The Assessment of Sealants’ Effectiveness in Arresting Non-Cavitated Caries Lesion—A 24-Month Follow-Up
Dental sealants are excellent means to prevent pits and fissure caries. Nowadays, the application of sealants is extended to therapeutic use in arresting non-cavitated carious lesions. This relatively new concept still lacks evidence to support its routine use. The aim of this study was to evaluate...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-08-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/10/9/1651 |
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| author | Liana Beresescu Mariana Păcurar Cristina Ioana Bica Alexandru Vlasa Oana Elena Stoica Timea Dako Blanka Petcu Daniela Esian |
| author_facet | Liana Beresescu Mariana Păcurar Cristina Ioana Bica Alexandru Vlasa Oana Elena Stoica Timea Dako Blanka Petcu Daniela Esian |
| author_sort | Liana Beresescu |
| collection | DOAJ |
| description | Dental sealants are excellent means to prevent pits and fissure caries. Nowadays, the application of sealants is extended to therapeutic use in arresting non-cavitated carious lesions. This relatively new concept still lacks evidence to support its routine use. The aim of this study was to evaluate the effectiveness of a resin-based sealant applied on first permanent molars with carious lesions (ICDAS 1–3), in comparison with its effectiveness when applied on sound surfaces (ICDAS 0). Included in the study were 114 children aged between six and eight years old, with a high caries risk (according to the CAMBRA system), with all four permanent molars erupted and with deep pits and fissures. A total number of 407 molars were sealed and assessed. A total of 49 were excluded (they had caries, which according to the ICDAS II classification were classified with code 4–6 or had older sealants or fillings). Out of these 407 molars, 213 were sound (code 0) and 194 had caries lesions as follows: 56 teeth classified as code 1, 79 teeth classified as code 2, and 59 teeth classified as code 3 according to the ICDAS II classification. The retention of the sealant and carious lesions were assessed clinically at 6, 12, 18, and 24 months. Regarding sealant retention, a statistically significant difference (<i>p</i> < 0.05) among the two types of sealed teeth, sound (ICDAS 0) and decayed (ICDAS 3), showed at 18- and 24-month follow-up intervals. Regarding caries lesions, a statistically significant difference (<i>p</i> < 0.05) showed between sound (ICDAS 0) and decayed (ICDAS 3) molars at 24-month follow-up. Our study results supported the resin-based sealant effectiveness in arresting incipient carious lesions, which according to the ICDAS II classification have received codes 1 and 2 but did not support sealant effectiveness in arresting caries lesions classified according to the same classification with code 3. |
| first_indexed | 2024-03-09T23:54:18Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-09T23:54:18Z |
| publishDate | 2022-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-2e770fcb86b742528b50df56ce85a9a92023-11-23T16:28:29ZengMDPI AGHealthcare2227-90322022-08-01109165110.3390/healthcare10091651The Assessment of Sealants’ Effectiveness in Arresting Non-Cavitated Caries Lesion—A 24-Month Follow-UpLiana Beresescu0Mariana Păcurar1Cristina Ioana Bica2Alexandru Vlasa3Oana Elena Stoica4Timea Dako5Blanka Petcu6Daniela Esian7Faculty of Dental Medicine, University of Medicine and Pharmacy, Science, and Technology George Emil Palade, 540139 Târgu-Mureș, RomaniaFaculty of Dental Medicine, University of Medicine and Pharmacy, Science, and Technology George Emil Palade, 540139 Târgu-Mureș, RomaniaFaculty of Dental Medicine, University of Medicine and Pharmacy, Science, and Technology George Emil Palade, 540139 Târgu-Mureș, RomaniaFaculty of Dental Medicine, University of Medicine and Pharmacy, Science, and Technology George Emil Palade, 540139 Târgu-Mureș, RomaniaFaculty of Dental Medicine, University of Medicine and Pharmacy, Science, and Technology George Emil Palade, 540139 Târgu-Mureș, RomaniaFaculty of Dental Medicine, University of Medicine and Pharmacy, Science, and Technology George Emil Palade, 540139 Târgu-Mureș, RomaniaFaculty of Dental Medicine, University of Medicine and Pharmacy, Science, and Technology George Emil Palade, 540139 Târgu-Mureș, RomaniaFaculty of Dental Medicine, University of Medicine and Pharmacy, Science, and Technology George Emil Palade, 540139 Târgu-Mureș, RomaniaDental sealants are excellent means to prevent pits and fissure caries. Nowadays, the application of sealants is extended to therapeutic use in arresting non-cavitated carious lesions. This relatively new concept still lacks evidence to support its routine use. The aim of this study was to evaluate the effectiveness of a resin-based sealant applied on first permanent molars with carious lesions (ICDAS 1–3), in comparison with its effectiveness when applied on sound surfaces (ICDAS 0). Included in the study were 114 children aged between six and eight years old, with a high caries risk (according to the CAMBRA system), with all four permanent molars erupted and with deep pits and fissures. A total number of 407 molars were sealed and assessed. A total of 49 were excluded (they had caries, which according to the ICDAS II classification were classified with code 4–6 or had older sealants or fillings). Out of these 407 molars, 213 were sound (code 0) and 194 had caries lesions as follows: 56 teeth classified as code 1, 79 teeth classified as code 2, and 59 teeth classified as code 3 according to the ICDAS II classification. The retention of the sealant and carious lesions were assessed clinically at 6, 12, 18, and 24 months. Regarding sealant retention, a statistically significant difference (<i>p</i> < 0.05) among the two types of sealed teeth, sound (ICDAS 0) and decayed (ICDAS 3), showed at 18- and 24-month follow-up intervals. Regarding caries lesions, a statistically significant difference (<i>p</i> < 0.05) showed between sound (ICDAS 0) and decayed (ICDAS 3) molars at 24-month follow-up. Our study results supported the resin-based sealant effectiveness in arresting incipient carious lesions, which according to the ICDAS II classification have received codes 1 and 2 but did not support sealant effectiveness in arresting caries lesions classified according to the same classification with code 3.https://www.mdpi.com/2227-9032/10/9/1651resin-based sealantretentionarresting caries lesions |
| spellingShingle | Liana Beresescu Mariana Păcurar Cristina Ioana Bica Alexandru Vlasa Oana Elena Stoica Timea Dako Blanka Petcu Daniela Esian The Assessment of Sealants’ Effectiveness in Arresting Non-Cavitated Caries Lesion—A 24-Month Follow-Up Healthcare resin-based sealant retention arresting caries lesions |
| title | The Assessment of Sealants’ Effectiveness in Arresting Non-Cavitated Caries Lesion—A 24-Month Follow-Up |
| title_full | The Assessment of Sealants’ Effectiveness in Arresting Non-Cavitated Caries Lesion—A 24-Month Follow-Up |
| title_fullStr | The Assessment of Sealants’ Effectiveness in Arresting Non-Cavitated Caries Lesion—A 24-Month Follow-Up |
| title_full_unstemmed | The Assessment of Sealants’ Effectiveness in Arresting Non-Cavitated Caries Lesion—A 24-Month Follow-Up |
| title_short | The Assessment of Sealants’ Effectiveness in Arresting Non-Cavitated Caries Lesion—A 24-Month Follow-Up |
| title_sort | assessment of sealants effectiveness in arresting non cavitated caries lesion a 24 month follow up |
| topic | resin-based sealant retention arresting caries lesions |
| url | https://www.mdpi.com/2227-9032/10/9/1651 |
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