Efficacy of sealing the mesial surfaces of first permanent molars with respect to the status of the distal surfaces of the second primary molars in children at high caries-risk

被引：14

作者：

Gomez S.S. ^{[1
]}

Emilson C.-G. ^{[2
]}

Corvalan G.C. ^{[1
]}

Quiroz M.D. ^{[1
]}

Moran M.P.H. ^{[1
]}

机构：

[1] Department of Preventive Dentistry, Facultad de Odontología, Universidad de Valparaíso, Valparaiso, Subida Carvallo 211, Playa Ancha

[2] Department of Cariology, Institute of Odontology, Sahlgrenska Academy at the University of Gothenburg, Göteborg

来源：

European Archives of Paediatric Dentistry | 2014年 / 15卷 / 2期

关键词：

Approximal sealing; Dental caries; First permanent molars; Risk assessment;

D O I：

10.1007/s40368-013-0066-z

中图分类号：

学科分类号：

摘要：

Aim: This study aimed at evaluating the efficacy of sealants at preventing caries development or arresting the progression of non-cavitated mesial carious lesions in first permanent molars (6m) with respect to the status of the distal surfaces of the second primary molars (05d). Method: The study population comprised 121, 8- to 10-year-old schoolchildren in a high-caries community in Valparaiso, Chile. They were examined clinically and radiographically and screened for caries-related risk factors using the risk-assessment software program Cariogram. The children were divided into three groups: Group A, with no caries lesions on adjacent surfaces of 05d-6m, served as a control group. Group B, with caries on 05d, received a preventive sealant on the caries-free 6m after temporary separation, and Group C, with carious 05d, received a therapeutic sealant on a 6m with initial lesions. Standardised follow-up radiographs were taken in 110 children after 12-14 months. Results: In group A, with no treatment, the mean percentage of sound surfaces that developed caries lesions was 3.8 %. In group B, the mean percentage of sound 6m surfaces that developed caries lesions was 4.9 % for sealed and 22.0 % for unsealed surfaces (p < 0.05). In group C, the progression of therapeutically sealed carious lesions on 6m was 3.0 % compared with 41.2 % for unsealed carious control surfaces (p < 0.05). Conclusions: These results suggest that sealing sound surfaces and non-cavitated caries in the proximal mesial surfaces of permanent molar teeth effectively prevents or reduces the progression of caries adjacent to lesions on the distal surfaces of the second primary molars. © 2013 European Academy of Paediatric Dentistry.

引用

页码：65 / 73

页数：8

共 30 条

[1]

Alkilzy M., Berndt C., Meller C., Schidlowski M., Splieth C., Sealing of proximal surfaces with polyurethane tape: a two-year clinical and radiographic feasibility study, J Adhes Dent, 11, pp. 91-94, (2009)

[2]

Bratthall D., Hansel P.G., Stjernsward J.R., Cariogram manual. Cariogram

[3]

Bratthall D., Hansel Petersson G., Cariogram-a multifactorial risk assessment model for a multifactorial disease, Community Dent Oral Epidemiol, 33, pp. 256-264, (2005)

[4]

Campus G., Cagetti M.G., Sale S., Carta G., Lingstrom P., Cariogram validity in schoolchildren: a two-year follow-up study, Caries Res, 46, pp. 16-22, (2012)

[5]

Ericson D., Kidd E., McComb D., Mjor I., Noack M.J., Minimally invasive dentistry-concepts and techniques in cariology, Oral Health Prev Dent, 1, pp. 59-72, (2003)

[6]

Gomez S.S., Basili C.P., Emilson C.G., A 2-year clinical evaluation of sealed noncavitated approximal posterior carious lesions in adolescents, Clin Oral Investig, 9, pp. 239-243, (2005)

[7]

Gomez S.S., Onetto J.E., Uribe S.A., Emilson C.G., Therapeutic seal of approximal incipient noncavitated carious lesions: technique and case reports, Quintessence Int, 38, (2007)

[8]

Gomez S., Uribe S., Onetto J.E., Emilson C.G., SEM analysis of sealant penetration in posterior approximal enamel carious lesions in vivo, J Adhes Dent, 10, pp. 151-156, (2008)

[9]

Griffin S.O., Oong E., Kohn W., Vidakovic B., Gooch B.F., Bader J., Clarkson J., Fontana M.R., Meyer D.M., Rozier R.G., Weintraub J.A., Zero D.T., The effectiveness of sealants in managing caries lesions, J Dent Res, 87, pp. 169-174, (2008)

[10]

Hansel Petersson G., Isberg P.E., Twetman S., Caries risk assessment in school children using a reduced Cariogram model without saliva tests, BMC Oral Health, 10, (2010)

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