Sealed primary molars are less likely to develop caries

Hong, Michael; Vuong, Carolynn; Herzog, Karin; Ng, Man Wai; Sulyanto, Rosalyn

doi:10.1016/j.adaj.2019.04.011

Cited by 4 publications

(3 citation statements)

References 6 publications

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“… 24 These findings are similar to other studies which reported that GI ART sealants have caries preventive effect and are effective in preventing dentine caries lesions. 5 , 32 – 34 Certain studies stated that caries preventive effect of GI sealants persists even after they are missing from the tooth surface. 29 , 35 …”

Section: Discussionmentioning

confidence: 99%

Comparison of Clinical Efficacy of Glass Ionomer-based Sealant Using ART Protocol and Resin-based Sealant on Primary Molars in Children

Subramaniam¹,

Kiran²,

Vojjala³

2023

International Journal of Clinical Pediatric Dentistry

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A bstract Aim The present in vivo study aims to evaluate and compare the clinical efficacy and survival rate of resin-based composite sealant (Clinpro Sealant, 3M ESPE, Irvine, California, United States of America) with high viscosity glass ionomer (GI) (Equia Forte, GC India, Patancheru, Telangana, India) using atraumatic restorative treatment (ART) sealant protocol in primary molars. Materials and methods The design of the study was a clinical, prospective split-mouth study. A total of 100 contralateral primary molars were selected and divided into two groups. In group I, children received Equia Forte, and in group II, children received Clinpro Sealant. The follow-up examinations were performed in the 1st and 6th months. Simonsen's criteria were used to check for retention. International Caries Assessment and Detection System II (ICDAS II) criteria were used to check for dental caries. The data obtained were subjected to statistical analysis. Results At 6 months, there was no statistically significant difference between the groups with regard to retention and caries preventive effect. Conclusions High-viscosity GI sealants can be applied using the ART protocol and provide an alternative to resin-based sealants. Clinical significance There is a limited number of studies on the performance of ART sealants in primary molars. Thus, the clinical efficacy and survival rate of resin-based composite sealant (Clinpro Sealant, 3M ESPE, Irvine, California, United States of America) with high viscosity GI (Equia Forte, GC India, Patancheru, Telangana, India) using ART sealant protocol in primary molars were evaluated. The research concluded that high-viscosity GI sealants using ART protocol are effective sealants in primary molars. How to cite this article Kaverikana K, Vojjala B, Subramaniam P. Comparison of Clinical Efficacy of Glass Ionomer-based Sealant using ART Protocol and Resin-based Sealant on Primary Molars in Children. Int J Clin Pediatr Dent 2022;15(6):724-728.

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Section: Discussionmentioning

confidence: 99%

Comparison of Clinical Efficacy of Glass Ionomer-based Sealant Using ART Protocol and Resin-based Sealant on Primary Molars in Children

Subramaniam¹,

Kiran²,

Vojjala³

2023

International Journal of Clinical Pediatric Dentistry

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“…Recently, a retrospective observational design (16) tested sealants on primary molars and concluded that this strategy should be considered for children at high caries risk. The highest incidence of dental caries is found in groups of children with previous caries experience (17).…”

Section: Introductionmentioning

confidence: 99%

“…Until now, the efficacy of fissure sealants on primary molars has been seldom explored in clinical trials. While a retrospective study (16) has reported the caries preventive effect of sealants, randomized controlled clinical trials are less conclusive, as one (27) found no benefit of glass ionomer sealants in preventing caries in high‐risk preschool children while another (28) reported a similar efficacy of sealants and restorations in arresting caries progression of cavitated occlusal lesions. The primary purpose of this split‐mouth randomized clinical trial (RCT) was, therefore, to evaluate the impact of sealing primary molars on the caries increment at the end of a 2‐yr period.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of pit and fissure sealants on primary molars: A 2‐yr split‐mouth randomized clinical trial

Chabadel

Veronneau²,

Montal

et al. 2020

European J Oral Sciences

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The primary objective of this study was to evaluate the effects of sealants in preventing pit and fissure caries in primary molars. The secondary objective was to assess the sealant retention during a 2‐yr study period. A 2‐yr split‐mouth randomized clinical trial including 90 3–7‐yr‐old children was conducted in the paediatric dental department of Montpellier hospital. The dentition of each included patient was divided into an experimental side and a control side, with annual follow‐up visits. Caries increments, measured as the number of new occlusal cavitated lesions, were not different between the sealed (mean 0.23) and the control primary molars (mean 0.29). A multiple mixed‐effects logistic regression showed that male gender, moderate/high caries risk, and a higher oral hygiene index score, had a statistically significant effect resulting in higher caries increments in the primary molars, than did female gender, low caries risk, and lower oral hygiene index scores. Sealing showed no statistically significant influence on the development of new caries lesions. After 2 yr, the percentages of partially or totally lost sealants were 22.7% and 32.0%, respectively. In this sample of children, the caries increment was not significantly different between the sealed and the unsealed molars. At the end of this 2‐yr study, more than half of the sealants were totally or partially lost, which could explain the low sealant effectiveness.

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Knowledge and opinions of French dental students related to caries risk assessment and dental sealants (preventive and therapeutic)

et al. 2020

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Table 2: Results of the logistic regressions related to the use of CRA in everyday practice according to sociodemographic characteristics of the respondents Respondent sociodemographic characteristics OR 95% CI P-Value Univariate LR Age (years) (n=1,101) 1.02 0.95-1.10 0.5734 Gender (women/men) (n=1,147) 1.11 0.83-1.49 0.4925 Reading articles about M I (yes/no) (n=1,140) 1.15 0.84-1.57 0.3885 Considering initial training on CRA as sufficient (yes/no) (n=1,143) 2.46 1.79-3.37 <0.001* Multivariate LR Considering initial training on CRA as sufficient (yes/no) (n=1,143) 2.46 1.79-3.37 <0.001* LR: logistic regression; OR: odd ratio; 95% CI: 95% confidence interval; M I: minimal intervention; CRA: caries risk assessment *: statistically significant Only factors with univariate p-value <0.20 were included in the multivariate models.

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Sealed primary molars are less likely to develop caries

Cited by 4 publications

References 6 publications

Comparison of Clinical Efficacy of Glass Ionomer-based Sealant Using ART Protocol and Resin-based Sealant on Primary Molars in Children

Comparison of Clinical Efficacy of Glass Ionomer-based Sealant Using ART Protocol and Resin-based Sealant on Primary Molars in Children

Effectiveness of pit and fissure sealants on primary molars: A 2‐yr split‐mouth randomized clinical trial

Knowledge and opinions of French dental students related to caries risk assessment and dental sealants (preventive and therapeutic)

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