Evaluation of six different sealant materials in school children living in Kırıkkale districts: Preliminary Report

Year 2007, Volume: 1 Issue: 4, 5 - 9, 01.06.2007

Ç Türksel Dülgergil Ertuğrul Ercan Işıl Yıldırım Meryem Ercan Murat Öztürk Mehmet Dallı Rojan Arcak

Abstract

The present three-centered study evaluated theretention of 3 flowable resin composites used apit and fissure sealant compared with 3 conventional filled resin sealants in a child population living in rural districts of Kırıkkale region.In 101 children aged 9 to 15 years, 354sealants were applied by 3 dentists. The teethwere assessed using the following criteria:score1 - fully retained FR , score 2 - partiallylost PL , score 3 - totally lost TL and score 4 decayed D . All teeth were clinically assessedby one examiner who was blinded to thesealant materials. Data were statistically analyzed with Mann-Witney U and chi-squaretests. After 8 months, of the sealants in Admiraflow, 38% were fully retained, 28% were partially lost, 28% were totally lost, and 6% weredecayed. The corresponding values were Point4 and Grandio flow were 49, 39%; 28, 31%;18, 22% and 5, 8%, respectively. For the conventional sealants group these values were 26,21 14%; 32, 30 43%; 42, 40, 43% and 0, 9,0%, respectively. Admira flow, Fissürit F andFissürit were significantly different from theother groups x2 =19,795, p=0,001 . It may be concluded that some flowablerestorative systems Admira Flow, Point 4 veGrandio Flow yielded optimal retention as fissure sealant while conventional systems stillprovided the best results in rural districts ofKırıkkale region

Keywords

caries, prevention treatments, fissuresealant

Kırıkkale İline Bağlı İlçe Merkezlerinde Yaflayan Okul Çocuklarında 6 Farklı Materyalin Yüzey Örtücü Olarak Değerlendirilmesi: Ön Rapor

Abstract

Bu üç merkezli çalıflmada, Kırıkkale kırsalındayaflayan bir çocuk grubunda fissür örtücüolarak kullanılan 3 farklı akıflkan kompozit ve 3klasik rezin fissür örtücü karflılafltırılmıfltır.Yaflları 9-15 arasında değiflen 101 çocuğa 3difl hekimi tarafından 354 fissür örtücü uygulandı. Difller ortalama 8 ay sonra 4 farklı kriterlerle değerlendirildi: skor 1- bütünüyle tutucu,skor 2- kısmen tutucu, skor 3- tamamen kayıpve skor 4- çürük. Tüm difller, bağımsız birhekim tarafından incelendi ve bulgular MannWitney U testi ve ki-kare testi kullanılarak analiz edildi. Admira flow’daki 60 örtücünün %38 iskor 1, %28’i skor 2, %28’i skor 3 ve % 6’sıskor 4 idi. Point 4 ve Grandio flow için buoranlar; %26, 14; %32, 43; %42, 43 ve %0, 0idi. Klasik fissür örtücü gruplar için bütünüyletutucu, kısmen tutucu, tamamen kayıp ve çürükskor yüzdeleri sırasıyla; %49, 39, 21; %28, 31,30; %18, 22, 40 ve %5, 8, 9 idi. Admira flow,Fissürit F ve Fissürit diğerlerinden anlamlıolarak daha farklı bulundu. Bu sonuçlar; Kırıkkale bölgesi kırsalında bazıakıflkan kompozitlerin Admira Flow, Point 4 veGrandio Flow fissür örtücü olarak iyi bir retansiyon sağlayabileceklerini ancak klasik fissürörtücülerin hala en iyi sonuçlar verebildiğinigösterdi

Keywords

çürük, koruyucu tedaviuygulaması, fissür örtücü

References

• Simon C, Tesfaye F, Berhane Y. Assessment of the oral health status of school children in Addis Ababa. Ethiop Med J. 41; 245-56, 2003.
• Künzel W. Trends in caries experience of 12-year-old chil- dren in east European countries. Int J Pediatr Dent. 6;221–6,1996.
• Petersen PE, Danila I, Dalean FA, Grivu O, Ionita G, Pop M, et al. Oral health status among schoolchildren in Romania1992. Community Dent Oral Epidemiol. 22;90–3. 1994.
• Ağız ve Difl Sağlığı Hizmetlerinin Finansmanı, Örgütlenmesi, Sunumu Kurultayı. Türk Diflhekimleri Birliği Yayınları. Eğitim dizisi: 10, 2002.
• Gökalp S, Doğan BG. Türkiye Ağız-Difl Sağlığı profili 2004. Hacettepe Üniversitesi, Ocak 2006; s: 56-9,114-5.
• Arrow P. Oral hygiene in the control of occlusal caries. Community Dent Oral Epidemiol. 26; 324–30,1998.
• Holmen L, Meja`re I, Malmgren B, Thylstrup A. The effect of regular professional plaque removal on dental caries in vivo. Caries Res. 22;250–6,1988.
• Carvalho J, Thylstrup A, Ekstrand K. Results after 3 years of non-operative occlusal caries treatment of erupting perma- nent first molars. Community Dent Oral Epidemiol. 20; 187–92, 1992.
• Dülgergil ÇT, “Türkiye’deki diflhekimliği uygulamalarında yeni bir bölüme mi ihtiyacımız var? Yetersiz teknik ve ekonomik flartlar için Kırsal Alan Diflhekimliği”, Diflhekimliği Dergisi. 57; 161-70,2004.
• Dülgergil ÇT, Soyman M, Civelek A, Ercan E, Ercan M: Güneydoğu Anadolu kırsalında yaflayan çocuklarda değiflik koruyucu uygulamaların değerlendirilmesi: 24 aylık saha çalıflması sonuçları. A. Ü. Difl Hek. Fak Derg. 16;26-32, 2006.
• Beiruti N, Frencken JE, van't Hof MA, Taifour D, van Palenstein Helderman WH. Caries-preventive effect of a one-time application of composite resin and glass ionomer sealants after 5 years. Caries Res. 40; 52-9, 2006.
• de Luca-Fraga LR, Pimenta, LAF: Clinical evaluation of glass- ionomer/resin based hybrid materials used as pit and fi ssure sealants. Quintessence Int 32; 463–68,2001.
• Locker D, Jokovic A, Kay EJ: Prevention. 8. The use of pit and fissure sealants in preventing caries in the permanent dentition of children. Br Dent J 195; 375–8,2003.
• Taifour D, Frencken JE, van 0t Hof MA, Beiruti N,Truin G-J. Caries-preventive effect of a one-time application of com- posite resin and glass ionomer sealants after 5 years. Community Dent Oral Epidemiol. 31;314-9, 2003.
• Mejàre I, Lingström P, Petersson LG, Holm A-K, Twetman S, Källestål C et al. Caries-preventive effect of fissure sealants: a 61;321–30,2003. Acta Odontol Scand.
• Messer LB, Calache H, Morgan MV. The retention of pit and fissure sealants placed in primary school children by Dental Health Services, Victoria. Aust Dent J. 42;233-9, 1997.
• Klein SP, Bohannan HM, Bell RM, Disney JA, Foch CB, Graves RC. The cost and effectiveness of school-based pre- ventive dental care. Am J Public Health 75;382–91,1985.
• Varenne B, Petersen PE, Ouattara S. Oral health status of children and adults in urban and rural areas of Burkina Faso, Africa. Int Dent J. 54; 83–9, 2004.
• Ayrancı Ü. Bir grup ilkokul öğrencisinde difl çürüğü saptama arafltirmasi. Sürekli Tıp Eğitim Dergisi.14;50-54,2005.
• Morphis TL, Toumba KJ. Retention of two fluoride pit-and-fis- sure sealants in comparison to a conventional sealant. Int J Paediatr Dent. 8;203-8,1998.
• Corona SA, Borsatto MC, Garcia L, Ramos RP, Palma-Dibb RG.Randomized, controlled trial comparing the retention of a flowable restorative system with a conventional resin sealant: one-year follow up. Int J Paediatr Dent. 15;44- 50,2005.
• Poulsen S, Laurberg L, Vaeth M, Jensen U, Haubek D. A field trial of resin-based and glass-ionomer fissure sealants: clin- ical and radiographic assessment of caries. Community Dent Oral Epidemiol. 34;36-40, 2006.
• Chadwick B. Flowable restorative systems has a higher retention rate than conventional resin sealant on primary teeth. Evid Based Dent. 6;89, 2005.
• Lekic PC, Deng D, Brothwell D. Clinical evaluation of sealants and preventive resin restorations in a group of envi- ronmentally homogeneous children. J Dent Child.73;15- 9,2006.
• ten Cate JM. Remineralization of caries lesions extending into dentin. J Dent Res. 80;1407-11, 2001.
• Moszner N, Klapdohr S. Nanotechnology for dental com- posites Int. J. of Nanotechnology. 1; 130-56, 2004.
• Morphis TL, Toumba KJ. Retention of two fluoride pit-and-fis- sure sealants in comparison to a conventional sealant. Int J Paediatr Dent. 8;203-8,1998.
• Yildiz E, Dorter C, Efes B, Koray F. A comparative study of two fissure sealants: a 2-year clinical follow-up. J Oral Rehabil. 31;979-84,2004.