Comparison of Two Types of Pit and Fissure Sealants in Reducing the Incidence of Dental Caries Using a Split-Mouth Design

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...

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Main Authors: Miguel Ángel Fernández-Barrera, Teresita de Jesús Saucedo-Molina, Rogelio José Scougall-Vilchis, María de Lourdes Márquez-Corona, Carlo Eduardo Medina-Solís, Gerardo Maupomé
Format: Article
Language:English
Published: University of Zagreb. School of Dental Medicine 2021-01-01
Series:Acta Stomatologica Croatica
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Online Access:https://hrcak.srce.hr/file/376312
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author Miguel Ángel Fernández-Barrera
Teresita de Jesús Saucedo-Molina
Rogelio José Scougall-Vilchis
María de Lourdes Márquez-Corona
Carlo Eduardo Medina-Solís
Gerardo Maupomé
author_facet Miguel Ángel Fernández-Barrera
Teresita de Jesús Saucedo-Molina
Rogelio José Scougall-Vilchis
María de Lourdes Márquez-Corona
Carlo Eduardo Medina-Solís
Gerardo Maupomé
author_sort Miguel Ángel Fernández-Barrera
collection DOAJ
description 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©3M and BeautiSealant©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±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©3M.
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spelling doaj.art-ba300bce62c8448b8ba5e1991acabb322024-04-15T16:59:03ZengUniversity of Zagreb. School of Dental MedicineActa Stomatologica Croatica0001-70191846-04102021-01-0155213714610.15644/asc55/2/3Comparison of Two Types of Pit and Fissure Sealants in Reducing the Incidence of Dental Caries Using a Split-Mouth DesignMiguel Ángel Fernández-Barrera0Teresita de Jesús Saucedo-Molina1Rogelio José Scougall-Vilchis2María de Lourdes Márquez-Corona3Carlo Eduardo Medina-Solís4Gerardo Maupomé5Academic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State. Pachuca, MexicoAcademic Area of Nutrition of Health Sciences Institute at Autonomous University of Hidalgo State. Pachuca, MexicoAdvanced Studies and Research Centre in Dentistry “Dr. Keisaburo Miyata” of School of Dentistry at Autonomous University of the State of Mexico. Toluca, MexicoAdvanced Studies and Research Centre in Dentistry “Dr. Keisaburo Miyata” of School of Dentistry at Autonomous University of the State of Mexico. Toluca, MexicoAcademic Area of Dentistry of Health Sciences Institute at Autonomous University of Hidalgo State. Pachuca, Mexico; Advanced Studies and Research Centre in Dentistry “Dr. Keisaburo Miyata” of School of Dentistry at Autonomous University of the State of Mexico. Toluca, MexicoRichard M. Fairbanks School of Public Health, Indiana University/Purdue University. Indianapolis, USA; Indiana University Networ Science Institute, Bloomington, USAObjectives: 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©3M and BeautiSealant©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±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©3M.https://hrcak.srce.hr/file/376312Pit and Fissure SealantsDental CariesChildOral HealthCaries
spellingShingle Miguel Ángel Fernández-Barrera
Teresita de Jesús Saucedo-Molina
Rogelio José Scougall-Vilchis
María de Lourdes Márquez-Corona
Carlo Eduardo Medina-Solís
Gerardo Maupomé
Comparison of Two Types of Pit and Fissure Sealants in Reducing the Incidence of Dental Caries Using a Split-Mouth Design
Acta Stomatologica Croatica
Pit and Fissure Sealants
Dental Caries
Child
Oral Health
Caries
title Comparison of Two Types of Pit and Fissure Sealants in Reducing the Incidence of Dental Caries Using a Split-Mouth Design
title_full Comparison of Two Types of Pit and Fissure Sealants in Reducing the Incidence of Dental Caries Using a Split-Mouth Design
title_fullStr Comparison of Two Types of Pit and Fissure Sealants in Reducing the Incidence of Dental Caries Using a Split-Mouth Design
title_full_unstemmed Comparison of Two Types of Pit and Fissure Sealants in Reducing the Incidence of Dental Caries Using a Split-Mouth Design
title_short Comparison of Two Types of Pit and Fissure Sealants in Reducing the Incidence of Dental Caries Using a Split-Mouth Design
title_sort comparison of two types of pit and fissure sealants in reducing the incidence of dental caries using a split mouth design
topic Pit and Fissure Sealants
Dental Caries
Child
Oral Health
Caries
url https://hrcak.srce.hr/file/376312
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