Abstract
BackgroundThe resin-based pit and fissure sealant is considered a successful tool in caries prevention, however there is a growing evidence of its use in controlling already established caries in posterior teeth. The aim of this clinical trial is to verify the efficacy of pit and fissure sealants in arresting dentinal caries lesions compared to partial excavation and restorative treatment in primary molar teeth.MethodsThirty six patients with occlusal cavitated primary molar reaching outer half of dentin were selected. The patients were randomly allocated into two groups: sealant application (experimental group – n = 17) and restoration with composite resin (control group – n = 19). Clinical and radiograph evaluation were performed after 6, 12 and 18 months. The chi-square test was used to verify the distribution of characteristics variables of the sample among the groups. The survival rate of treatments was evaluated using Kaplan–Meier survival and log-rank test. Fisher’s Exact and logistic regression tests were calculated in each evaluation period (α = 5%).ResultsThe control group showed significantly better clinical survival after 18 months (p = 0.0025). In both groups, no caries progression was registered on the radiographic evaluations.ConclusionsSealing had similar efficacy in the arrestment of caries progression of cavitated occlusal lesions compared to partial excavation of the lesions, even though the frequency of re-treatments was significantly higher in sealed lesions.Trial registrationRegistro Brasileiro de Ensaios Clínicos (ReBEC): RBR-9kkv53
Highlights
The resin-based pit and fissure sealant is considered a successful tool in caries prevention, there is a growing evidence of its use in controlling already established caries in posterior teeth
Dental caries is a disease with identified etiology and able to be prevented and controlled [1,2]
Sealing may be an effective approach for treating cavitated occlusal caries with radiographic lesion penetration into the outer half of the dentin in primary molars; Figure 1 Consort flow diagram of the trial. n number of children
Summary
The resin-based pit and fissure sealant is considered a successful tool in caries prevention, there is a growing evidence of its use in controlling already established caries in posterior teeth. The aim of this clinical trial is to verify the efficacy of pit and fissure sealants in arresting dentinal caries lesions compared to partial excavation and restorative treatment in primary molar teeth. It is established that caries development is dependent on the biofilm stagnation area on the dental surface. Conventional caries lesions management is usually based on operative procedures to re-establish the surface integrity and enable efficient dental plaque removal [3].
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