Arrest of non-cavitated dentinal occlusal caries by sealing pits and fissures: a 36-month, randomised controlled clinical trial

Abstract

Objective: This study aimed to evaluate the progression of sealed non‐cavitated dentinal occlusal caries in a randomised controlled clinical trial. Materials and methods: Sixty teeth with non‐cavitated dentinal occlusal caries were selected in patients with a high risk for caries. Patients were randomly divided into two groups so that each group included 30 teeth. Patients in the experiment group were given oral hygiene instructions and a fissure sealant. Patients in the control group were given oral hygiene instructions only. Caries progression and sealant loss were monitored over a period of 36 months by clinical and radiographic examinations. Results: Clinical and radiographic progression of caries was significantly more frequent in the control group than in the experiment group. Three teeth lost their sealant and showed caries progression, but this was apparent only at the 12‐month follow‐up. At the 24‐ and 36‐month recall appointments, neither sealant loss nor caries progression were observed. Conclusion: The pit and fissure sealant utilised in this study was shown to be effective in arresting carious lesions at 36 months.

Sealing versus partial caries removal in primary molars: a randomized clinical trial

“…Indeed, this statement is supported by the results of clinical trials, which reported success rates of 100% after 6 months [14] and 3 years of follow-up [11]. The application of resin-based sealants have also shown high success rates, ranging from 80% to [11,15] 94.8% [4] after 2 and 3-year follow-up in permanent molars and 61% [16,17] to 88% [18] after 2 and 3 years of assessment in primary molars.…”

“…To the best of our knowledge there is one study that has investigated the application of resin-based fissure sealant for the treatment of caries lesions in primary molars [18], but they have worked only with non-cavitated lesions. Since there are several difficulties in the management of children’s behavior during conventional restorative treatment, sealing dentinal caries lesions in primary teeth can be an interesting and less invasive alternative.…”

Changes in Occlusal Caries Lesion Management in France from 2002 to 2012: A Persistent Gap between Evidence and Clinical Practice

“…More and more evidence is available nowadays to support the use of noninvasive management of occlusal noncavitated caries lesions (grades 1 and 2 in the present survey) and, in particular, toward the benefit of implementing therapeutic sealants in routine practice [Bader and Shugars, 2006;Bakhshandeh et al, 2012;Beauchamp et al, 2008;Beauchamp et al, 2009;Borges et al, 2012;Deery, 2013]. Holmgren et al [2014] reported in a recent review that there is an ever-growing scientific evidence base that therapeutic sealants can halt or even reverse the caries process.…”

Seal, replacement or monitoring amalgam restorations with occlusal marginal defects? Results of a 10-year clinical trial

“…However, previous studies showed that sealing such lesions improves their prognosis and promotes the arrest of occlusal caries. [32][33][34][35] The cohort included patients with medium and low caries risk, since secondary caries is the most important reason for amalgam restoration failures, it would have been valid to study the treatment outcome in a group of patients classified as at high caries risk in the future.…”