Avaliação Clínica dos Selantes Realizados com Cimento de Ionômero de Vidro Modificado por Resina (Vitremer) em Molares Decíduos

Abstract

Cárie dentária; Selantes de fossas e fi ssuras; Denti ção decídua. Dental caries; Pit and fi ssure sealants; Denti ti on primary.

Performance of Preventive Methods Applied to the Occlusal Surface of Primary Teeth: A Randomized Clinical Study

“…Researchers indicate that the appearance of caries on sealed teeth can be attributed to problems such as inadequate isolation of the operative field, excessive masticatory force and inadequate patient compliance [6,14]. In the present study, the presence of caries was identified thirty-six months after sealant application, which may have been due to an incorrect initial diagnosis at the time of selection, since the morphology of the irregular occlusal surface favors plaque retention and the development of caries in both permanent and primary teeth.…”

“…Indeed, occlusal surfaces are highly susceptible to the development of dental caries due to their specific anatomical shape, which includes grooves and pits that facilitate the accumulation of food remnants and provide a favorable niche for caries. This situation is further aggravated by the difficulty to brush this region, due to the poor motor skills found in children [6].…”

“…Inadequate oral hygiene, poor motor skills and a sugar-rich diet compromise the satisfactory implementation of sealing procedures in young children [6]. Due to these drawbacks, it is necessary to employ caries control methods to minimize the incidence and progression of this condition on occlusal surfaces [7], such as sealing of pits and fissures and the use of fluoridated products.…”

“…The fluoride release and consequent remineralizing capacity are among the advantages of such materials for sealing of occlusal surfaces [6].…”

“…However, there are few reports addressing preventive methods for children at high risk of tooth decay who are susceptible to the development of occlusal caries after the eruption of the primary first and second molars [6,13,14].…”