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

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.

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

2017 ◽  
Vol 11 (04) ◽  
pp. 455-460 ◽  
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.

scholarly journals Resin-based sealants longevity: a clinical evaluation

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Heitor Ceolin Araujo ◽  
Isabela Copetti Faria ◽  
Brenda Zanfolin Torquato ◽  
Renan Ceolin Araujo ◽  
Rosana Leal do Prado ◽  
...  
Keyword(s):  
Dental Caries ◽  
Clinical Evaluation ◽  
Permanent Teeth ◽  
Caries Experience ◽  
Fissure Sealants ◽  
Fissure Sealant ◽  
Pit And Fissure Sealants ◽  
Significant Difference ◽  
Permanent Molars ◽  
Pit And Fissure Sealant

Introdution: The occlusal surface of the molars are more susceptible to dental caries because of their anatomy, so in some cases, the sealants are indicated. Objective: The objective of this study was to evaluate the efficacy, retention, presence of caries and marginal discoloration of resinous sealants (Fluoroshield and Prevent) in first permanent molars. Methods: Ninety - one children aged 7 to 9 years were selected from a municipal institution Regente Feijó, SP, Brazil, for the application of resinous sealants to first permanent lower first molars. The application of Fluoroshield and Prevent resin sealants was performed according to the manufacturer's recommendations. The evaluation was performed after 6 and 12 months by double-blind examiners and followed the criteria: alpha (total sealant, absence of caries and absence of pigmentation) charlie (partial sealing, superficial caries and light pigmentation) charlie complete sealing, presence of cavitation and pigmentation) after 12 months of application by two previously calibrated examiners. Results: Using Fischer's exact test, no significant difference (p 0.05) was observed between the resin-based sealant groups. In the evaluated criteria, both sealants after three years were similar, and may therefore be suitable materials for sealing grooves and fissures in permanent molars.Descriptors: Pit and Fissure Sealants; Dental Caries; Dentition, Permanent; Oral Health.ReferencesPalma-Dibb RG, Chinelatti MA, Souza-Zaroni WC. Diagnóstico de lesões de cárie. In: Assed S. Odontopediatria: bases científicas para a prática clínica. São Paulo: Artes Médicas; 2005.Sheiham A, James WP. Diet and Dental Caries: The Pivotal Role of Free Sugars Reemphasized. J Dent Res. 2015;94(10):1341-47.Faleiros Chioca S, Urzúa Araya L, Rodríguez Martínez G, Cabello Ibacache R. Uso de sellantes de fosas y fisuras para La prevención de caries em población infanto-juvenil: Revisión metodológica de ensayos clínicos. Rev Clin Periodoncia Implantol Rehabil Oral. 2013;6(1):14-9.Liu BY, Lo EC, Chu CH, Lin HC. Randomized Trial on Fluorides and Sealants for Fissure Caries Prevention. J Dent Res 2012;91(8):753-58Condò R, Cioffi A, Riccio A, Totino M, Condò SG, Cerroni L. Sealants in dentistry: a systematic review of the literature. Oral Implantol (Rome). 2014;6(3):67-74. Ahovuo-Saloranta A, Forss H, Walsh T, Hiiri A, Nordblad A, Mäkelä M et al.  Sealants for preventing dental decay in the permanent teeth. Cochrane Database Syst Rev. 2013;(3):CD001830Moreira KMS,Kantovitz KR,Aguiar JPD, Borges AFS, Pascon FM, Puppin-Rontani RM.  Impact of the intermediary layer on sealant retention: a randomized 24-month clinical trial. Clin Oral Investig. 2017;21(5):1435-43.Griffin SO, Gray SK, Malvitz DM, Gooch BF. Caries Risk in Formerly Sealed Teeth. J Am Dent Assoc 2009;140(4):415-23.Splieth CH, Ekstrand KR, Alkilzy M, Clarkson J, Meyer-Lueckel H, Martignon S et al. Sealants in dentistry: outcomes of the ORCA Saturday Afternoon Symposium 2007. Caries Res. 2010;44(1):3-13Sundfeld RH, Briso ALF, Mauro SJ, de Alexandre RS, Sundfeld Neto D, Oliveira FG et al. Twenty years experience with pit and fissure sealants. Int J Clin Dent. 2010;2(4):1-12.Baldini V, Tagliaferro EPS, Ambrosano GMB, Meneghim MC, Pereira AC. Use of occlusal sealant in a community program and caries incidence in high- and low-risk children. J Appl Oral Sci. 2010;19(4):396-402.Provenzano MGA, Rios D, Fracasso MLC, Marchesi A, Honório HM. Clinical Evaluation of a Resin-Modifi ed Glass Ionomer Cement (Vitremer®) Used as Pit-And-Fissure Sealant in Primary Molars. Pesq Bras Odontoped Clin Integr.2010;10(2):233-40.Saito CM, Lima EP, Mello D, Mello FAS. Selante resinoso: tratamento preventivo e  minimamente invasivo. Rev Gest Saúde. 2014;11:10-17.Zenkner JE, Alves LS, de Oliveira RS, Bica RH, Wagner MB, Maltz M. Influence of eruption stage and biofilm accumulation on occlusal caries in permanent molars: a generalized estimating equations logistic approach. Caries Res. 2013;47(3):177-82.Delmondes FS, Imparato JCP. Selamento de primeiros molares permanentes em erupção com cimento de ionômero de vidro. J Bras Odontopediatr. Odontol Bebê. 2003;6(33):373-78.Heyduck C, Meller C, Schwahn C, Spliet CH. Effectiveness of Sealants in Adolescents with High and Low Caries Experience. Caries Res. 2006;40(5):375-81.Tagliaferro EPS, Ambrosano GMB, Meneghim MC, Pereira AC. Risk indicators and risk predictors of dental caries in schoolchildren. J Appl Oral Sci. 2008;16(6):408-13.Silva RCSP, Araujo MAM, Rego MA. Avaliação clinica de selantes de fossulas e fissuras: efeitos de materiais e tempo de analise. Rev Odontol UNESP. 1996;25(2):237-45.Beraldo DZ, Pereira KFS, Zafalon EJ, Yoshinari FMS.Análise comparativa entre selante resinoso e selante ionomérico por microscópio eletrônico de varredura. Rev Odontol UNESP. 2015;44(4):239-43.Araújo IT, Cunha MMF, Vasconcelos MG, Vasconcelos, RG. Selantes: uma técnica eficaz na prevenção da cárie. Com ciênc saúde. 2013;24(3):259-66.Moura SK, Lemos LVFM, Myszkovisk S, Provenzano MGA, Balducci I, Myaki SI. Bonding durability of dental sealants to deciduous and permanent teeth. Braz J Oral Sci. 2014; 13(3):198-202.Sundfeld RH, Mauro SJ, Briso ALF, Sundfeld  MLMM. Clinical/photographic evaluation of a single application of two sealants after eleven years. Bull Tokyo Dent Coll. 2004;45(2):67-75.Folke BD, Walton JL, Feigal RJ. Occlusal Sealant Success Over Ten Years in a Private Practice: Comparing Longevity of Sealants Placed by Dentists, Hygienists, and Assistants. Pediatr Dent. 2004;26(5):426-32.Sundfeld RH, Croll Theodore P, José MS, Briso ALF, Sversut AR, Sundefeld MLMM. Longitudinal photographic observation of the occurrence of bubbles in pit and fissure sealants. J Appl Oral Sci. 2006;14(1):27-32.Arhakis A, Damianaki S, Toumba KJ. Pit and fissure sealants: types, effectiveness, retention, and fluoride release: a literature review. Balkan J Stomatol. 2007;11(3):151-62.Garbin CAS, Garbin AJI, Santos KT, Pizzato E, Moroso TT. Retention of a pit-and-fissure sealant: comparison of three types of isolation. Pesq Bras Odontoped Clin Integr. 2008;8(2):175-78.Kühnisch J, Mansmannb U, Roswitha HW, Hickel R. Longevity of materials for   pit and fissure sealing - results from a meta-analysis. Dent Mater. 2012;28(3):298-303.

scholarly journals Clinical and economic analysis of dental caries prevention using fluorine-containing sealants

2021 ◽  
Vol 102 (4) ◽  
pp. 545-550
Author(s):  
N I Shaymieva ◽  
R Sh Khasanov ◽  
V N Olesova
Keyword(s):  
Dental Caries ◽  
Economic Analysis ◽  
P Value ◽  
F Test ◽  
Occlusal Surfaces ◽  
Permanent Molars ◽  
The Republic ◽  
Fissure Sealing ◽  
Sealant Retention ◽  
First Permanent Molars

Aim. To conduct a clinical and economic analysis of the effectiveness of the program fissure sealing of first permanent molars with fluorine-containing sealants among schoolchildren of 78 years old in six cities of the Republic of Tatarstan. Methods. Between 2007 and 2011, dentists of six cities of the Republic of Tatarstan performed fissure sealing of permanent first molars using a fluorine-containing sealant in 24,394 schoolchildren aged 78 years according to the manufacturer's instruction. A clinical assessment of fluorine-containing sealant retention during tooth eruption was carried out annually, the results were submitted to the organizational and methodological office of the Republican Dental Clinic. The analysis of the complex of signs that have a normal distribution and characterize four degrees of sealant retention on the occlusal surfaces of teeth in children from several cities was carried out by using one-way ANOVA (analysis of variance) with the calculation of a p-value and F-test (according to Ronald Fischer). Statistical data processing was performed using the Microsoft Office Excel 2017 software. The economic analysis was performed by using mathematical modelling. Results. The use of sealants at the age of 78 years ensured the complete safety of the sealant in 80% of children; the development of dental caries in 1.7%; complete and partial loss 14.3%; disturbance of fit without the development of caries in 4.1% of cases [р=0.0095 (0.01); f-test 3.09839]. Clinical and economic analysis using a mathematical hypothesis in sealing with a fluorine-containing composite sealant determined the preservation of the conditionally spent funds for the treatment of 80% of healthy teeth for 4 years of the project in the amount of 6,001,177 rubles. Notional saved costs for the treatment of one tooth with a sealant amounted to 23.7 rubles. Conclusion. Implementation of the program fissure sealing of first permanent molars with fluorine-containing sealants among schoolchildren of 78 years old allows a total of 98.3% of healthy teeth to be preserved and notionally saved costs of sealing fissures to be reduced.

scholarly journals Prevalence of Dental Caries and Fissure Sealants in the First Permanent Molars among Male Children in Riyadh, Kingdom of Saudi Arabia

2018 ◽  
Vol 11 (5) ◽  
pp. 365-370 ◽  
Author(s):  
Sattam A Alshiha ◽  
Hessa M Alwayli ◽  
Mohammed A Hattan ◽  
Yazeed K Alfraih ◽  
Abdullah A Alamri ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Dental Caries ◽  
Fissure Sealants ◽  
Kingdom Of Saudi Arabia ◽  
Permanent Molars ◽  
First Permanent Molars

scholarly journals Fluoride Varnishes for Preventing Occlusal Dental Caries: A Review

2021 ◽  
Vol 9 (6) ◽  
pp. 64
Author(s):  
Alaa Baik ◽  
Najlaa Alamoudi ◽  
Azza El-Housseiny ◽  
Amani Altuwirqi
Keyword(s):  
High Risk ◽  
Dental Caries ◽  
Caries Prevention ◽  
Fluoride Varnish ◽  
Fissure Sealants ◽  
Occlusal Caries ◽  
Vast Number ◽  
Occlusal Surfaces ◽  
Permanent Molars ◽  
First Permanent Molars

Dental caries are most likely to occur on occlusal surfaces from the early eruptive stages of the tooth. In children, about 80% to 90% of dental caries are occlusal caries. Different preventive modalities are used to prevent occlusal caries. One of the methods used for occlusal caries prevention is fluoride varnish. A vast number of clinical trials have evaluated several types of sealant material and fluoride varnish to assess their ability to prevent occlusal caries in both primary and permanent dentition. The purpose of the current study was to provide an updated overview of the development, composition, mechanism of action, application, and safety of fluoride varnish, as well as its effect on occlusal caries prevention. This review of recently published studies on fluoride varnish and its effect on occlusal caries prevention shows that in children at moderate to high risk of caries, fluoride varnishes prevent occlusal caries. Both resin-based fissure sealants and fluoride varnish are effective for occlusal caries prevention for first-permanent molars. However, it was not possible to identify which one has the best effect. It is recommend that fluoride varnish is applied for children at high risk of caries two to four times per year.

Dental caries and their treatment in first permanent molars

ORL ro ◽  
2017 ◽  
Vol 4 (37) ◽  
pp. 46
Author(s):  
Irina-Maria Gheorghiu ◽  
Loredana Mitran ◽  
Alexandru A Iliescu ◽  
Sânziana Scărlătescu ◽  
Paula Perlea ◽  
...  
Keyword(s):  
Dental Caries ◽  
Permanent Molars ◽  
First Permanent Molars

scholarly journals Sealant Utilization and its Influence on Caries Reduction in First Permanent Molars in Saudi Female School Children

2021 ◽  
Vol 15 (1) ◽  
pp. 583-590
Author(s):  
Fatimah Albaeejan ◽  
Doaa Bakhashwain ◽  
Alanoud Alsubaie ◽  
Azza Tageldin ◽  
Muhammad Nazir ◽  
...  
Keyword(s):  
Public Schools ◽  
Family Income ◽  
Fourth Grade ◽  
First Grade ◽  
World Health ◽  
Protective Effects ◽  
Fissure Sealants ◽  
Monthly Family Income ◽  
Permanent Molars ◽  
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.

Caries-inhibiting Effect of Chlorhexidine Varnish in Pits and Fissures

2006 ◽  
Vol 85 (5) ◽  
pp. 469-472 ◽  
Author(s):  
Q. Zhang ◽  
M.A. van ‘t Hof ◽  
G.J. Truin ◽  
E.M. Bronkhorst ◽  
W.H. van Palenstein Helderman
Keyword(s):  
Controlled Trial ◽  
Treatment Protocol ◽  
Dropout Rate ◽  
Short Term ◽  
Inhibiting Effect ◽  
Permanent Molars ◽  
One Year ◽  
Pits And Fissures ◽  
First Permanent Molars ◽  
Term Benefit

Evidence regarding the caries-inhibiting effect of chlorhexidine varnish is inconclusive. This study investigated the caries-inhibiting effect of the varnish EC40 on pits and fissures of first permanent molars. A two-year randomized controlled trial was carried out among 461 six- to seven-year-old children. In a split-mouth design, one group of molars received EC40 at baseline, 6, 12, and 18 months, and another group at baseline, 3, 12, and 15 months. Control molars did not receive EC40. Adherence to the treatment protocol was good. The dropout rate was 17%. Blinded examiners performed dental examinations.The caries-inhibiting effects of the two EC40 application schemes were comparable. The prevented fraction of caries was 25% (95%CI, 1%, 49%, p = 0.04) after 2 years and 9% (95%CI, −11%, 29%, p = 0.20) one year after termination of the trial, suggesting a short-term benefit from the use of EC40. The efficiency of EC40 is questionable in low-caries-incidence child populations.

Evaluation of fissure sealant applied to topical fluoride treated teeth

2005 ◽  
Vol 29 (3) ◽  
pp. 215-219 ◽  
Author(s):  
Azza El-Housseiny ◽  
Aly Sharaf
Keyword(s):  
Test Group ◽  
Acid Etching ◽  
Control Group ◽  
Fissure Sealant ◽  
Fluoride Treatment ◽  
Permanent Molars ◽  
And Control ◽  
Topical Fluoride ◽  
Sealant Retention

Fissure sealant is an important tool in the prevention of dental caries. This study evaluated the effect of treating the enamel with topical fluoride gel prior to acid etching on sealant retention clinically (Part I) and in vitro (Part II). In part I a split mouth design using contralateral first permanent molars was conducted. Seventy (35 pairs) molars were sealed. Fissure sealant was applied on one side of the mouth (control group) and the contralateral tooth received acidulated phosphate fluoride gel (test group) prior to acid etching. The sealant was evaluated after 6 and 12 months and scored as intact, partially lost or completely missing. In part II, the shear bond strength between sealant and buccal enamel of extracted permanent molars without or with topical fluoride treatment was evaluated. Results showed no statistically significant differences between the test and control groups either clinically or in vitro. It is concluded that topical fluoride application prior to acid etching does not have a deleterious effect on sealant retention. However, further investigations should be conducted using different types of fluoride before altering the traditional practices.

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