A 5-year clinical follow-up of the efficacy of proximal sealing in high caries risk children.

Autor: Emilson CG; Department of Cariology, Institute of Odontology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden. Electronic address: emilson@odontologi.gu.se., Basili C; Department of Preventive Dentistry, Facultad de Odontología Universidad de Valparaíso, Valparaíso, Chile., Corvalan GC; Department of Preventive Dentistry, Facultad de Odontología Universidad de Valparaíso, Valparaíso, Chile., Moran MPH; Department of Preventive Dentistry, Facultad de Odontología Universidad de Valparaíso, Valparaíso, Chile., Quiroz MD; Department of Preventive Dentistry, Facultad de Odontología Universidad de Valparaíso, Valparaíso, Chile., Torres C; Department of Preventive Dentistry, Facultad de Odontología Universidad de Valparaíso, Valparaíso, Chile., Gomez SS; Department of Preventive Dentistry, Facultad de Odontología Universidad de Valparaíso, Valparaíso, Chile.
Jazyk: angličtina
Zdroj: Journal of dentistry [J Dent] 2022 Nov 26, pp. 104382. Date of Electronic Publication: 2022 Nov 26.
DOI: 10.1016/j.jdent.2022.104382
Abstrakt: Objective: The aim of the present study was to evaluate, after 5 years, the efficacy of proximal microinvasive sealing of permanent teeth on the risk for caries lesion development.
Methods: Children aged 8 to 10 y at baseline, at high caries risk, were studied. In the preventive (P) group the children had caries lesions on the distal surface of primary second molars (05d) but sound mesial surfaces of the approximating permanent first molars (6m). In the therapeutic (T) group the children had initial caries lesions on 6m that abutted lesions on 05d. Each child in the two groups had one 05d/6m pair. Using a split-mouth design, one 6m surface in each pair was randomly assigned to receive sealing while the other pair served as an unsealed control.
Results: Of the 61 children at baseline 42 could be blindly examined clinically and radiographically both at baseline and after 5 years. In the P group, 8 of 28 (28.6%) sealed and 15 of 28 (53.6 %) unsealed sound 6m surfaces had developed caries lesions (p = 0.04). In the T group, the progression of the carious lesions on 6m was observed in 4 of 14 sealed (28.6%) and 8 of 14 (57.1%) unsealed caries control surfaces (p = 0.29). Pooling the data from the two groups, the difference between sealed and non-sealed surfaces was significant (p = 0.013).
Conclusion: Both preventive and therapeutic sealant to 6m adjacent to a lesion on 05d has effectiveness in caries reduction in high caries risk children CLINICAL SIGNIFICANCE: The beneficial effect of sealing is observed for at least 5 years after a single sealant treatment.
Competing Interests: Declaration of Competing Interest The authors have no conflicts of interest to declare and no financial funding.
(Copyright © 2022. Published by Elsevier Ltd.)
Databáze: MEDLINE
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