Comparison of Two Types of Pit and Fissure Sealants in Reducing the Incidence of Dental Caries Using a Split-Mouth Design/Usporedba dviju vrsta smola za pecacenje fisura i jamica u smanjenju incidencije zubnog karijesa primjenom dizajna podijeljenih usta

• Published in: Acta stomatologica croatica Vol. 55; no. 2; p. 137
• Main Authors: Femández-Barrera, Miguel Ángel, Saucedo-Molina, Teresita De Jesús, Scougall-Vilchis, Rogelio José, Márquez-Corona, María De Lourdes, Medina-Solís, Carlo Eduardo, Maupom, Gerardo
• Format: Journal Article
• Language: English
• Published: Sveuciliste U Zagrebu 01-06-2021
• Subjects: Adhesives and sealants industry; Comparative analysis; Dental caries; Elementary school students; Medicine, Preventive; Preventive health services; Mexico
• ISSN: 0001-7019
• DOI: 10.15644/aSc55/2/3

Objectives: To evaluate the effectiveness of two pit and fissure sealants (PFS) in reducing the incidence of dental caries in schoolchildren. Material and Methods: A randomized split-mouth experimental design was used in a sample of 140 subjects assigned to two groups. The sealants used were Clinpro[c]3M and BeautiSealant[c]Shofu placed in first permanent molars (FPMs). Each sealant was compared to molars in the controls to determine effectiveness over a period of 6 months. The study had a 12.9% loss to follow-up. No statistically significant differences (p>0.05) were observed for sex, age, baseline dmft, or type of sealants. Nonparametric tests were used for statistical analysis. Results: Average dmft index at baseline was 4.10[+ or -]3.16. Lower incidence of caries was observed in FPMs with pit and fissure sealants (p<0.01), regardless of the type used. When sealants remained intact there was a lower caries incidence compared to sealants partially or completely missing- but differences were only significant for FPM 16. Caries incidence was higher for BeautiSealant sealed teeth than for Clinpro's, but only statistically significant in FPMs 16, 36 and 46 (p< 0.05). Caries incidence was higher in those cases with a higher baseline dmft but it only reached statistical significance in FPMs 26 and 36. Relative risks for dental caries were lower in sealed teeth (p<0.01). Conclusions: Pit and fissures sealants are an effective preventive treatment to reduce caries during a 6-month follow-up in schoolchildren 6 to 8 years of age, regardless of the type of sealant used. The sealant brand that showed greater effectiveness in terms of prevention and retention was Clinpro[c]3M. MeSH terms: Pit and Fissure Sealants; Dental Caries; Child Author keywords: Pit and Fissure Sealants; Oral Health; Caries Svrha rada: Procjena ucinkovitosti smola za pecacenje jamica i fisura (PFS) u smanjenju ucestalosti zubnog karijesa kod skolaraca. Materijali i metode: Primijenjen je randomizirani eksperimentalni dizajn s podijeljenim ustima u uzorku od 140 ispitanika rasporedenih u dvije skupine. Koristene su smole za pecacenje Clinpro (s) 3M i BeautiSealant (s) Shofu koje su aplicirane na prve trajne kutnjake (FPM). Sve smole usporedene su s kutnjacima na kontrolnoj strani kako bi se ustanovila ucinkovitost tijekom 6 mjeseci. U istrazivanju je postotak ispitanika koji su odustali od pracenja iznosio 12,9%. Nisu uocene statisticki znacajne razlike (p > 0,05) za spol, dob, pocetni DMFT ili vrstu smole. Za statisticku analizu upotrijebljeni su neparametrijski testovi. Rezultati: Prosjecni DMFT indeks bio je na pocetku 4,10 [+ or -] 3,16. Manja incidencija karijesa zabiljezena je na zapecacenim prvim trajnim kutnjacima (p < 0,01), bez obzira na vrstu smole. Kada su smole ostale intaktne, incidencija karijesa bila je manja u usporedbi s djelomicno ili potpuno nestalim pecatima, no razlika je bila statisticki znacajna samo za prve trajne kutnjake 16. Incidencija karijesa bila je veca kod zuba zapecacenih smolom BeautiSealant u usporedbi sa smolom Clinpro, ali je statisticki znacajna bila samo kod prvih trajnih kutnjaka 16, 36 i 46 (p <0,05). Incidencija karijesa bila je veca u slucajevima s visim pocetnim DMFT-om, ali je statisticki znacajna samo za prve trajne kutnjake 26 i 36. Relativni rizik od karijesa bio je nizi kod zapecacenih zuba (p < 0,01). Zakljucak: Smole za pecacenje fisura i jamica ucinkovite su u prevenciji karijesa tijekom sestomjesecnog razdoblja pracenja skolske djece od 6 do 8 godina, bez obzira na vrstu smole. Smola s vecom ucinkovitoscu, kad je rijec o prevenciji i retenciji, bio je Clinpros 3M. MeSH pojmovi: materijali za pecacenje fisura; zubni karijes; dijete Kljucne rijeci: smole za pecacenje fisura i jamica, oralno zdravlje, karijes