Comparison of the caries-preventive effect of a glass ionomer sealant and fluoride varnish on newly erupted first permanent molars of children with and without dental caries experience

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.

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Prevalence and contributing factors of dental caries of 6-year-old children in four regions of China

PeerJ ◽

10.7717/peerj.6997 ◽

2019 ◽

Vol 7 ◽

pp. e6997 ◽

Cited By ~ 3

Author(s):

Zhaoyou Wang ◽

Wensheng Rong ◽

Ying Zhang ◽

Xiaojuan Zeng ◽

Zhiqiang Li ◽

...

Keyword(s):

Oral Health ◽

Dental Caries ◽

Assessment System ◽

World Health ◽

Caries Experience ◽

Caries Prevalence ◽

Contributing Factors ◽

Permanent Molars ◽

The Mean ◽

First Permanent Molars

Background From 2005 to 2015, the prevalence of dental caries in both primary and permanent dentitions was significantly increased in China. Previous studies have shown that the prevalence of permanent dental caries in school-aged children had already reached 19.7%–54.0%, 97.5% affecting first permanent molars. This study aimed to investigate the prevalence and contributing factors of dental caries in 6-year-old children in four regions of China to provide information for oral health promotion programs. Methods A randomized cluster sampling method was employed in the study. All 6-year-old first grade children from the selected schools were invited to receive a clinical oral examination. Dental caries were diagnosed according to the World Health Organization criteria. The erupting first permanent molars were recorded using the modified International Caries Detection Assessment System. Questionnaires assessing children’s oral health-related behaviors and their caretakers’ oral health awareness and attitudes were completed by the children’s parents or guardians. Results Overall, 4,936 6-year-old school children participated in the survey. The prevalence of caries among these children was 87.7%, with a mean number of decayed, missing and filled teeth of 6.04 (SD, 4.24). In primary dentition, the caries prevalence was 87.7%, and the mean dmft score was 6.01 (SD, 4.22). In permanent dentition, the caries prevalence was 2.0%, the mean DFS score was 0.04 (SD, 0.31). All permanent dental caries occurred on the first permanent molars. Carious tooth surfaces were identified as modified ICDAS code “A” to indicate initial caries and distinct visual change in enamel. The mean DAS score of non-cavitated caries in the first permanent molars was 0.18 (SD, 0.67). Logistic regression analysis showed that regional and gender factors were significantly related to the caries experience of these children. Conclusions The 6-year-old children from four regions of China had sever primary dental caries and the first permanent molars were at high risk for dental caries. It is critical to protect permanent teeth from caries as early as the eruption of the first permanent molars.

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Dental caries and their treatment in first permanent molars

ORL ro ◽

10.26416/orl.37.4.2017.1303 ◽

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

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Characteristics and Caries Experience of Tetracycline-Affected Dentitions

Journal of Dental Research ◽

10.1177/00220345730520032201 ◽

1973 ◽

Vol 52 (3) ◽

pp. 508-516 ◽

Cited By ~ 7

Author(s):

Louise J. Brearley ◽

J. Rennie Porteous

Keyword(s):

Additive Effect ◽

Caries Experience ◽

Paired Control ◽

Permanent Molars ◽

Deciduous Molars ◽

First Permanent Molars

A study of the caries experience of children with tetracycline-affected, but not hypoplastic, dentitions showed significantly lower DMF surface scores for the complete dentition, deciduous molars, and first permanent molars in comparison with paired control dentitions. Tetracycline and fluoride appeared to have an additive effect in lowering caries experience.

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The Performance of First Molar Orthodontic Bands Cemented with Glass Ionomer Cement—A Retrospective Analysis

British Journal of Orthodontics ◽

10.1179/bjo.19.3.215 ◽

1992 ◽

Vol 19 (3) ◽

pp. 215-220 ◽

Cited By ~ 14

Author(s):

D. T. Millett ◽

P. H. Gordon

Keyword(s):

Survival Time ◽

Retrospective Analysis ◽

Orthodontic Treatment ◽

Glass Ionomer Cement ◽

Glass Ionomer ◽

Factors Influencing ◽

Permanent Molars ◽

First Permanent Molars ◽

Ionomer Cement

Various factors influencing the survival time of orthodontic bands cemented to first permanent molars with glass ionomer cement (KETAC-CEM, Espe) have been investigated. Data on 513 patients with 1424 first molar bands who completed orthodontic treatment between 1985 and 1989 inclusive were analysed. Performance of bands cemented to first permanent molars varied according to the operator, age of the patient and treatment mechanics, but not according to the sex of the patient or quadrant in which the band was fitted.

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Dental caries is concentrated in the first permanent molars

BDJ ◽

10.1038/sj.bdj.4809639 ◽

1998 ◽

Vol 184 (8) ◽

pp. 387-387

Author(s):

D W Sarll

Keyword(s):

Dental Caries ◽

Permanent Molars ◽

First Permanent Molars

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Clinical Evaluation of the Retention of Resin and Glass Ionomer Sealants Applied as a Part of School-Based Caries Prevention Program

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2019.869 ◽

2019 ◽

Vol 7 (23) ◽

pp. 4127-4130

Author(s):

Asem Alkhodairi ◽

Moahmmad Alseweed ◽

Sulaiman Alwashmi ◽

Ramy Elmoazen

Keyword(s):

Clinical Evaluation ◽

Prevention Program ◽

Contralateral Side ◽

Caries Prevention ◽

Glass Ionomer ◽

School Based ◽

Permanent Molars ◽

Resin Sealant ◽

Pits And Fissures ◽

First Permanent Molars

BACKGROUND: Using of sealant on pits and fissures is likely one of the most generally well-known strategies by the new cavity-prevention systems. AIM: The purpose of this research is to measure the retentiveness of sealants of resin-modified ionomer glass cement (GIC) and resin pits and fissures, on the first permanent molars of special patients as a part of caries prevention program in schools. METHODS: The sample was comprised by 60 molars. Resin-based sealants on one side and glass-ionomer sealant on the contralateral side of the mouth. The molars were examined in three and six months after application for retention with three standards: TR: Totally Retained; PR: Partially Retained; and CL: Completely Lost. RESULTS: by the end of the study 60% of resin sealant was present. While 55% of GIC were retentive after 6 months. CONCLUSION: Resin sealants are more retentive than glass ionomer sealants in school-based carries prevention program.

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Estimation of Caries Treatment Needs in First Permanent Molars of Lithuanian 5–6-Year-Old Children, Based on Caries Lesion Activity Assessment

Medicina ◽

10.3390/medicina56030105 ◽

2020 ◽

Vol 56 (3) ◽

pp. 105

Author(s):

Vita Mačiulskienė ◽

Jaunė Razmienė ◽

Vilija Andruškevičienė ◽

Eglė Bendoraitienė

Keyword(s):

Dental Caries ◽

Dental Plaque ◽

Cluster Sampling ◽

Treatment Needs ◽

Caries Lesion ◽

Activity Assessment ◽

Caries Treatment ◽

Permanent Molars ◽

Caries Lesions ◽

First Permanent Molars

Background and Objectives: Early detection of dental caries lesions at active stages of development can facilitate their monitoring and reduce needs for restorative dental care. This study aimed to describe the prevalence and caries treatment needs in first permanent molars of pre-school children, based on a caries lesion activity assessment, and in relation to participants’ ages, dental plaque levels and toothbrushing habits. Materials and Methods: Large cross-sectional dental caries survey using multistage cluster sampling was conducted among Lithuanian 4–6-year-old children attending kindergartens. For the present study purpose, all individuals presenting erupted permanent molars were selected. Thus, only 5–6-year-olds (n = 453) took part in this study. They were examined for caries by one calibrated examiner using Nyvad clinical diagnostic criteria that differentiate between active and inactive caries lesions. Dental plaque was assessed by the Silness-Löe index, and parents’ reports about toothbrushing frequency were collected. Results: Overall, 41% of permanent molars were affected by caries; 6-year-olds had more caries lesions than 5-year-olds (p < 0.05). Mean number of decayed and filled surfaces (DF-S) of all participants was 1.79 (SD 2.93), half of lesions were noncavitated, more than one-third were cavitated and fillings comprised less than one surface per child. Majority of lesions were active; prevalence of inactive lesions (all noncavitated) was 1% and 6% in 5- and 6-year-olds, respectively. Prevalence of active lesions increased with age; it correlated with plaque levels and with toothbrushing frequency (<0.001). Likelihood to detect active lesions was up to nine times higher in teeth with abundant plaque (odds ratio (OR) 8.73; confidence interval (CI) 5.35–14.25), and up to seven times higher in individuals brushing teeth irregularly (OR 6.88; CI 2.21–21.41). Conclusions: The obtained data indicate high treatment needs in the erupted permanent molars of the Lithuanian pre-school population and imply that caries management should primarily focus on improved biofilm removal, accompanied with regular use of fluoridated toothpaste.

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Atraumatic Restorative Treatment-Sealed versus Nonsealed First Permanent Molars: A 3-Year Split-Mouth Clinical Trial

Caries Research ◽

10.1159/000506466 ◽

2020 ◽

Vol 55 (1) ◽

pp. 12-20

Author(s):

Daniela Hesse ◽

Camila de Almeida Brandão Guglielmi ◽

Daniela Prócida Raggio ◽

Marcelo José Strazzeri Bönecker ◽

Fausto Medeiros Mendes ◽

...

Keyword(s):

Clinical Trial ◽

Low Income ◽

Cox Regression ◽

Caries Experience ◽

Rank Test ◽

Atraumatic Restorative Treatment ◽

Restorative Treatment ◽

Permanent Molars ◽

Caries Lesions ◽

First Permanent Molars

To investigate the efficacy of atraumatic restorative treatment (ART) sealants vs. no sealant in preventing the development of dentine caries lesions in first permanent molars over a period of 3 years. A total of 187 schoolchildren (aged 6–8 years) from a low-income population presenting the 4 first permanent molars without clinically detectable dentine caries lesions were selected to be part of a split-mouth clinical trial. All 4 first permanent molars were investigated in this trial and the children’s mouth was split vertically into left and right sides; therefore, 2 molars were randomly allocated to receive ART sealants, while the other 2 molars remained nonsealed. All children received toothbrushing instructions and dietary advice every 6 months for a period of 3 years. Clinical evaluations were performed after 3, 6, 12, 18, 24, and 36 months and both sealant retention and dental caries were scored. Kaplan-Meier survival analysis, log-rank test, and Cox regression with shared frailty analysis were performed. A cavitated dentine caries lesion was considered a failure. The cumulative survival rates of dentine cavity-free first permanent molars were 90% for ART-sealed molars and 90.8% for nonsealed molars, with no statistically significantly difference between sealed and nonsealed molars (<i>p</i> = 0.70). The retention of sealants was not associated with the development of cavitated dentine caries and children presenting a higher baseline caries experience had greater chances of developing dentine lesions. In conclusion, the application of ART sealants was not more efficacious than nonsealing in reducing the development of dentine cavitated lesions in first permanent molars.

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