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A randomized clinical trial on the sealing of occlusal carious lesions: 3-4-year results.

Abstract This randomized clinical trial aimed to assess the efficacy of sealing occlusal carious lesions in permanent teeth. The sample consisted of 54 occlusal carious lesions in permanent molars and premolars of 49 patients aged 8-43 years (median: 19 years). The inclusion criteria comprised the presence of a cavity with no access allowing biofilm control. The maximum depth of the lesion was the middle third of the dentin thickness, as assessed by bitewing radiography. The teeth were randomly assigned to sealant treatment (n = 28) or restorative treatment (n = 26). Clinical and radiographic examinations were performed after 1 year and after 3-4 years. The outcomes depended on the clinical performance of the sealant/restoration and the control of caries progression observed radiographically. Survival analysis was performed to assess success rates. Over the 3-4 years of monitoring, 2 sealants were totally lost, 1 needed repair, and 1 showed caries progression, totaling 4 failures in the sealant group. In the restoration group, 1 failure was observed (in need of repair). The success rates were 76% and 94% in the sealant and the restoration groups, respectively (p > 0.05). The sealing of occlusal carious lesions in permanent teeth succeeded in controlling caries over a 3-4-year period. However, sealed carious lesions require patient compliance in attending regular follow-ups to control the occurrence of clinical failures of the sealants.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title brazilian oral research
Publication Year Start




PMID- 28591240
OWN - NLM
STAT- MEDLINE
DA  - 20170607
DCOM- 20170628
LR  - 20170628
IS  - 1807-3107 (Electronic)
IS  - 1806-8324 (Linking)
VI  - 31
DP  - 2017 Jun 05
TI  - A randomized clinical trial on the sealing of occlusal carious lesions: 3-4-year 
      results.
PG  - e44
LID - S1806-83242017000100241 [pii]
LID - 10.1590/1807-3107BOR-2017.vol31.0044 [doi]
AB  - This randomized clinical trial aimed to assess the efficacy of sealing occlusal
      carious lesions in permanent teeth. The sample consisted of 54 occlusal carious
      lesions in permanent molars and premolars of 49 patients aged 8-43 years (median:
      19 years). The inclusion criteria comprised the presence of a cavity with no
      access allowing biofilm control. The maximum depth of the lesion was the middle
      third of the dentin thickness, as assessed by bitewing radiography. The teeth
      were randomly assigned to sealant treatment (n = 28) or restorative treatment (n 
      = 26). Clinical and radiographic examinations were performed after 1 year and
      after 3-4 years. The outcomes depended on the clinical performance of the
      sealant/restoration and the control of caries progression observed
      radiographically. Survival analysis was performed to assess success rates. Over
      the 3-4 years of monitoring, 2 sealants were totally lost, 1 needed repair, and 1
      showed caries progression, totaling 4 failures in the sealant group. In the
      restoration group, 1 failure was observed (in need of repair). The success rates 
      were 76% and 94% in the sealant and the restoration groups, respectively (p >
      0.05). The sealing of occlusal carious lesions in permanent teeth succeeded in
      controlling caries over a 3-4-year period. However, sealed carious lesions
      require patient compliance in attending regular follow-ups to control the
      occurrence of clinical failures of the sealants.
FAU - Alves, Luana Severo
AU  - Alves LS
AD  - Universidade Federal de Santa Maria - UFSM, School of Dentistry, Department of
      Restorative Dentistry, Santa Maria, RS, Brazil.
FAU - Giongo, Fernanda Cristina Mendes de Santa
AU  - Giongo FCMS
AD  - Universidade Federal do Rio Grande do Sul - UFRS, Faculty of Odontology,
      Department of Social and Preventive Dentistry, Porto Alegre, RS, Brazil.
FAU - Mua, Bruna
AU  - Mua B
AD  - Universidade Federal do Rio Grande do Sul - UFRS, Faculty of Odontology,
      Department of Social and Preventive Dentistry, Porto Alegre, RS, Brazil.
FAU - Martins, Vanessa Balbe
AU  - Martins VB
AD  - Universidade Federal do Rio Grande do Sul - UFRS, Faculty of Odontology,
      Department of Social and Preventive Dentistry, Porto Alegre, RS, Brazil.
FAU - Barbachan E Silva, Berenice
AU  - Barbachan E Silva B
AD  - Universidade Federal do Rio Grande do Sul - UFRS, Faculty of Odontology,
      Department of Social and Preventive Dentistry, Porto Alegre, RS, Brazil.
FAU - Qvist, Vibeke
AU  - Qvist V
AD  - University of Copenhagen, School of Dentistry, Department of Cariology and
      Endodontics, Copenhagen, Denmark.
FAU - Maltz, Marisa
AU  - Maltz M
AD  - Universidade Federal do Rio Grande do Sul - UFRS, Faculty of Odontology,
      Department of Social and Preventive Dentistry, Porto Alegre, RS, Brazil.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20170605
PL  - Brazil
TA  - Braz Oral Res
JT  - Brazilian oral research
JID - 101307187
RN  - 0 (Dentin-Bonding Agents)
RN  - 0 (Pit and Fissure Sealants)
SB  - D
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Child
MH  - Dental Caries/diagnostic imaging/*therapy
MH  - Dental Enamel/diagnostic imaging/drug effects
MH  - Dental Restoration Failure
MH  - Dental Restoration, Permanent/methods
MH  - Dentin/diagnostic imaging/*drug effects
MH  - Dentin-Bonding Agents/*therapeutic use
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Pit and Fissure Sealants/*therapeutic use
MH  - Radiography, Bitewing
MH  - Statistics, Nonparametric
MH  - Time Factors
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2017/06/08 06:00
MHDA- 2017/06/29 06:00
CRDT- 2017/06/08 06:00
PHST- 2016/05/06 [received]
PHST- 2017/04/20 [accepted]
AID - S1806-83242017000100241 [pii]
AID - 10.1590/1807-3107BOR-2017.vol31.0044 [doi]
PST - epublish
SO  - Braz Oral Res. 2017 Jun 5;31:e44. doi: 10.1590/1807-3107BOR-2017.vol31.0044.