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Bioinformation 2024A preferable choice of material offers superior resistance against micro-leakage for clinical applications in preventing dental caries in pits and fissures is of...
A preferable choice of material offers superior resistance against micro-leakage for clinical applications in preventing dental caries in pits and fissures is of interest. A total of 45 extracted human premolars were cleaned, stored in a saline solution, and randomly divided into three groups, each intended for treatment with one of the sealants: Fuzi VII, ClinPro, and Embrace Wetbond. The application of the sealants followed the manufacturers' instructions strictly. The teeth were subjected to thermal cycling to simulate oral conditions. Marginal micro-leakage was then assessed by dye penetration method using a 0.5% methylene blue dye. Teeth were sectioned, and dye penetration was measured under a stereomicroscope. The results showed that all the tested materials exhibited some degree of micro-leakage. Within the limitations of this study, it was concluded that Embrace Wetbond exhibited superior performance in terms of minimizing marginal micro-leakage among the tested pit and fissure sealants.
PubMed: 38854762
DOI: 10.6026/973206300200319 -
International Journal of Clinical... 2019This study aimed to assess the level of knowledge, attitudes, and practices fissure sealants among undergraduate Saudi dental students.
OBJECTIVES
This study aimed to assess the level of knowledge, attitudes, and practices fissure sealants among undergraduate Saudi dental students.
METHODS
A modified questionnaire consisted of 24-items was distributed among 226 undergraduate dental students, males and females of different years at Al-Farabi Colleges, Riyadh, Saudi Arabia. Chi-square/Fisher's exact tests were used for descriptive statistical analyses.
RESULTS
The response rate was 100%. Most of the respondents were male (60.2) and (39.8%) were female. With regard to the level of study, 20.8% were in the fourth year, 43.8% in the fifth year, and 16.8% were in the sixth year. The respondents showed a sensible level of learning about sealants, with the majority (88%) believed that there is strong scientific evidence about fissure sealants effectiveness and around 90% showed a good understanding of sealant placement instructions. Furthermore, respondents demonstrated inadequate learning about sealants clinical practice.
CONCLUSION
Despite a high proportion of undergraduate dental students' showed sufficient knowledge about dental sealant, following guidelines and standardized procedures in clinical practice is lacking. The findings suggest an urgent need of dental colleges to additionally and/or update their curriculum regarding fissure sealants to reflect advance dental education that concentrates on evidence-based practice (EBP) in Pediatric Dentistry and Dental Public Health need for regular continuing education courses for the dental professional.
HOW TO CITE THIS ARTICLE
Al-Sabri FA, Ba-Salamah M, Tooth Decay Prevention: Knowledge and Practices Survey of Dental Students. Int J Clin Pediatr Dent 2019;12(2):92-95.
PubMed: 31571778
DOI: 10.5005/jp-journals-10005-1599 -
Materia Socio-medica Sep 2022Dental caries remains one of the most prevalent worldwide chronic diseases and an expensive burden to healthcare services despite significant preventative measures...
BACKGROUND
Dental caries remains one of the most prevalent worldwide chronic diseases and an expensive burden to healthcare services despite significant preventative measures Objective: Dental caries is a multifactorial chronic disease that occurs in early childhood and persists until adulthood. The first permanent molars (FPMs) are the earliest permanent molars to erupt what makes them vulnerable to caries among children and adolescents. Objective: The aim of this study is to determine the prevalence of different types of treatments performed on FPMs in 7-10-year-old Lebanese patients. Methods: In this retrospective study, a convenience sample obtained from the dental electronic health record system of 753 patients, aged between 7 and 10 years old who attended the department of Pediatric Dentistry at the Faculty of Dental Medicine-Lebanese University, between 2015 and 2019 was assessed. Preventive procedures (fissure sealants and preventive resin restorations) as well as therapeutic ones (apexogenesis, composite restoration, extraction, pulp capping, radicular treatment, pulpotomy, stainless steel crown, surgery and emergency) were investigated. Data collected was statistically analyzed using SPSS version 25.0 (Armonk, NY: IBM Corp).
RESULTS
The 753 patients were divided into 364 girls (48.3%) and 389 boys (51.7%). These patients underwent a total of 2145 procedures. Procedures were equally divided between therapeutic procedures and preventive ones (51.6% versus 48.4%, respectively). The most commonly performed procedure was composite restoration (41.9%), followed by fissure sealant (34.5%) and preventive resin restorations (14%). Treatments corresponded to a similar sex distribution with slightly higher male patients (53.6%). No statistical association was found between sex and procedure type (p=0.7).
CONCLUSION
In the present study, therapeutic treatments prevalence is relatively high. Thus, educating the parents and teachers on the importance of FPMs would reflect in increased preventive treatments at the expense of decreased therapeutic ones.
PubMed: 36310747
DOI: 10.5455/msm.2022.34.211-215 -
Dental Materials Journal 2014The aim of this study was to compare the shear bond strengths (SBS), failure modes (adhesive, cohesive, or mixed), and marginal microleakage occurrence of conventional...
The aim of this study was to compare the shear bond strengths (SBS), failure modes (adhesive, cohesive, or mixed), and marginal microleakage occurrence of conventional resin (CR)-based, glass ionomer (GI)-based, and self-adhesive resin (SAR)-based fissure sealants with or without prior phosphoric acid (PA) etching. Fifty extracted premolars were randomly and equally assigned into five groups -G1:PA+CR, G2:PA+GI, G3:GI, G4:PA+SAR, and G5:SAR. Prior PA etching significantly (p<0.05) increased the SBSs of sealants. Adhesive failure mainly occurred in teeth treated with SAR- or GI-based fissure sealants, and cohesive failure mainly occurred in PA-etched teeth. Microleakage occurrence differed significantly (p<0.05) among the five groups of treated teeth. We concluded that conditioning of a tooth's enamel surface is crucial to creating strong bonds and leak-free sealing between tooth and fissure sealant.
Topics: Dental Bonding; Dental Cements; Humans; In Vitro Techniques; Materials Testing; Pit and Fissure Sealants; Shear Strength
PubMed: 25087660
DOI: 10.4012/dmj.2013-227 -
European Archives of Paediatric... Apr 2022The aim of this study was to evaluate in vitro, the shear bond strength (SBS) and adhesive remnant index (ARI) of pit and fissure sealants (PFS) after enamel...
PURPOSE
The aim of this study was to evaluate in vitro, the shear bond strength (SBS) and adhesive remnant index (ARI) of pit and fissure sealants (PFS) after enamel conditioning with different new-generation self-etching (SE) agents; additionally, enamel etching patterns were assessed.
METHODS
Healthy unerupted third molars surgically removed for therapeutic reasons (n = 25p/g), were randomly assigned to six groups. Conventional etching (CE) or SE was applied prior to pit and fissure sealants bonding. Enamel conditioned surfaces were evaluated by SEM at × 500, × 1000, and × 2000 magnification to determine etching patterns. Subsequently, 25 PFS blocks (3 × 2 × 1.5 mm) p/g were bonded to enamel surface. Samples were stored in water at 37 °C for 24 h, previous to SBS and ARI test. One-way ANOVA and Tamhane statistic tests were used for SBS; while Mann-Whitney U and Kruskal-Wallis were employed for ARI (p ≤ 0.05).
RESULTS
For SBS test, CE_PFS_3M and SE1_PFS_Shofu groups showed the lowest values (8.74 ± 4.02 and 8.75 ± 3.90, respectively). The highest scores were observed in SE_PFS_Kuraray group (13.46 ± 5.83). Significant differences in SBS and ARI assessments were found. All experimental groups showed type 1 etching pattern.
CONCLUSION
The etching pattern was less pronounced in self-etching groups, which showed an equal or superior in vitro performance compared to conventional etching agents. The clinical use of self-etching agents could be recommended before pit and fissure sealants application in new dental protocols. The best in vitro performance was observed when both applied materials, self-etching agent and pit and fissure sealant have 10-methacryloyloxydecyl dihydrogen phosphate in their chemical composition.
Topics: Acid Etching, Dental; Dental Bonding; Dental Cements; Dental Enamel; Dental Stress Analysis; Humans; Materials Testing; Pit and Fissure Sealants; Resin Cements; Shear Strength; Surface Properties
PubMed: 34365570
DOI: 10.1007/s40368-021-00655-w -
European Archives of Paediatric... Feb 2016This was to collect information for the 9th European Academy of Paediatric Dentistry Interim Seminar and Workshops to discuss the state of art on non-invasive caries... (Review)
Review
AIM
This was to collect information for the 9th European Academy of Paediatric Dentistry Interim Seminar and Workshops to discuss the state of art on non-invasive caries therapy to be used if possible to formulate clinical guidelines by European experts in paediatric dentistry
METHODS
Based on systematic reviews and additional papers were assessed for methods to prevent caries initiation and caries progression both in the state of pre-cavitation and cavitation without invasive technologies.
RESULTS
The use of fluoridated water, careful diligent daily use of fluoride toothpaste, fluoride varnishes, pit and fissure sealants and leak-proof restorative materials without excavation of caries are evidence based for caries prevention and for non-invasive treatment of pre-cavitated and cavitated caries. Other technologies are far less evidenced based and would not logically fit in guidelines for the non-invasive treatment of caries. Recent studies on cavitated lesions in the primary dentition demonstrate that thorough oral hygiene practices may arrest progression. This strategy depends heavily on the strategies in the dental surgery to change behaviour of children. An important aspect is for advice to be tailored at recall intervals to ensure compliance and to timely detect unnecessary and unwanted progression of the lesions.
CONCLUSION
Non-invasive therapies have been proven to be effective for caries prevention and the management of pre-cavitated caries lesions. Non-invasive therapies can also be effective to arrest cavitated lesions but the success depends greatly on behavioural changes of patients to brush the lesions.
Topics: Dental Caries; Fluorides, Topical; Humans; Pit and Fissure Sealants; Tooth, Deciduous; Toothpastes
PubMed: 26860292
DOI: 10.1007/s40368-015-0219-3 -
Clinical, Cosmetic and Investigational... 2023The tongue is known as the mirror of oral and general health. Some diseases may show signs in the tongue. Fissured is approximately an asymptomatic condition...
BACKGROUND
The tongue is known as the mirror of oral and general health. Some diseases may show signs in the tongue. Fissured is approximately an asymptomatic condition characterized by grooves and fissures of varying depth on the dorsal surface of the tongue. Epidemiologically, its prevalence is varied based on different factors, but most of them report 10-20%.
METHODS
In the department of oral medicine at Ali-Abad University Hospital of Kabul University of Medical Sciences, a cross-sectional study was conducted among 400 patients. This fissured tongue is first diagnosed based on clinical appearance (fissures) on each side of tongue. Meanwhile, the whole medical and dental histories were taken for the rest of the leading factors.
RESULTS
Out of 400 patients (124 males and 276 females) seen and checked, which 142 cases were fissured tongue [45 (31.7%) males and 97 (68.3%) females]. The fissures were found to be least in the >10 - 19-year age group, 23 (16.3%) and it was most prevalent in the 20 -39 age group, 73 (51.8%), followed by 40 -59, 35 (24.8%) and 60< age group, 10 (7.1%). The most prevalent type of pattern of fissures was found to be superficial, multiple and not connected fissures, 46.32% (33.3% males, 32.3% females), followed by superficial, multiple and connected fissures, 25.5% (26.7% males, 25% females), and whereas 6.4% of patients with (single and deep type of fissure) was the lowest prevalent type of fissured tongue. In our study, more than half of patients asymptomatic (51.6% females and 71.1% males), 17.9% complained from tongue dryness, 14.3% soreness, 6.4% halitosis, 1.4% tongue swelling and 2.1% had all the signs.
CONCLUSION
The prevalence of fissured tongue was 35.5%. A significant difference between genders was reported with female predominance in all cases observed. The most prevalent age groups were 20-29 and 30-39 in both gender groups. Superficial, multiple, and not connected fissures 46.32% were the most common type of fissure.
PubMed: 36860622
DOI: 10.2147/CCIDE.S391498 -
Acta Stomatologica Croatica Mar 2021The main purpose of this study was to assess the genotoxic and cytotoxic effect of fissure sealants on buccal epithelial cells.
AIM
The main purpose of this study was to assess the genotoxic and cytotoxic effect of fissure sealants on buccal epithelial cells.
MATERIAL AND METHODS
The study was conducted on 45 patients (27 girls and 18 boys), seven to 16 years of age (age mean 12.09 ± 2.20). Buccal swabs were collected before (T0), seven (T1), 30 (T2) and 90 days (T3) consequently after fissure sealant placement (Helioseal F®, Equia Fil®, Constic®). Patients or legal guardians filled in the questionnaire regarding the demographic data (age, gender), dietary habits, health status, medication usage, and recent X-ray exposure. DNA damage was analyzed using the micronucleus test.
RESULTS
Statistically significant difference in the number of buccal cells with condensed chromatin was found between T0 (time before fissure sealant placement) and T3 (90 days after fissure sealant placement) period for Helioseal F® (P = 0.025). For the other two analyzed materials, no difference was observed during the tested period. There was no difference between materials in the same sampling time.
CONCLUSION
Apart from an increase in cells with condensed chromatin 90 days after the placement of Helioseal F®, no other nuclear abnormalities were observed for tested fissure sealants. Although these sealants have now largely been used, it is of high importance that their biocompatibility is checked continuously, especially in clinical studies.
PubMed: 33867533
DOI: 10.15644/asc55/1/2 -
JDR Clinical and Translational Research Oct 2023Strong evidence supports use of dental sealants to prevent tooth decay, and professional guidelines recommend use in children with elevated caries risk. However, not all...
INTRODUCTION
Strong evidence supports use of dental sealants to prevent tooth decay, and professional guidelines recommend use in children with elevated caries risk. However, not all children indicated for sealants receive this preventive intervention, even when they use routine dental care.
OBJECTIVE
The aim of this study was to explore the extent to which dentists' use of sealants varied in pediatric patients with elevated caries risk.
METHODS
Claims and enrollment data from a private dental program were used to identify a cohort of 6- to 17-y-olds with elevated caries risk ( = 27,677) and general dentists ( = 818) who provided services to the children. Children were identified as having elevated caries risk based on history of restorative treatment over a 5-y period (2010-2014). The 2 outcomes of interest were whether a dentist provided any sealants to children with elevated risk and, if so, the extent to which these were used during a 2-y observation period (2013-2014). A 2-stage hurdle model was used for multivariable analysis to identify dentist characteristics associated with sealant use.
RESULTS
Over the observation period, 13.3% ( = 109) of dentists did not provide any sealants to their elevated risk patients from the study cohort. Logistic regression found that female dentists were significantly more likely to have used sealants (odds ratio = 2.27); dentist age and practice in an isolated small rural town were negatively associated with any sealant use. However, among dentists who did place sealants ( = 709), female dentists, older dentists, dentists in solo practice, and those working full-time were significantly more likely to provide sealants to a child. Overall, substantial variation in practitioners' use of sealants was observed.
CONCLUSION
This is the first study to explore provider-level variation in sealant use, representing a critical step in future efforts to increase routine use of sealants by dentists and eliminate oral health disparities.
KNOWLEDGE TRANSFER STATEMENT
Findings from this study can be used to design targeted policy and behavioral interventions to increase sealant use by general dentists. This study provides foundational evidence for future research that explores motivation and barriers to routine use of preventive dental interventions by clinicians.
Topics: Humans; Child; Female; Dental Caries Susceptibility; Pit and Fissure Sealants; Dental Caries; Logistic Models; Dentists
PubMed: 35708460
DOI: 10.1177/23800844221102836 -
European Archives of Paediatric... Apr 2023To compare the sealing ability and penetration of a bioactive material used as pit and fissure sealant to those of glass ionomer sealant.
PURPOSE
To compare the sealing ability and penetration of a bioactive material used as pit and fissure sealant to those of glass ionomer sealant.
METHODS
This was an in vitro experimental study conducted on 20 permanent teeth. For Group I of ten teeth, ACTIVA BioACTIVE-Base/Liner was applied as a sealant on pits and fissures, and the remaining ten teeth of Group II were sealed using glass ionomer cement. After thermocycling, the apex of the teeth was sealed using composite resin and they were immersed in 1% methylene blue solution, buffered at pH 7 for 24 h. Longitudinal sections were obtained from each tooth for evaluating the sealing ability and penetration, using a binocular light microscope at 4 × magnification. The obtained data were subjected to analysis using the Chi-square test and independent t test.
RESULTS
The comparison of the sealing ability and sealant penetration, between the two groups, showed statistically no significant difference (p = 0.104 and p = 1.0, respectively).
CONCLUSION
Bioactive material as a pit and fissure sealant, performed on par with glass ionomer sealant in terms of tested properties like sealing ability and penetration.
Topics: Humans; Pit and Fissure Sealants; Pilot Projects; Acrylic Resins; Silicon Dioxide; Glass Ionomer Cements
PubMed: 36575275
DOI: 10.1007/s40368-022-00773-z