The effect of different etching times on the retention of fissure sealants in second primary and first permanent molars

Purpose: This study aimed to assess the utilization of fissure sealants and their influence on caries reduction in first permanent molars (FPMs) among 6-9 years old female schoolchildren in Dammam, Eastern Province of Saudi Arabia. Materials and Methods: First to fourth grade female children from public schools in Dammam participated in this cross-sectional study. Dental caries and fissure sealants in FPMs were examined clinically using the World Health Organization guidelines. In addition, the parents of the participants responded to a self-reported questionnaire. Results: The study analyzed the data of 449 children. Almost 44.3% of the participants had at least one FPM affected with caries. There were 8.7% of the participants who had fissure sealants in at least one FPM, and out of these, only 2.2% had four FPMs filled with sealants. A significantly greater proportion of participants with sealed FPMs had no caries than the lower proportion of participants without sealants who had caries (P=<0.05). The use of sealants increased significantly from first grade (10.3%) to second grade (30.8%), third grade (38.5%), and fourth grade (20.5%) (P=0.006). High monthly family income (P= 0.047) and having insurance (P=0.017) were significantly associated with increased sealant application. Nearly 21.9% of participants’ parents were aware of caries protective effects of dental sealants. Conclusion: The application of sealants was significantly associated with reduced caries in FPMs. Class year, monthly family income, and insurance were significantly associated with having sealants. Caries prevention programs for children should incorporate sealant application.

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A Four-Year Follow-Up Case Report of Hypomineralized Primary Second Molars Rehabilitated with Stainless Steel Crowns

Children ◽

10.3390/children8100923 ◽

2021 ◽

Vol 8 (10) ◽

pp. 923

Author(s):

Luísa Bandeira Lopes ◽

Vanessa Machado ◽

João Botelho

Keyword(s):

Stainless Steel ◽

Case Report ◽

General Anesthesia ◽

Treatment Approach ◽

Primary Molars ◽

Second Primary ◽

Correct Treatment ◽

Permanent Molars ◽

First Permanent Molars

Hypomineralized primary second molars (HPSM) are characterized by enamel opacities accompanied by hypersensitivity and atypical caries lesion, on one to four primary second molars. The correct treatment and follow-ups of those teeth have an important impact on a correct eruption of the first permanent molars and future occlusion. Hence, this report aims to describes a case of a severe HPSM in all second molars of a four-year-old girl and subsequent four-year follow-ups. The rehabilitation involved the placement of four stainless steel crowns on all four second primary molars under general anesthesia. Concerning the available literature and the case severity of HPSM, the treatment approach proposed for the case provided good functional outcome.

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Bilateral Symmetry of Number and Size of Dental Caries Lesions among Children

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4625-45.6.2 ◽

2021 ◽

Vol 45 (6) ◽

pp. 376-379

Author(s):

Nurit Dagon ◽

Sigalit Blumer ◽

Devora Liani ◽

Benjamin Peretz ◽

Tal Ratson

Keyword(s):

Bilateral Symmetry ◽

Second Primary ◽

X Rays ◽

Primary Molar ◽

Caries Lesion ◽

Permanent Molar ◽

Permanent Molars ◽

The University ◽

Caries Lesions ◽

First Permanent Molars

Aim. To determine the bilateral occurrence of caries lesions in 5–12-year-old children, and to assess whether one bitewing photograph can predict caries size and occurrence in the homologous tooth on the other side of the mouth. Study design. The study was carried out on 222 medical files of children 5–12 years old who were first examined in the university dental clinic. The presence and size of the caries lesions in the first and second primary molars and first permanent molars were recorded. Results. No correlation was found when comparing the caries lesion distribution of each tooth’s proximal surface. Seventy-one of the X-rays demonstrated a single caries lesion in a first or second primary molar or in a first permanent molar on one side of the mouth, of which 21.3% demonstrated a single caries lesion in the collateral side, 43.6% demonstrated 2 or more lesions, and 35.21% did not have any caries lesion on the collateral side of the mouth. Conclusion. One bitewing cannot determine the presence and size of a caries lesion on the same site of the homologous tooth.

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A survey of fissure sealants and dental caries prevalence in the first permanent molars among primary school girls in Riyadh, Saudi Arabia

European Journal of Dentistry ◽

10.4103/ejd.ejd_189_17 ◽

2017 ◽

Vol 11 (04) ◽

pp. 455-460 ◽

Cited By ~ 4

Author(s):

Hessa M. Alwayli ◽

Sattam A. Alshiha ◽

Yazeed K. Alfraih ◽

Mohammed A. Hattan ◽

Abdullah A. Alamri ◽

...

Keyword(s):

Saudi Arabia ◽

Primary Schools ◽

Age Groups ◽

Caries Prevalence ◽

Fissure Sealants ◽

Fissure Sealant ◽

Significant Difference ◽

Permanent Molars ◽

School Girls ◽

First Permanent Molars

ABSTRACT Objectives: To investigate the prevalence of caries and fissure sealants on the first permanent molars (FPMs) among 6–9-year-old girls in Riyadh, Saudi Arabia. Materials and Methods: The FPMs of 17,891 school girls from 120 randomly selected public primary schools were evaluated by visual and tactile examination for the carious status and the presence of fissure sealants. Chi-square test was used to analyze the data at level of 5%. Results: A total of 58,140 FPMs were assessed in the 17,891 children. Nearly 64.6% of the children were caries free. Only 1.3% of the children had at least one fissure sealant applied. At tooth level, the decayed FPMs counted for 24.6%. There was obvious underutilization of fissure sealants on the FPMs; 0.8% (n = 478). The caries prevalence in the mandibular FPMs (33%) was significantly higher than in the maxillary FPMs, 18.2% (P < 0.01). The proportion of carious FPMs increased with age of the children significantly (P < 0.01). There was no significant difference in the proportion of the presence of fissure sealants among the three different grade/age groups (P > 0.05). Conclusions: Caries prevalence in the FPMs was high and serious among this cohort of young students. This was contrasting the very low prevalence of fissure sealants.

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Efficacy of sealing the mesial surfaces of first permanent molars with respect to the status of the distal surfaces of the second primary molars in children at high caries-risk

European Archives of Paediatric Dentistry ◽

10.1007/s40368-013-0066-z ◽

2013 ◽

Vol 15 (2) ◽

pp. 65-73 ◽

Cited By ~ 5

Author(s):

S. S. Gomez ◽

C. -G. Emilson ◽

G. C. Corvalan ◽

M. D. Quiroz ◽

M. P. H. Moran

Keyword(s):

Primary Molars ◽

Second Primary ◽

Caries Risk ◽

High Caries Risk ◽

The Status ◽

Permanent Molars ◽

First Permanent Molars

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The treatment of first permanent molars in a school dental programme: Implications for fissure sealants

Australian Dental Journal ◽

10.1111/j.1834-7819.1975.tb04336.x ◽

1975 ◽

Vol 20 (2) ◽

pp. 94-100 ◽

Cited By ~ 6

Author(s):

D. M. Roder

Keyword(s):

Fissure Sealants ◽

Permanent Molars ◽

First Permanent Molars

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PERBEDAAN TOPICAL FLUORIDE APPLICATION DAN FISSURE SEALANT DALAM MENCEGAH KARIES PADAGIGI MOLAR SATU

Jurnal Vokasi Kesehatan ◽

10.30602/jvk.v3i2.112 ◽

2017 ◽

Vol 3 (2) ◽

pp. 98

Author(s):

Pawarti Pawarti ◽

Fathiah Fathiah

Keyword(s):

Time Series ◽

Dental Caries ◽

Topical Application ◽

P Value ◽

Fissure Sealants ◽

Fissure Sealant ◽

Permanent Molars ◽

Topical Fluoride ◽

Pits And Fissures ◽

First Permanent Molars

Abstract: Topical Fluoride Application And Fissure Sealant To Prevent Dental Caries Permanent First Molars. Anatomy pits and fissures of teeth are caries initiation vulnerable areas of the permanent molars that grow at the age of 6 years where children can not perform oral hygiene. Caries prevention can be done by closing the pits and fissures or application of fluoride (topical fluoride application) on the surface of the teeth. The purpose of this study was to analyze the difference fissure sealants and topical application of fluoride to prevent dental caries of first permanent molars. This study was a quasi-experimental study with time series, a sample was taken by purposive 117-second grade students of SDN District of North Pontianak. Data were analyzed using t-test. The result showed that fissure sealant more effective in caries prevention of first permanent molar than topical fluoride application where there were none caries teeth after and month fissure sealant, 25% sealant partially off and 11% fully off. Teeth that have done fluoride after 6 months of 3.9% of dental caries, the eighth month of 5.4% of dental caries. There was a significant difference between the effectiveness of fissure sealants with topical application of fluoride to prevent dental caries in first permanent molars p-value < 0.05, after 6-month p-value: 0.004 and after 8-month p-value: 0.001.Abstrak: Topical Fluoride Application Dan Fissure Sealant Untuk Mencegah Karies Pada Gigi Molar Satu Permanen. Anatomi pit dan fisura gigi merupakan daerah rentan inisiasi karies gigi molar satu permanen yang tumbuh pada usia 6 tahun anak belum bisa melakukan kebersihan mulutnya. Pencegahan karies dapat dilakukan dengan cara menutup pit dan fissure atau pengolesan fluor (topical fluoride application) pada permukaan gigi. Tujuan penelitian ini untuk menganalisis perbedaan efektivitas fissure sealant dan topical fluoride application untuk mencegah karies gigi molar satu permanen anak usia 6 sampai 7 tahun .Penelitian ini merupakan experimental semu dengan studi time series , evaluasi perlakuan dilakukan setelah 3 bulan, 3 bulan dan 8 bulan, Sampel diambil secara purposive yaitu 117 siswa kelas 2 SDN Kecamatan Pontianak Utara. Analisis data menggunakan uji t tes. Hasil penelitian menunjukan fissure sealant lebih efektive mencegah karies pada molar satu permanen dibanding topical fluoride application pada tindakan fissure sealant setelah 8 bulan tidak ada gigi karies, 25 % sealant lepas sebagian dan 11% lepas seluruhnya. Gigi yang dilakukan pengolesan fluor setelah 6 bulan 3,9% gigi karies, bulan ke delapan 5,4% gigi karies, Ada perbedaan efektivitas yang signifikan antara fissure sealant dengan topical flouride application dalam mencegah karies gigi molar satu permanen dengan nilai p <0,05, yaitu pada bulan ke 6 (enam) nilai p : 0,004 dan pada bulan ke 8 (delapan) nilai p : 0,001.

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Knowledge and Management of First Permanent Molars with Enamel Hypomineralization among Dentists and Orthodontists

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4625-44.1.4 ◽

2020 ◽

Vol 44 (1) ◽

pp. 20-27

Author(s):

J Craveia ◽

P Rouas ◽

T Carat ◽

DJ Manton ◽

MJ Boileau ◽

...

Keyword(s):

Study Design ◽

Child Anxiety ◽

Demographic Characteristics ◽

Fissure Sealants ◽

Diagnosis And Management ◽

Dental Practitioners ◽

Molar Incisor Hypomineralization ◽

Permanent Molars ◽

First Permanent Molars

Purpose: Molar Incisor Hypomineralization (MIH) is a developmental enamel anomaly of systemic origin affecting the first permanent molars and often the permanent incisors. Despite MIH being a prevalent anomaly, its diagnosis and management are challenging for practitioners; including poor anesthesia, failure of restorations, rapid enamel breakdown, poor resin adhesion, and related child anxiety. This study aimed to evaluate knowledge regarding and management of MIH amongst orthodontists and dentists. Study design: The study was performed from March to September 2017 and included 336 dentists and 32 orthodontists. Questionnaires comprised questions on MIH diagnosis, socio-demographic characteristics of the subjects, and photographs of a case of MIH with related questions regarding management. Results: Our results showed that 48% of dentists and 25% of orthodontists misdiagnosed MIH; with misdiagnosis associated with graduation prior to 1986 (p < 0.001). Amongst dentists, 59% applied a fluoridated product and 34% applied fissure sealants in the case of moderate MIH. The application of fluoride was associated with graduation after 1986 (p < 0.0001).Conclusion: Large disparities about knowledge and management of MIH exist between dental practitioners in France. Education regarding diagnosis and management of MIH is necessary.

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