Efficacy of sealing occlusal caries with a flowable composite in primary molars: A 2-year randomized controlled clinical trial.

Autor: Dias KR; Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil., de Andrade CB; Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil., Wait TT; Department of Medical Microbiology, Professor Paulo de Góes Institute, Universidade Federal do Rio de Janeiro, RJ, Brazil., Chamon R; Department of Medical Microbiology, Professor Paulo de Góes Institute, Universidade Federal do Rio de Janeiro, RJ, Brazil; Department of Pathology, School of Medicine, Universidade Federal Fluminense, Niterói, RJ, Brazil., Ammari MM; Department of Specific Training, School of Dentistry, Universidade Federal Fluminense, Nova Friburgo, RJ, Brazil., Soviero VM; Department of Preventive and Community Dentistry, School of Dentistry, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil; School of Dentistry, Faculdade Arthur Sá Earp Neto (FASE), Petropólis, RJ, Brazil., Lobo L; Department of Medical Microbiology, Professor Paulo de Góes Institute, Universidade Federal do Rio de Janeiro, RJ, Brazil., de Almeida Neves A; Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil., Maia LC; Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil., Fonseca-Gonçalves A; Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil. Electronic address: andrea.goncalves@odonto.ufrj.br.
Jazyk: angličtina
Zdroj: Journal of dentistry [J Dent] 2018 Jul; Vol. 74, pp. 49-55. Date of Electronic Publication: 2018 May 22.
DOI: 10.1016/j.jdent.2018.05.014
Abstrakt: Objectives: This randomized controlled clinical trial evaluated the efficacy of sealing carious dentin in controlling the progression of lesions in primary molars for 2-year follow-up.
Materials and Methods: Children (6.79 ± 1.81 years, n = 28) presenting primary molars with occlusal caries in the outer half of dentine were randomized and allocated into 2 groups: test (sealing caries with a flowable resin - SC) and control (partial removal of caries followed by restoration - PRC). The primary outcomes were: the clinical success of restorations evaluated by USPHS criteria and the radiographic analysis of caries progression. The children anxiety was evaluated by a Facial Image Scale; and the time required to perform the treatments was registered.
Results: In 21 patients evaluated after 2 years, 48 primary molars were analyzed. Clinically, there was no difference between the groups. There was no difference between treatments (p = 0.848) considering lesion progression. The anxiety level did not change after the two interventions (p = 0.650). The treatment time of SC (9.03 ± 1.91 min) was lower (p = 0.002) than the PRC time (17.13 ± 5.26 min).
Conclusion: Sealing carious dentin may be used in dentistry since it did not alter the children anxiety, reduced the chair time and demonstrated clinical success rate and no radiographic difference in relation to the partial caries removal followed by restoration.
(Copyright © 2018 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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