International Journal of Clinical Pediatric Dentistry

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VOLUME 14 , ISSUE 1 ( January-February, 2021 ) > List of Articles

RESEARCH ARTICLE

Effectiveness of Sealants Treatment in Permanent Molars: A Longitudinal Study

Mimoza Canga, Giulia Malagnino, Vito A Malagnino, Irene Malagnino

Keywords : Dental caries, First and second permanent molar, Preventive dentistry, Sealant treatment

Citation Information : Canga M, Malagnino G, Malagnino VA, Malagnino I. Effectiveness of Sealants Treatment in Permanent Molars: A Longitudinal Study. Int J Clin Pediatr Dent 2021; 14 (1):41-45.

DOI: 10.5005/jp-journals-10005-1878

License: CC BY-NC 4.0

Published Online: 14-07-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Our study gives a clear result about sealants treatment in preventing dental caries manifestation and reducing its prevalence in children aged 6–11 years old. Aim and objective: This study aims to compare and evaluate the progress of dental caries in the first and second permanent molars and also to evaluate, within a period of 24 months, the clinical effects of dental sealants, used in the treatment of occlusive cavities, among children 6–11 years old. Materials and methods: Participants: The overall sample was composed of 120 children, to whom we randomly chose 480 posterior teeth, which were divided into two groups. Intervention: The first group was the control group with 240 untreated teeth, while the second group had an equal number of teeth, which underwent the sealant treatment. The study participants were evaluated within the periods 0, 6, 12, 18, and 24 months. The study participants were checked every 6 months. Basic design: This observational, analytical, and descriptive research was designed as a longitudinal study. The study started in January 2019 and ended in January 2020. The study was conducted in five dental clinics in the city of Vlore, Albania. Results: After 24 months of observation, we noticed that the number of dental caries in the untreated group is three times higher than the number of dental caries in the treated group. In the group of teeth treated with sealant, 189 (78.8%) teeth remained unaffected by dental caries. The present study showed that there is a significant correlation between period and caries manifestation (p < 0.05). It also proved that sealant treatment is an important measure and it is highly significant in the caries reduction (p = 0.000). Conclusion: This study proved that sealant treatment is highly successful in reducing dental caries. In the future, it is worthwhile to go further in this research. Clinical significance: Dental caries is a problem in children aged 6–11 years old and not only. That is why this study recommends that sealants treatment should be used to prevent and reduce the prevalence of dental caries.


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  1. Dye BA, Tan S, Smith V, et al. Trends in oral health status: United States, 1988–1994 and 1999–2004. Vital Health Stat 2007;11:1–92.
  2. Dye BA, Thornton-Evans G, Li X, et al. Dental caries and sealant prevalence in children and adolescents in the United States 2011–2012. NCHS Data Br 2015;191:1–8.
  3. Beltran-Aguilar ED, Barker LK, Canto MT, et al. Surveillance for dental caries, dental sealants, tooth retention, edentulism, and enamel fluorosis: United States, 1988–1994 and 1999–2002. MMWR Surveil Summ 2005;54:1–43.
  4. Sun HB, Zhang W, Zhou XB. Risk factors associated with early childhood caries. Chin J Dent Res 2017;20(2):97–104.
  5. Vermaire JH. Parental attitudes towards oral health and caries-risk in their children. Int J Dent Hyg 2017;16(2):241–248. DOI: 10.1111/idh.12296.
  6. Albino J, Tiwari T, Gansky SA, et al. Early childhood caries collaborating centers. The basic research factors questionnaire for studying early childhood caries. BMC Oral Health 2017;17(1):83. DOI: 10.1186/s12903-017-0374-5.
  7. Nishi M, Harding M, Kelleher V, et al. Knowledge of caries risk factors/indicators among Japanese and Irish adult patients with different socio-economic profiles: a cross-sectional study. BMC Oral Health 2017;17(1):55. DOI: 10.1186/s12903-017-0345-x.
  8. Bhushan U, Goswami M. Evaluation of retention of pit and fissure sealants placed with and without air abrasion pretreatment in 6-8 year old children in vivo study. J Clin Exp Dent 2017;9(2):e211–e217. DOI: 10.4317/jced.53259.
  9. Chestnutt IG, Playle R, Hutchings S, et al. Fissure seal or fluoride varnish? a randomized trial of relative effectiveness. J Dent Res 2017;96(7):754–761. DOI: 10.1177/0022034517702094.
  10. Frazer RA, Platt JA, Sanders BJ, et al. The effect of fluoride varnish on enamel shear bond strength of pit and fissure sealants. Pediatr Dent 2017;39(2):155–158.
  11. Deery C. Clinical practice guidelines proposed the use of pit and fissure sealants to prevent and arrest noncavitated carious lesions. J Evid Based Dent Pract 2017;17(1):48–50. DOI: 10.1016/j.jebdp.2017.01.008.
  12. Ahovuo-Saloranta A, Hiiri A, Nordblad A, et al. Pit and fissure sealants for preventing dental decay in the permanent teeth of children and adolescents. Cochrane database of systematic reviews 2008. Caries Res 2017;5(4):34.
  13. Warren E, Curtis BH, Jia N, et al. The caries management system: updating cost–effectiveness with 4-year post trial data. Int J Technol Assess Health Care 2016;32(3):107–115. DOI: 10.1017/S0266462316000246.
  14. Hilgert LA, Leal SC, Freire GML, et al. 3-year survival rates of retained composite resin and ART sealants using two assessment criteria. Braz Oral Res 2017;31(0):e35. DOI: 10.1590/1807-3107BOR-2017.
  15. Chadwick BL. Seal or varnish? A randomized controlled trial to determine the relative cost and effectiveness of pit and fissure sealant and fluoride varnish in preventing dental decay. Health Technol Assess 2017;21(21):1–256. DOI: 10.3310/hta21210.
  16. Mitchell ST, Funkhouser E, Gordan VV, et al. Satisfaction with dental care among patients who receive invasive or non-invasive treatment for non-cavitated early dental caries: findings from one region of the national dental PBRN. BMC Oral Health 2017;17(1):70. DOI: 10.1186/s12903-017-0363-8.
  17. Naaman R, El-Housseiny A, Alamoudi N. The use of pit and fissure sealants—a literature review. Dent J (Basel) 2017;5(4):34. DOI: 10.3390/dj5040034.
  18. Droz D, Schiele MJ, Panighi MM. Penetration and microleakage of dental sealants in artificial fissures. J Dent Child (Chic) 2004;71:41–44.
  19. Williams JR. The declaration of helsinki and public health. Bull World Health Organ 2008;86(8):650–652. DOI: 10.2471/BLT.08.050955.
  20. Abou El-Yazeed M, Abou-Zeid W, Zaazou M. Effect of different enamel pretreatment techniques for pit and fissure sealing in primary and permanent teeth. Aust J Basic Appl Sci 1991;7:895–899.
  21. Burrow MF, Burrow JF, Makinson OF. Pits and fissures: etch resistance in prismless enamel walls. Aust Dent J 2001;46(4):258–262. DOI: 10.1111/j.1834-7819.2001.tb00289.x.
  22. Sanders BJ, Feigal RJ, Avery DR. Pit and fissure sealants and preventive resin restorations. In: Mcdonald RE, Avery OR, Dean JA, ed. Dentistry for the Child and Adolescent. 8th ed., USA: Mosby; 2004;17: 353–363.
  23. Joseph O, Donnell P, In vivo Evaluation of Embrace TM Wetbond TM Pit and Fissure Sealant; Internal Report 2003. Available from: http://www.linkedin.com/pub/joseph-o-donnell/18/7A6/449.
  24. Richard Mathewson J, Robert Primosch E. Fundamentals of pediatric dentistry. 3rd ed., Chicago, U.S: Quintessence Publishing Co; 2008. pp. 119–120.
  25. Demirci M, Tuncer S, Yuceokur AA. Prevalence of caries on individual tooth surfaces and its distribution by age and gender in university clinic patients. Eur J Dent 2010;4(03):270–279. DOI: 10.1055/s-0039-1697839.
  26. Cueto EI, Buonocore MG. Sealing of pits and fissures with an adhesive resin: its use in caries prevention. J Am Dent Assoc 1967;75(1):121–128. DOI: 10.14219/jada.archive.1967.0205.
  27. Kühnisch J, Berger S, Goddon I, et al. Occlusal caries detection in permanent molars according to WHO basic methods, ICDAS II and laser fluorescence measurements. Community Dent Oral Epidemiol 2008;36(6):475–484. DOI: 10.1111/j.1600-0528.2008.00436.x.
  28. Veiga NJ, Pereira CM, Ferreira PC, et al. Prevalence of dental caries and fissure sealants in a Portuguese sample of adolescents. PLoS ONE 2015;10(3):e0121299. DOI: 10.1371/journal.pone.0121299.
  29. Oulis CJ, Berdouses ED, Mamai-Homata E, et al. 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(1):100. DOI: 10.1186/1471-2458-11-100.
  30. Al Agili DE, Niazy HA, Pass MA. Prevalence and socioeconomic determinants of dental sealant use among schoolchildren in Saudi Arabia. East Mediterr Health J 2012;18(12):1209–1216. DOI: 10.26719/2012.18.12.1209.
  31. Feigal RJ, Donly KJ. The use of pit and fissure sealants. Pediatr Dent 2006;28:143–150.
  32. Hiiri A, Ahovuo-Saloranta A, Nordblad A, et al. Pit and fissure sealants versus fluoride varnishes for preventing dental decay in children and adolescents. Cochrane Database Syst Rev 2010;17:CD003067.
  33. Beslot-Neveu A, Courson F, Ruse ND. Physico-chemical approach to pit and fissure sealant infiltration and spreading mechanisms. Pediatr Dent 2012;34:57–61.
  34. Griffin SO, Oong E, Kohn W, et al. CDC dental sealant systematic review work group. The effectiveness of sealants in managing caries lesions. J Dent Res 2008;87(2):169–174. DOI: 10.1177/154405910808700211.
  35. Wright JT, Crall JJ, Fontana M, et al. Evidence-based clinical practice guideline for the use of pit-and-fissure sealants: a report of the American Dental Association and the American Academy of Pediatric Dentistry. J Am Dent Assoc 2016;147(8):672–682. DOI: 10.1016/j.adaj.2016.06.001.
  36. American Academy of Pediatric Dentistry. Evidence-based clinical practice guideline for the use of pit-and-fissure sealants. Pediatr Dent 2016;38:263–279.
  37. American Academy of Pediatric Dentistry. Guideline on caries-risk assessment and management for infants, children, and adolescents. Pediatr Dent 2014;36:127–134.
  38. Ahovuo-Saloranta A, Hiiri A, Nordblad A, et al. Sealants for preventing dental decay in the permanent teeth—a review. Cochrane Database Syst Rev 2013(3):CD001830. DOI: 10.1002/14651858.CD001830.pub4.
  39. Koulourides T, Keller SE, Manson-Hing L, et al. Enhancement of fluoride effectiveness by experimental cariogenic priming of human enamel. Caries Res 1980;14(1):32–39. DOI: 10.1159/000260431.
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