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Organo oficial de la Asociación Latinoamericana de Odontopediatría (ALOP)

2013, Number 2

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Rev Odotopediatr Latinoam 2013; 3 (2)

Sealing of non-cavitated dental caries lesions: random controlled clinical trial

Luengo-Fereira JA, Zambrano-Palencia OR, Rivera LE

Language: Spanish
References: 40
Page: 45-57
PDF size: 191.25 Kb.


ABSTRACT

Objective: To evaluate the effectiveness of sealing caries lesions non-cavitated. Materials and Methods: A clinical, randomized, double-blind, controlled, split-mouth design was performed. We selected 262 first permanent molars in 74 children with a mean age of 7.47 ± 0.8 years. Each patient had at least one pair of first permanent molars with bilateral lesions of codes 1, 2 or 3 dental caries International Detection and Rating of Dental Caries. Were randomly assigned to three treatment types, 1: glass ionomer (3M ESPE Ketac Molar Easymix®), 2: resinous sealant (3M ESPE Climpro®), 3: resin-modified glass ionomer (3M ESPE Ketac® N100). Retention and progression of dental caries were evaluated. Data were processed with SPSS V15 program. Chi Square test and Fisher test were used. Results: The overall retention rate treatments 1, 2 and 3 was respectively 51.7%, 43.4% and 26.4%, but these differences were not significant. The incidence of caries in the unsealed molars was 31.8% and in the sealed molars with complete loss of the material 28.5%. No significant differences in lesion progression between molars receiving and those not receiving treatment were found. Conclusions: In this study, no evidence of differences were found in the retention and progression of sealed and unsealed injuries, conventional glass ionomer high density, based sealant resin and a modified glass ionomer resin.


REFERENCES

  1. Beauchamp J., Caufield P., Crall J., Donly K., Feigal R., Gooch B., Ismail A.,

  2. Kohn W., Siegal M., Simonsen R. Evidence-Based Clinical recommendations for the Use of Pit-and-Fissure Sealants: A Report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc 2008;139;257-268.

  3. Aguilar FG, Drubi-Filho B, Casemiro LA, Watanabe M, Pires-de-Souza F. Retention and penetration of a conventional resin-based sealant and a photochromatic flowable composite resin placed on occlusal pits and fissures. J Indian Soc Pedod Prev Dent 2007;25:169-73.

  4. Clinical Affairs Committee – Restorative Dentistry Subcommittee. Guideline on Pediatric Restorative Dentistry. American academy of pediatric dentistry. REFERENCE MANUAL V 33 / NO 6 11 / 12.

  5. Celiberti P, Lussi A. Penetrationability and microleakage of a fissure sealant applied on artificial and natural enamel fissure caries. Journal of Dentistry, 2007;Vol. 35, Issue 1, January,59–67.

  6. Welbury R, Raadal M, Lygidakis N. EAPD guidelines for the use of pit and fissure sealants. European journal of paediatric dentistry, 2004/3, 179-184.

  7. Oulis C, Berdouses E, Mamai – Homata E, Polychoronopoulou A. Prevalence of sealants in relation to dental caries on the permanent molars of 12 and 15-year-old Greek adolescents. A national Pathfinder survey. BMC Public Health 2011,11:100.

  8. Kavaloglu S, Sandalli N. Compressive Strength, Surface Roughness, Fluoride Release and Recharge of FourNew Fluoride- releasing Fissure Sealants. Dental Materials Journal 2007;26(3): 335-341.

  9. Ahovuo-Saloranta, Hiiri A, Nordbland A, Makela M, Worthington HV. Pit and fissure sealants for preventing dental decay in the permanent teeth of children and adolescents. Cochrane Database Syst Rev 2010,8(4):CD001830.

  10. Azarpazhooh A, Main PA. Pit and fissure sealants in the prevention of dental caries in children and adolescents: a systematic review. J Can Dent Assoc. 2008 Mar;74(2):171-7.

  11. Simonsen RJ. Pit and Fissure sealant: review of literature. Pediatric Dent. 2002 Sep-Oct;24(5):393-414.

  12. Oong E, Griffin S, Kohn W, Gooch B, Caunfield P. The effect of dental sealants on bacteria levels in caries lesions. A review of the evidence. JADA 2008,139(3):271-278.

  13. Griffin S, Oong E., Kohn W., Vidakovic B., Gooch B., and CDC Dental Sealant Systematic Review Work Group: Bader J, Clarkson J, Fontana M, Meyer D, Rozier R, Weintraub J, Zero D. The effectiveness of sealants in managing caries lesions. J Dent Res. 2008 Feb;87(2):169-74.

  14. Salar DV., García-Godoy F., Flaitz CM., Hicks MJ. Potential inhibition of demineralization in vitro by fluoride-releasing sealants. J Am Dent Assoc. 2007 Apr;138(4):502-6.

  15. Trairatvorakul C., Kladkaew S., Songsiripradabboon S. Active Management of Incipient Caries and Choice of Materials. J Dent Res 2008 Mar;87(3):228-232.

  16. Kantovitz KR., Pascon FM., Correr GM., Borges AF., Uchoa MN., Puppin-Rontani RM. Inhibition of mineral loss at the enamel/sealant interface of fissures sealed with fluoride- and non-fluoride containing dental materials in vitro. Acta Odontol Scand. 2006 Nov;64(6):376-83.

  17. Beiruti N., Frencken JE., van’t Hof MA., Taifour D., van Palenstein Helderman WH. Caries-preventive effect of a onetime application of composite resin and glass ionomer sealants after 5 years. Caries Res. 2006;40(1):52-9.

  18. Beiruti N., Frencken JE., van ‘t Hof MA., van Palenstein Helderman WH. Caries-preventive effect of resin-based and glass ionomer sealants over time: a systematic review. Community Dent Oral Epidemiol. 2006 Dec; 34(6):403-9.

  19. Komatsu H., Shimokobe H., Kawakami S., Yoshimura M. Caries-preventive effect of glass ionómero sealant reapplication: Study presents three-year results. J Am Dent Assoc 1994;125(5):543-9.

  20. Seppa L., Forss H. Resistance of oclusal fissures to desmineralization after loss of glass ionomer sealants in vitro. Pediatr Dent 1991;13(1):39-42.

  21. Beiruti N., Frencken J., Mulder J. Comparison between two glass-ionomer sealants placed using finger pressure (ART approach) and a ball burnisher. Am J Dent. 2006 Jun;19(3):159-62.

  22. Amaral M., Guedes-Pinto A., Chevitarese O. Effects of a glass-ionomer cement on the remineralization of occlusal caries - an in situ study. Braz. oral res. 2006; vol.20 no.2 São Paulo Apr./June.

  23. International Caries Detection & Assessment System Coordinating Committee. The International Caries Detection and Assessment System (ICDAS II at June 2005). July 2005. Disponible en: www.icdas.org.

  24. Declaración de Helsinki: principios éticos para la investigación médica sobre sujetos humanos. Análisis de la 5ª Reforma, aprobada por la Asamblea General, de la Asociación Médica Mundial en octubre del año 2000, en Edimburgo, Respecto del texto aprobado en Somerset West (Sudáfrica) en octubre de 1996. Acta Bioética, 2000, año VI, nº 2.

  25. Norman G., Streiner D. Bioestadística. Edición en Español, Mosby Doyma Libros S.A. Madrid España. 1996. Pág. 61-62

  26. García-Godoy F. Retention of a light-cured fissure sealant (Helioseal) in a tropical environment after 12 months. Clin Prev Dent 1986;8:11-3

  27. Pinar A., Sepet E., Aren G., Bölükbasi N., Ulukapi H., Turan N. Clinical performance of sealants with and without a bonding agent. Quintessence Int 2005;36:355-60.

  28. Arrow P., Riordan P. Retention and caries preventive effects of a glass ionómer cement and a resin-based fissure sealant. Community Dent Oral Epidemiol 1995;23:282-5.

  29. Hiiri A., Ahovuo-Saloranta A., NordbladA., Makela M. Pit and fissure sealants versus fluoride varnishes for preventing dental decay in children and adolescents. Cochrane Database Syst Rev. 2006 Oct 18;(4):CD003067.

  30. Rethman J. Trends in preventive care:Caries risk assessment and indications for sealants. J Am Dent Assoc 2000;131(suppl):8S-12S.

  31. Poulsen S., Beiruti N., Sadat N. A comparison of retention and the effect on caries of fissure sealing with a glass ionómero and a resin-based sealant. Community Dent Oral Epidemiol. 2001;29:298-301.

  32. Simonsen RJ. Glass ionómer as fissure sealant: A critical review. J Public Health Dent. 1996;56:146-9.

  33. Ganesh M., Shobha T. Comparative evaluation of the marginal sealing ability of Fuji VII and Concise as pit and fissure sealants. J Contemp Dent Pract. 2007 May 1;8(4):10-8.

  34. Henestroza G. Adhesión en Odontología Restauradora. Asociación Latinoamericana de Operatoria Dental y Biomateriales. Editorial MAIO. Brasil. 2003

  35. Waggoner W., Siegal M. Pit and fissure sealant application: Updating the technique. J Am Dent Assoc 1996;127:351-61.

  36. Llodra J., Bravo M., Delgado-Rodriguez M., Baca P., Galvez R. Factors influencing the effectiveness of sealants: A meta-analysis. Community Dent Oral Epidemiol 1993;21:261-8.

  37. Vieira A., Melo N., Bresciani E., Barata T., da Silva S., Machado M., de Lima M. Evaluation of glass ionomer sealants placed according to the ART approach in a community with high caries experience: 1-year follow-up. J appl Oral Sci 2006 Aug;14(4):270-5.

  38. Albani F., Ballesio I., Campanella V., Marzo G. Pit and fissure sealants: Results at five and 10 years. Eur J Paediatr Dent 2005;6:61-5.

  39. Muller-Bolla M, Lupi-Pégurier L, Tardieu C, Velly AM, Antomarchi C. Retention of resin-based pit and fissure sealants: A systematic review. Community Dent Oral Epidemiol. 2006 Oct;34(5):321-36.

  40. Ashwin R, Arathi R. Comparative evaluation for microleakage between Fuji-VII glass ionomer cement and light-cured unfilled resin: A combined in vivo in vitro study. J Indian Soc Prev Dent. 2007 Apr-Jun;25(2):86-7




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