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The Assessment of Sealants’ Effectiveness in Arresting Non-Cavitated Caries Lesion—A 24-Month Follow-Up

Dental sealants are excellent means to prevent pits and fissure caries. Nowadays, the application of sealants is extended to therapeutic use in arresting non-cavitated carious lesions. This relatively new concept still lacks evidence to support its routine use. The aim of this study was to evaluate...

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Autores principales: Beresescu, Liana, Păcurar, Mariana, Bica, Cristina Ioana, Vlasa, Alexandru, Stoica, Oana Elena, Dako, Timea, Petcu, Blanka, Esian, Daniela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9498818/
https://www.ncbi.nlm.nih.gov/pubmed/36141263
http://dx.doi.org/10.3390/healthcare10091651
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author Beresescu, Liana
Păcurar, Mariana
Bica, Cristina Ioana
Vlasa, Alexandru
Stoica, Oana Elena
Dako, Timea
Petcu, Blanka
Esian, Daniela
author_facet Beresescu, Liana
Păcurar, Mariana
Bica, Cristina Ioana
Vlasa, Alexandru
Stoica, Oana Elena
Dako, Timea
Petcu, Blanka
Esian, Daniela
author_sort Beresescu, Liana
collection PubMed
description Dental sealants are excellent means to prevent pits and fissure caries. Nowadays, the application of sealants is extended to therapeutic use in arresting non-cavitated carious lesions. This relatively new concept still lacks evidence to support its routine use. The aim of this study was to evaluate the effectiveness of a resin-based sealant applied on first permanent molars with carious lesions (ICDAS 1–3), in comparison with its effectiveness when applied on sound surfaces (ICDAS 0). Included in the study were 114 children aged between six and eight years old, with a high caries risk (according to the CAMBRA system), with all four permanent molars erupted and with deep pits and fissures. A total number of 407 molars were sealed and assessed. A total of 49 were excluded (they had caries, which according to the ICDAS II classification were classified with code 4–6 or had older sealants or fillings). Out of these 407 molars, 213 were sound (code 0) and 194 had caries lesions as follows: 56 teeth classified as code 1, 79 teeth classified as code 2, and 59 teeth classified as code 3 according to the ICDAS II classification. The retention of the sealant and carious lesions were assessed clinically at 6, 12, 18, and 24 months. Regarding sealant retention, a statistically significant difference (p < 0.05) among the two types of sealed teeth, sound (ICDAS 0) and decayed (ICDAS 3), showed at 18- and 24-month follow-up intervals. Regarding caries lesions, a statistically significant difference (p < 0.05) showed between sound (ICDAS 0) and decayed (ICDAS 3) molars at 24-month follow-up. Our study results supported the resin-based sealant effectiveness in arresting incipient carious lesions, which according to the ICDAS II classification have received codes 1 and 2 but did not support sealant effectiveness in arresting caries lesions classified according to the same classification with code 3.
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spelling pubmed-94988182022-09-23 The Assessment of Sealants’ Effectiveness in Arresting Non-Cavitated Caries Lesion—A 24-Month Follow-Up Beresescu, Liana Păcurar, Mariana Bica, Cristina Ioana Vlasa, Alexandru Stoica, Oana Elena Dako, Timea Petcu, Blanka Esian, Daniela Healthcare (Basel) Article Dental sealants are excellent means to prevent pits and fissure caries. Nowadays, the application of sealants is extended to therapeutic use in arresting non-cavitated carious lesions. This relatively new concept still lacks evidence to support its routine use. The aim of this study was to evaluate the effectiveness of a resin-based sealant applied on first permanent molars with carious lesions (ICDAS 1–3), in comparison with its effectiveness when applied on sound surfaces (ICDAS 0). Included in the study were 114 children aged between six and eight years old, with a high caries risk (according to the CAMBRA system), with all four permanent molars erupted and with deep pits and fissures. A total number of 407 molars were sealed and assessed. A total of 49 were excluded (they had caries, which according to the ICDAS II classification were classified with code 4–6 or had older sealants or fillings). Out of these 407 molars, 213 were sound (code 0) and 194 had caries lesions as follows: 56 teeth classified as code 1, 79 teeth classified as code 2, and 59 teeth classified as code 3 according to the ICDAS II classification. The retention of the sealant and carious lesions were assessed clinically at 6, 12, 18, and 24 months. Regarding sealant retention, a statistically significant difference (p < 0.05) among the two types of sealed teeth, sound (ICDAS 0) and decayed (ICDAS 3), showed at 18- and 24-month follow-up intervals. Regarding caries lesions, a statistically significant difference (p < 0.05) showed between sound (ICDAS 0) and decayed (ICDAS 3) molars at 24-month follow-up. Our study results supported the resin-based sealant effectiveness in arresting incipient carious lesions, which according to the ICDAS II classification have received codes 1 and 2 but did not support sealant effectiveness in arresting caries lesions classified according to the same classification with code 3. MDPI 2022-08-30 /pmc/articles/PMC9498818/ /pubmed/36141263 http://dx.doi.org/10.3390/healthcare10091651 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Beresescu, Liana
Păcurar, Mariana
Bica, Cristina Ioana
Vlasa, Alexandru
Stoica, Oana Elena
Dako, Timea
Petcu, Blanka
Esian, Daniela
The Assessment of Sealants’ Effectiveness in Arresting Non-Cavitated Caries Lesion—A 24-Month Follow-Up
title The Assessment of Sealants’ Effectiveness in Arresting Non-Cavitated Caries Lesion—A 24-Month Follow-Up
title_full The Assessment of Sealants’ Effectiveness in Arresting Non-Cavitated Caries Lesion—A 24-Month Follow-Up
title_fullStr The Assessment of Sealants’ Effectiveness in Arresting Non-Cavitated Caries Lesion—A 24-Month Follow-Up
title_full_unstemmed The Assessment of Sealants’ Effectiveness in Arresting Non-Cavitated Caries Lesion—A 24-Month Follow-Up
title_short The Assessment of Sealants’ Effectiveness in Arresting Non-Cavitated Caries Lesion—A 24-Month Follow-Up
title_sort assessment of sealants’ effectiveness in arresting non-cavitated caries lesion—a 24-month follow-up
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9498818/
https://www.ncbi.nlm.nih.gov/pubmed/36141263
http://dx.doi.org/10.3390/healthcare10091651
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