medigraphic.com
ISSN 2174-0798 (Print)
Organo oficial de la Asociación Latinoamericana de Odontopediatría (ALOP)

2022, Number 1

<< Back Next >>

Rev Odotopediatr Latinoam 2022; 12 (1)

Sealing of caries lesions: case report

Dalapicula BD, Silva MKM, Pettorossi IJC

Language: Spanish
References: 27
Page:
PDF size: 355.26 Kb.


ABSTRACT

The aim of this study was to report a clinical case of sealing active caries lesions, score 5 of the International Caries Detection and Assessment System- ICDAS, in the first permanent molars of a 9-year-old boy. On clinical examination, active lesions were identified, score 5 and 3 in molars 16 and 26, respectively. However, radiographic examination determined that the lesion of tooth 26 was also in the external half of dentin. Thus, both lesions were score 5. The minimal intervention treatment with the sealing of the carious lesions was performed, using resinous sealant with an intermediate layer of adhesive. In 6 months of follow-up, loss of integrity of the sealant was observed on tooth 16, and the repair was carried out; after one year, the lesions were paralyzed. Therefore, the sealing of caries lesions seems to be suitable for enamel lesions reaching the external half of dentin.


REFERENCES

  1. Fejerskov O, Nyvad B. Is dental caries an infectious disease? Diagnostic and treatment consequences for the practitioner. In: Schou L (ed). Nordic Dentistry 2003 Yearbook. Copenhagen: Quintessence Publishing; 2003.

  2. Keyes PH. Recent advances in dental research: bacteriology. Int Dent J 1962;124:443-64.

  3. Newbrun E. Cariology. 2ª ed. Baltimore:Williams & Wilkins; 1983.

  4. Fejerskov O. Concepts of dental caries and their consequences for understanding the disease. Community Dent Oral Epidemiol 1997;25:5-12.

  5. Mendes FM, Novaes TF de, Matos R, et al. Métodos complementares na detecção de lesões de cárie em dentes decíduos são realmente necessários? Rev Assoc Paul Cir Dent 2014;68:53-9.

  6. De Assunção IV, da Costa G de FA, Borges BCD. Systematic review of noninvasive treatments to arrest dentin non-cavitated caries lesions. World J Clin Cases. 2014;2:137-41.

  7. Guedes-Pinto AC, Imparato JCP, Raggio DP. Dentística Odontopediátrica. In: Issáo M, Guedes-Pinto AC. Manual de Odontopediatria.12ª ed. São Paulo: Santos; 2013.

  8. Guglielmi C de AB, Raggio DP, Corrêa MSNP, et al. Dentística – restaurações diretas. In: Bönecker M, Guedes-Pinto AC. Estética em Odontopediatria. 1ª ed. São Paulo: Santos; 2011.

  9. Carvalho JC, Thylstrup A, Ekstrand KR. Results after 3 years of non-operative occlusal caries treatment of erupting first molars. Community Dent Oral Epidemiol 1992;20:187-92.

  10. Hesse D, Bonifácio CC, Mendes FM, et al. Sealing versus partial caries removal in primary molars: a randomized clinical trial. BMC Oral Health 2014 28;14:58.

  11. Going RE, Loesche WJ, Grainger DA, et al. The viability of microorganisms in carious lesions five years after covering with a fissure sealant. J Am Dent Assoc 1978;97:455-62.

  12. Fejerskov O, Kidd EAM. Cárie dentária: a doença e seu tratamento clínico. 4ª ed. São Paulo: Livraria Santos Editora; 2005.

  13. Abuchaim C, Loguercio AD, Grande RHM, et al. Abordagem científica e clínica do selamento de lesões de cárie em superfícies oclusais e proximais. Rev Gaúcha de Odontol 2011;59:117-23.

  14. Ismail AI, Sohn W, Tellez M, et al. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol 2007;35:170-8.

  15. Bakhshandeh A, Qvist V, Ekstrand KR. Sealing occlusal caries lesions in adults referred for restorative treatment: 2–3 years of follow-up. Clin Oral Investig 2011;16:521-9.

  16. Alves LS, Giongo FCM de S, Mua B, et al. A randomized clinical trial on the sealing of occlusal carious lesions: 3–4-year results. Braz Oral Res 2017;31:e44.

  17. Borges BC, de Souza Bezerra Araújo RF, Dantas RF, et al. Efficacy of a non-drilling approach to manage non-cavitated dentin occlusal caries in primary molars: a 12-month randomized controlled clinical trial. Int J Paediatr Dent 2011;22:44-51.

  18. Da Silveira ADS, Borges BCD, de Almeida Varela H, et al. Progression of non-cavitated lesions in dentin through a nonsurgical approach: a preliminary 12-month clinical observation. Eur J Dent. 2012;6:34-42.

  19. Beraldo DZ, Pereira KFS, Zafalon EJ, Yoshinari FMS. Análise comparativa entre selante resinoso e selante ionomérico por microscópio eletrônico de varredura. Rev Odontologia UNESP. 2015;44:239-43.

  20. Moreira KMS, Kantovitz KR, Aguiar JPD, et al. Impact of the intermediary layer on sealant retention: a randomized 24-month clinical trial. Clin Oral Investig 2017;21:1435-43.

  21. Hitt JC, Feigal RJ. Use of a bonding agent to reduce sealant sensitivity to moisture contamination: an in vitro study. Pediatr Dent 1992;14:41-6.

  22. Borem LM, Feigal RJ. Reducing microleakage of sealants under salivary contamination: Digital-image analysis evaluation. Quintessence Int 1994;25:283-9.

  23. Feigal RJ, Musherure P, Gillespie B, et al. Improved sealant retention with bonding agents: a clinical study of two-bottle and single-bottle systems. J Dent Res 2000;79:1850-6.

  24. Greene JC, Vermillion JR. The oral hygiene index: a method for classifying oral hygiene status. J Am Dent Assoc. 1960; 61: 172-9.

  25. Rovida, TAS et al. Controle da placa bacteriana dentária e suas formas de registro. Revista Odontológica de Araçatuba, v. 31, n. 2, p. 57-62, 2010.

  26. Toassi RFC, Petry PC. Motivação no controle do biofilme dental e sangramento gengival em escolares. Rev Saúde Pública. 2002; 36: 634-7.

  27. Valarelli FP et al. Importância dos programas de educação e motivação para saúde bucal em escolas: relato de experiência. Odontol. Clín.-Cient. 2011, vol.10, n.2, pp. 173-176. ISSN 1677-3888.




2020     |     www.medigraphic.com