Performance of Preventive Methods Applied to the Occlusal Surface of Primary Teeth: A Randomized Clinical Study

Marina de Lourdes Calvo Fracasso, Helena Sandrini Venante, Gabriela Cristina Santin, Carlos Luiz Fernandes Salles, Maria Gisette Arias Provenzano, Sandra Mara Maciel

Abstract


Objective: To evaluate the clinical performance of three preventive materials on the occlusal surfaces of primary molars over a 36-month period. Material and Methods: The study was conducted with a split-mouth design involving four experimental groups: G1 – resin-modified glass ionomer cement (Vitremer®); G2 - resin sealant (Alpha Seal Light®); G3 - silver diamine fluoride (Cariostatic®); and G4 - control group without material. Thirty-two children aged 36 to 60 months, attending a pediatric clinic, with a deft index ≥ 1 and four primary second molars participated in the study. The material retention was evaluated in G1 and G2, and the presence of incipient caries was evaluated in all groups. Data were submitted to the Wilcoxon test and survival test (α = 5%). Results: At three, six, 12, 24 and 36 months, G2 exhibited greater material loss (maximum loss: 44%) in comparison to G1 (maximum loss: 35%), but this difference did not achieve statistical significance (p = 0.214). The highest incidence of incipient caries occurred in G3 (20%), but no significant differences were found between groups at any evaluation time (p = 0.154). Conclusion: There were no statistically significant differences between the evaluated products regarding material retention and dental caries, although there was more material loss in teeth that received the Alpha Seal® sealant resin, and a greater number of carious lesions in the Cariostatic® group (silver diamine fluoride).


Keywords


Pit and Fissure Sealants; Tooth, Deciduous; Dental Caries

Full Text:

PDF

References


Splieth CH, Christiansen J, Page LAF. Caries Epidemiology and Community Dentistry: Chances for/ Future Improvements in Caries Risk Groups. Outcomes of the ORCA Saturday Afternoon Symposium, Greifswald, 2014. Part 1. Caries Res 2016; 50(1):9-16. doi: 10.1159/000442713.

Mickenautsch S, Yengopal V. Caries-preventive effect of high viscosity glass ionomer and resin-based fissure sealants on permanent teeth: A systematic review of clinical trials. PLoS One 2016; 11(1):e0146512. doi: 10.1371/journal.pone.0146512.

Hicks M J, Flaitz C M. Caries-like formation in occlusal fissures: an in vitro study. Quintessence Int 1986; 17(7):405-10.

Greenwell AL, Johnsen D, DiSantis TA, Gerstenmaier J, Limbert N. Longitudinal evaluation of caries patterns from the primary to the mixed dentition. Pediatr Dent 1990; 12(5):278-82.

Ripa LW. Occlusal sealants: rationable and review of clinical trials. Int Dent J 1980; 30(2):127-39.

Provenzano MGA, Rios D, Fracasso MLC, Marchesi A, Honório HM. Clinical evaluation of a resin-modified glass ionomer cement (Vitremer®) used as pit-and-fissure sealant in primary molars. Pesq Bras Odontoped Clin Integr 2010; 10(2):233-40. doi: 10.4034/1519.0501.2010.0102.0016.

Wright OT, Tampi MP, Graham L, Estrich C, Crall JJ, Fontana M, et al. Sealants for preventing and arresting pit-and-fissure occlusal caries in primary and permanent molars. Ped Dent 2016; 38(4):282-94.

Delbem ACB, Nery RS, Faraco Junior IM, El Kik V. The effect of acid etching times on the retention of glass ionomer or resin fissure sealant. Stomatos 2005; 11(21):5-12.

Hesse D, Bonifácio CC, Guglielmi CAB, Franca C, Mendes FM, Raggio DP. Low-cost glass ionomer cement as ART sealant in permanent molars: a randomized clinical trial. Braz Oral Res 2015; 29(1):1-9. doi: 10.1590/1807-3107BOR-2015.vol29.0063.

Baseggio W, Naufel FS, Davidoff DCO, Nahsan FPS, Flury S, Rodrigues JA. Caries-preventive efficacy and retention of a resin-modified glass ionomer cement and a resin-based fissure sealant: A 3-year split-mouth randomised clinical trial. Oral Health Prev Dent 2010; 8(3):261-8.

Oliveira FS, Silva SM, Machado MA, Bijella MF, Lima JE, Abdo RC. Resin-modified glass ionomer cement and a resin-based material as occlusal sealant: a longitudinal clinical performance. J Dent Child 2008; 75(2):134-43.

Papageorgiou SN, Dimitraki D, Kotsanos N, Bekes K, van Waes H. Performance of pit and fissure sealants according to tooth characteristics: A systematic review and meta-analysis. J Dent 2017; 66:8-17. doi: 10.1016/j.jdent.2017.08.004.

Skeie MS, Raadal M, Strand GV, Espelid I. The relationship between caries in the primary dentition on at 5 years of age and permanent dentition at 10 years of age – A longitudinal study. Int J Paediatr Dent 2006; 16(3):152-60. doi: 10.1111/j.1365-263X.2006.00720.x.

Tagliaferro EP, Pardi V, Ambrosano GM, Meneghin MC, Silva SR, Pereira AC. Occlusal caries prevention in high and low risk schoolchildren. A clinical trial. Am J Dent 2011; 24(2):109-14.

Beauchamp J, Caufield PW, Crall JJ, Donly K, Feigal R, Simonsen, R, et al. Evidence based clinical recommendations for the use of pit-and-fissure sealants: A report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc 2008; 139(3):257-68. doi: 10.14219/jada.archive.2008.0155.

Marković D, Petrović B, Perić T, Blagojević D. Microleakage, adaptation ability and clinical efficacy of two fluoride releasing fissure sealants. Vojnosanit Pregl 2012; 69(4):320-25.

Santos Junior VED, Souza PRD, Rosenblatt A. An approach to arrest and prevent caries in children: Silver Diamine Fluride. RFO UPF 2012; 17(2):228-33.

Gonini CAJ, Alvanhan D. Manual de saúde bucal. Londrina: Prefeitura do Município, 2009. 550p. Available from: http://www.londrina.pr.gov.br/dados/images/stories/Storage/sec_saude/protocolo_saude_bucal/ protocolo_saude_bucal.pdf.

Schulz KF, Altman DG, Moher D, for the CONSORT Group. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. J Clin Epidemiol 2010; 63(8):834-840. doi: 10.1016/j.jclinepi.2010.02.005.

Lobo MM, Pecharki GD, Tengan C, da Silva DD, da Tagliaferro EP, Napimoga MH. Fluoride-releasing capacity and cariostatic effect provided by sealants. J Oral Sci 2005; 47(1):35-41. doi: 10.2334/josnusd.47.35.

Ryge G, Snyder M. Evaluating the clinical quality of restorations. J Am Dent Assoc 1973; 87(2):369-77.

Reddy VR, Chowdhary N, Mukunda KS, Kiran NK, Kavyarani BS, Pradeep MC. Retention of resin-based filled and unfilled pit and fissure sealants: A comparative clinical study. Contemp Clin Dent 2015; 6(1):18-23. doi: 10.4103/0976-237X.152932.

Ripa LW. Sealants revisted: An update of the effectiveness of pit and fissure sealants. Caries Res 1993; 27(1):77-82.

Frencken JE, Wolke J. Clinical and SEM assessment of ART high-viscosity glassionomer sealants after 8–13 years in 4 teeth. J Dent. 2010;38(1):59-64.

Crall JJ, Donly KJ. Dental sealants guidelines development: 2002-2014. Pediatr Dent 2015; 37(2):111-15.

Gonçalves PSP, Kobayashi TY, Oliveira TM, Honório HM, Rios D, Silva, SMB. Pit and fissure sealants with different materials: resin based x glass ionomer cement – Results after six months. Braz Res Ped Dent Integr Clin 2016; 16(1):15-23. doi: 10.4034/PBOCI.2016.161.02.

Kühnisch J, Mansmann U, Heinrich-Weltzien R, Hickel R. Longevity of materials for pit and fissure sealing - Results from a meta-analysis. Dent Mater 2012; 28(3):298-303. doi: 10.1016/j.dental.2011.11.002.

Cagetti MG, Carta G, Cocco F, Sale S, Congiu G, Mura, A, et al. Effect of fluoridated sealants on adjacent tooth surfaces: A 30-mo randomized clinical trial. J Dent Res 2014; 93(7 Suppl):59S-65S. doi: 10.1177/0022034514535808.

Ditterich RG, Romanelli MCMOV, Rastelli MC, Czlusniak GD, Wambier DS. Diamine silver fluoride: A literature review. Publ UEPG Ci Biol Saúde 2006; 12(2):45-52.

Triches TC, Cordeiro MMR, Souza JGMV, Saltori EK, França BHS. Parental acceptance of the use of diamine silver fluoride in children aged 0 to 3 years in the city of Cascavel, PR, Brazil. Pesq Bras Odontoped Clin Integr 2009; 9(3):265-9. doi: 10.4034/1519.0501.2009.0093.0003.

Yee R, Holmgren C, Mulder J, Lama D, Walker D, Helderman WP. Efficacy of silver diamine fluoride for arresting caries treatment. J Dent Res 2009; 88(7):644-7. doi: 10.1177/0022034509338671.

Liu BY, Lo EC, Chu CH, Lin HC. Randomized trial on fluorides and sealants for fissure caries prevention. J Dent Res 2012; 91(8):753-58. doi: 10.1177/0022034512452278.

Rosenblatt A, Stamford TCM, Niederman R. Silver diamine fluoride: A caries silver-fluoride bullet. J Dent Res 2009; 88(2):116-25. doi: 10.1177/0022034508329406.




DOI: http://dx.doi.org/10.4034/PBOCI.2018.181.05

PBOCI is a member of CrossRef and all the content of its journals are linked by DOIs through CrossRef.