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.

scholarly journals Occlusal caries risk assessment using Cariogram analysis in student aged 11-12 years

2017 ◽  
Vol 29 (1) ◽  
Author(s):  
Riana Wardani ◽  
Cucu Zubaedah ◽  
Asty Samiaty Setiawan
Keyword(s):  
High Risk ◽  
Dental Caries ◽  
Eating Habits ◽  
Observational Research ◽  
Caries Experience ◽  
Risk Category ◽  
School Age ◽  
Occlusal Caries ◽  
Eating Frequency ◽  
Occlusal Surfaces

ABSTRACT Introduction: Basic Health Research 2013 showed Dental Caries Index in school age student in West Java was lower than the expected target, with occlusal surface as most affected part. The purpose of this study was to determine the risk status of dental caries in school age student by using cariogram analysis. Methods: Observational research. Study was conducted on 30 student aged 11-12 years with caries high risk on occlusal surfaces. Purposive sampling was taken from students of SDN Cikawari and SDN Mekarjaya Bandung Regency with high DMF-S index. Inclusion criteria: male and female, aged 11-12 years, good systemic health, SDN Mekarjaya and SDN Cikawari Bandung Regency students. Exclusion criteria: suffering from systemic disorder, currently in long-term antibiotic therapy, orthodontic appliance usage. Case history, eating habits and intake of fluoride, caries experience, salivary volume and buffering capacity of each sample was examined using cariogram examination method. Results: The cariogram analysis showed 43% chance of caries avoidance. Diet control was 23.3%, includes two factors: sugary foods and eating frequency. Bacteria control was 11.9% by evaluating both bacterial factors (the amount of plaque and the bacteria Streptococcus mutans). Vulnerability control was 14.4%, including caries prevention by the continuation of fluorine program and other conditions control that affect salivary secretions. Conclusion: Based on cariogram analysis found that all samples who had occlusal surfaces caries were at a high risk category, but still having moderate potential of avoiding new caries occurrence by controlling risk factors.Keywords: Cariogram analysis, Occlusal caries, Aged 11-12 years

Dental Plaque and Caries on Occlusal Surfaces of First Permanent Molars in Relation to Stage of Eruption

1989 ◽  
Vol 68 (5) ◽  
pp. 773-779 ◽  
Author(s):  
J.C. Carvalho ◽  
K.R. Ekstrand ◽  
A. Thylstrup
Keyword(s):  
Dental Caries ◽  
Oral Hygiene ◽  
Dental Plaque ◽  
Detector System ◽  
Clear Pattern ◽  
Occlusal Surfaces ◽  
Permanent Molars ◽  
Full Occlusion ◽  
Favorable Conditions ◽  
First Permanent Molars

The occlusal surfaces of partly and fully erupted first right permanent molars were examined with respect to the occurrence and distribution of plaque and dental caries in a group of 57 six- to eight-year-old children. The children were classified into four groups ranging from one tooth partially erupted to full occlusion. Occlusal plaque was recorded at two levels of examination: (1) visible plaque and (2) detailed mapping by means of a plaque detector system. Dental caries was recorded after professional cleaning. The recording of plaque was repeated after 48 hr without oral hygiene. The findings showed a significant reduction in the easily detectable plaque in fully erupted teeth, compared with the three groups representing partly erupted teeth. The detailed mapping of plaque showed a clear pattern of preferential locations related to the macromorphology of the occlusal surfaces, and revealed reduction in the frequency of thick plaque accumulation in the fully erupted teeth. The proportion of active lesions was reduced in fully erupted teeth, and arrested lesions were mainly observed in the same group. This indicated that erupting teeth are more likely to develop dental caries, due to favorable conditions for plaque accumulation. Functional usage of teeth in addition to improved access for toothbrushing promoted arrestment of lesions initiated during eruption.

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 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

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

Detection of early occlusal caries of the first permanent molar using different techniques (An in vivo study)

2019 ◽  
Vol 31 (1) ◽  
pp. 1-8
Author(s):  
Samah F. Al-Qazzaz ◽  
Abeer M. Hassan
Keyword(s):  
Sensitivity And Specificity ◽  
Visual Inspection ◽  
Caries Detection ◽  
Occlusal Caries ◽  
Clinical Sensitivity ◽  
Permanent Molar ◽  
Permanent Molars ◽  
Early Caries ◽  
First Permanent Molars ◽  
Better Than

Background: Molars and premolars are considered as the most vulnerable teeth of caries attack, which is related to the morphology of their occlusal surfaces along with the difficulty of plaque removal. different methods were used for early caries detection that provide sensitive, accurate preoperative diagnosis of caries depths to establish adequate preventive measures and avoid premature tooth treatment by restoration. The aim of the present study was to evaluate the clinical sensitivity and specificity rates of DIAGNOdent and visual inspection as opposed to the ICDAS for the detection of initial occlusal caries in noncavitated first permanent molars. Materials and Methods: This study examined 139 occlusal surface of the first permanent molar pooled from fifty patients aged 8-9 years by three methods. The selected criteria include one occlusal site per tooth (first permanent molars) with carious lesions range from 0 to 3 according to ICDASII (gold standard) visual criteria then the clinical sensitivity and specificity of visual inspection according to Ekstrand et al.in 1997 and DIAGNOdent were performed. . Results: the highest correlation was found between the ICDASII and DIAGNOdent. The sensitivity of the DIAGNOdent for the enamel caries detection (D1) was better than that of visual inspection. The sensitivity and the specificity for the DIAGNOdent at D3 threshold were better than the D1 threshold and the visual inspection method. Conclusion: DIAGNOden pen can be used as a tool for early caries detection in cases of difficult diagnosis that provide good additional sensitivity to the visual inspection.

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