Your browser doesn't support javascript.
loading
Non-invasive and micro-invasive treatments to arrest active occlusal carious lesions in erupting permanent molars: A randomized clinical trial
Rodrigues, Jonas Almeida; Santos, Nicole Marchioro; Azevedo, Claudia Brito; Haas, Alex Nogueira; Lenzi, Tathiane Larissa.
Afiliação
  • Rodrigues, Jonas Almeida; Universidade Federal do Rio Grande do Sul. School of Dentistry. Department of Surgery and Orthopedics. Porto Alegre. BR
  • Santos, Nicole Marchioro; Universidade Federal do Rio Grande do Sul. School of Dentistry. Department of Surgery and Orthopedics. Porto Alegre. BR
  • Azevedo, Claudia Brito; Universidade Federal do Rio Grande do Sul. School of Dentistry. Department of Surgery and Orthopedics. Porto Alegre. BR
  • Haas, Alex Nogueira; Universidade Federal do Rio Grande do Sul. School of Dentistry. Department of Conservative Dentistry. Porto Alegre. BR
  • Lenzi, Tathiane Larissa; Universidade Federal do Rio Grande do Sul. School of Dentistry. Department of Surgery and Orthopedics. Porto Alegre. BR
Braz. oral res. (Online) ; 35: e058, 2021. tab, graf
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1285725
Biblioteca responsável: BR1.1
ABSTRACT
Abstract This study aimed to evaluate the efficacy of non-invasive and micro-invasive treatments on the arrest of occlusal enamel carious lesions in erupting permanent molars. This two-arm randomized clinical trial included 27 subjects, aged 5-11 years, with 64 erupting permanent molars presenting active occlusal enamel carious lesions (as assessed by the International Caries Detection and Assessment System [ICDAS]; scores 1-3). The sample was randomly assigned into two treatment groups 1) resin-modified glass ionomer cement sealant (Clinpro XT Varnish; 3M ESPE) and 2) 4-week topical fluoride varnish application (Duraphat; Colgate). All children and parents received oral hygiene and dietary instructions. Teeth were evaluated at baseline and 3, 6, 9, and 12 months regarding the eruption stage, biofilm accumulation, as well as severity and activity of the carious lesions. The Kaplan-Meier method was used to evaluate the survival estimates for inactivation of the carious lesions for both treatment groups. Multivariate Cox regression models with shared frailty were performed to identify factors associated with the outcome (p < 0.05). After 12 months, 22% and 3% of the lesions treated with topical fluoride varnish and sealant, respectively remained active. The adjusted model demonstrated that younger children had a higher probability of active enamel carious lesions arresting (hazard ratio [HR] 0.42, 95% confidence interval [CI] 0.22-0.78; p=0.01). However, the probability of active enamel carious lesions arresting after sealant application was 8.85 times higher compared with fluoride varnish applications (p=0.01). Sealing is a more effective approach than fluoride varnish for arresting occlusal enamel carious lesions in erupting permanent molars.
Assuntos

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: BBO - Odontologia / LILACS Assunto principal: Selantes de Fossas e Fissuras / Cárie Dentária Tipo de estudo: Ensaio clínico controlado / Estudo prognóstico Limite: Criança / Humanos Idioma: Inglês Revista: Braz. oral res. (Online) Assunto da revista: Odontologia Ano de publicação: 2021 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: Universidade Federal do Rio Grande do Sul/BR

Similares

MEDLINE

...
LILACS

LIS


Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: BBO - Odontologia / LILACS Assunto principal: Selantes de Fossas e Fissuras / Cárie Dentária Tipo de estudo: Ensaio clínico controlado / Estudo prognóstico Limite: Criança / Humanos Idioma: Inglês Revista: Braz. oral res. (Online) Assunto da revista: Odontologia Ano de publicação: 2021 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: Universidade Federal do Rio Grande do Sul/BR
...