cost-effectiveness of filling caries in the teeth of children. It tested three different approaches to this issue: a conventional drill and fill approach, supplemented by prevention; biological management by sealing the caries off with a Hall crown, supplemented by prevention; and prevention alone.

The FiCTION study involved six universities—Cardiff, Glasgow, Leeds, Newcastle, Sheffield and Dundee—and in it 50 general dental practitioners recruited 1,461 children aged between 3 and 7 years with at least one primary molar tooth with a carious lesion that extended into the dentine. The design, result and implications of the FiCTION study will be presented over 13 and 14 September at BSPD 2018.

Among the speakers scheduled to talk about this topic is Dr Iyad Hussein, an assistant clinical professor in paediatric dentistry at the Hamdan Bin Mohammed College of Dental Medicine at the Mohammed Bin Rashid University of Medicine and Health Sciences in Dubai in the UAE. Hussein, who will discuss the implications of the FiCTION study’s ethos beyond the UK, was based in Dundee for 16 years until 2014 and became aware of the study during that time.

All of the dentists in the paediatric dentistry department of Hussein’s university are present in Dundee for BSPD 2018 and will be giving nine presentations at the conference.

“I was affected by the FiCTION ethos almost by default, by being in the Dundee Dental Hospital and working side by side with eminent people like Prof. Nicola Innes, Prof. Jan Clarkson and Dr Dafydd Evans, among others,” said Hussein.

“The tremendous efforts put in place by the researchers who designed the trial certainly were influential on all who worked in children’s dentistry there. Dundee is a hotbed for research, so I was lucky to be in the right place at the right time. This revolution in children’s dentistry came about in Dundee, living up to its name as a city of discovery.”

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