Clinical and SEM assessment of ART high-viscosity glass-ionomer sealants after 8–13 years in 4 teeth

Abstract Objectives Resin composite sealants are retained longer than low-viscosity glass-ionomer sealants. Nevertheless, a systematic review showed that there is no evidence that resin composite sealants are superior to low-viscosity glass-ionomers in preventing dentine carious lesion development....

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Veröffentlicht in:Journal of dentistry 2010-01, Vol.38 (1), p.59-64
Hauptverfasser: Frencken, J.E, Wolke, J
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Wolke, J
description Abstract Objectives Resin composite sealants are retained longer than low-viscosity glass-ionomer sealants. Nevertheless, a systematic review showed that there is no evidence that resin composite sealants are superior to low-viscosity glass-ionomers in preventing dentine carious lesion development. This case study aimed to investigate reasons for this. Methods 4 teeth were sealed with 2 brands of high-viscosity glass-ionomer according to the ART technique in 2 children aged 10 and 11.5 years, having a low caries-risk status, and followed clinically for between 8 and 13 years. At the final year, impressions were taken for SEM images that were assessed by two evaluators. Results Pits and fissures that were clinically diagnosed as free of sealant material appeared to contain remnants of high-viscosity glass-ionomer sealant material in the deeper parts of pits and fissures, on SEM images of 3 teeth. Conclusion This study confirms the likelihood that remnants of high-viscosity glass-ionomer sealant material are retained and block the deeper parts of pits and fissures even after the sealant appears to have disappeared clinically, exercising their carious lesion preventive effect.
doi_str_mv 10.1016/j.jdent.2009.09.004
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Nevertheless, a systematic review showed that there is no evidence that resin composite sealants are superior to low-viscosity glass-ionomers in preventing dentine carious lesion development. This case study aimed to investigate reasons for this. Methods 4 teeth were sealed with 2 brands of high-viscosity glass-ionomer according to the ART technique in 2 children aged 10 and 11.5 years, having a low caries-risk status, and followed clinically for between 8 and 13 years. At the final year, impressions were taken for SEM images that were assessed by two evaluators. Results Pits and fissures that were clinically diagnosed as free of sealant material appeared to contain remnants of high-viscosity glass-ionomer sealant material in the deeper parts of pits and fissures, on SEM images of 3 teeth. Conclusion This study confirms the likelihood that remnants of high-viscosity glass-ionomer sealant material are retained and block the deeper parts of pits and fissures even after the sealant appears to have disappeared clinically, exercising their carious lesion preventive effect.</description><identifier>ISSN: 0300-5712</identifier><identifier>EISSN: 1879-176X</identifier><identifier>DOI: 10.1016/j.jdent.2009.09.004</identifier><identifier>PMID: 19748548</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Atraumatic restorative treatment ; Biological and medical sciences ; Caries prevention ; Child ; Dental Atraumatic Restorative Treatment ; Dental Bonding ; Dental Caries Susceptibility ; Dental Fissures - pathology ; Dental Marginal Adaptation ; Dentistry ; Facial bones, jaws, teeth, parodontium: diseases, semeiology ; Female ; Follow-Up Studies ; Glass Ionomer Cements - chemistry ; Glass-ionomer ; Humans ; Male ; Medical sciences ; Microscopy, Electron, Scanning ; Non tumoral diseases ; Otorhinolaryngology. Stomatology ; Photography, Dental ; Pit and Fissure Sealants - chemistry ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Retention ; Sealant ; Surface Properties ; Survival ; Technology. Biomaterials. Equipments. Material. 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Nevertheless, a systematic review showed that there is no evidence that resin composite sealants are superior to low-viscosity glass-ionomers in preventing dentine carious lesion development. This case study aimed to investigate reasons for this. Methods 4 teeth were sealed with 2 brands of high-viscosity glass-ionomer according to the ART technique in 2 children aged 10 and 11.5 years, having a low caries-risk status, and followed clinically for between 8 and 13 years. At the final year, impressions were taken for SEM images that were assessed by two evaluators. Results Pits and fissures that were clinically diagnosed as free of sealant material appeared to contain remnants of high-viscosity glass-ionomer sealant material in the deeper parts of pits and fissures, on SEM images of 3 teeth. 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Nevertheless, a systematic review showed that there is no evidence that resin composite sealants are superior to low-viscosity glass-ionomers in preventing dentine carious lesion development. This case study aimed to investigate reasons for this. Methods 4 teeth were sealed with 2 brands of high-viscosity glass-ionomer according to the ART technique in 2 children aged 10 and 11.5 years, having a low caries-risk status, and followed clinically for between 8 and 13 years. At the final year, impressions were taken for SEM images that were assessed by two evaluators. Results Pits and fissures that were clinically diagnosed as free of sealant material appeared to contain remnants of high-viscosity glass-ionomer sealant material in the deeper parts of pits and fissures, on SEM images of 3 teeth. Conclusion This study confirms the likelihood that remnants of high-viscosity glass-ionomer sealant material are retained and block the deeper parts of pits and fissures even after the sealant appears to have disappeared clinically, exercising their carious lesion preventive effect.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>19748548</pmid><doi>10.1016/j.jdent.2009.09.004</doi><tpages>6</tpages></addata></record>
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subjects Atraumatic restorative treatment
Biological and medical sciences
Caries prevention
Child
Dental Atraumatic Restorative Treatment
Dental Bonding
Dental Caries Susceptibility
Dental Fissures - pathology
Dental Marginal Adaptation
Dentistry
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Follow-Up Studies
Glass Ionomer Cements - chemistry
Glass-ionomer
Humans
Male
Medical sciences
Microscopy, Electron, Scanning
Non tumoral diseases
Otorhinolaryngology. Stomatology
Photography, Dental
Pit and Fissure Sealants - chemistry
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Retention
Sealant
Surface Properties
Survival
Technology. Biomaterials. Equipments. Material. Instrumentation
Viscosity
title Clinical and SEM assessment of ART high-viscosity glass-ionomer sealants after 8–13 years in 4 teeth
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