Fissure sealants or fluoride varnish? Routines and attitudes among dental health personnel in Norway

Uhlen, Marte-Mari Nordsetmoen; Wang, N. J.; Skudutyte‐Rysstad, Rasa

doi:10.1007/s40368-019-00440-w

Cited by 4 publications

(5 citation statements)

References 20 publications

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“…The low use of fissure sealing may be explained by caries prevalence, as a proportion of children with sealants was similar to children who had dentin caries in primary teeth. Another explanation may be that dental personnel considered sealing as a difficult treatment in newly erupted molars and relied on other caries preventive methods, such as fluoride varnish and oral hygiene instructions (Uhlen et al 2019 ; Michalaki et al 2010 ). In Scandinavia, the dental treatment is free of charge and dental personnel are salaried.…”

Section: Discussionmentioning

confidence: 99%

Fissure sealing and caries development in Norwegian children

Sæthre-Sundli

Løken

Wang

et al. 2022

Eur Arch Paediatr Dent

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Purpose To explore the use of fissure sealing as a caries preventive method by describing characteristics of children who had received sealants and to study associations between sealing and caries prevalence at 12 years of age. Methods The study included 3075 children examined at 5 and 12 years of age. Data were collected by clinical examination and questionnaire to parents. The questionnaire provided information on child characteristics and oral health behaviour in children at 5 years of age. Data on sealing and caries prevalence were obtained from dental records. Bi- and multivariate logistic regressions were performed. The Regional Committee for Medical Research Ethics approved the study (2.200.54 and 2013/1881). Results Of the children, 12% had received sealants on permanent teeth before 12 years of age. Children with dentin caries at 5 years of age (OR 2.0, CI 1.5–2.7) had a higher probability of having received sealants than children without caries. Having sealants (OR 2.8, CI 2.2–3.6), enamel caries (OR 1.5, CI 1.2–1.9), dentin caries (OR 2.9, CI 2.3–3.6) and using fluoride lozenges less than daily (OR 1.5, CI 1.3–1.8) at 5 years of age were associated with having dentin caries prevalence at 12 years of age. Conclusion Few children had received fissure sealing. Although sealing was used as a caries preventive method in children who had experienced caries in primary teeth, these children continued developing caries in their permanent teeth.

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Section: Discussionmentioning

confidence: 99%

Fissure sealing and caries development in Norwegian children

Sæthre-Sundli

Løken

Wang

et al. 2022

Eur Arch Paediatr Dent

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“…[5] Resinbased sealants have been used for pit and fissure sealing for decades, making great efforts in preventing caries by physically sealing. [6] However, since the effectiveness is susceptibly influenced by the operator and there are essential differences between sealants and enamel, [7][8][9][10] no sealant remains perfectly adapted to the dental structure over time, and will suffer some degree of microleakage. [11,12] Based on the above considerations, many attempts have been made to improve the effectiveness of these materials, and ideal pit and fissure sealing should satisfy the following requirements: i) It should exhibit excellent penetrating performance to avoid microleakage between the materials and the natural enamel.…”

Section: Introductionmentioning

confidence: 99%

“…[17] iii) The operation should be easy and convenient and maintain a relatively long-term effect. [10,18,19] Accordingly, in the present work, we propose a self-remineralization technique to regenerate biomimetic enamel-like structures in the susceptible zones of pits and fissures. This strategy directly induces the growth of enamel-like hydroxyapatite (HAp) crystalline layer in pits and fissures with robust interfacial bonding stability and antimicrobial capability.…”

Section: Introductionmentioning

confidence: 99%

“…[ 5 ] Resin‐based sealants have been used for pit and fissure sealing for decades, making great efforts in preventing caries by physically sealing. [ 6 ] However, since the effectiveness is susceptibly influenced by the operator and there are essential differences between sealants and enamel, [ 7–10 ] no sealant remains perfectly adapted to the dental structure over time, and will suffer some degree of microleakage. [ 11,12 ]…”

Section: Introductionmentioning

confidence: 99%

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Amyloid‐Mediated Remineralization in Pit and Fissure for Caries Preventive Therapy

Yang

Guo

et al. 2022

Adv Healthcare Materials

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The pits and fissures of teeth have high caries susceptibility, and sealing these areas is considered as an effective method to prevent caries. However, long-term caries prophylaxis cannot be maintained because of the negative effects derived from the technical sensitivity and disadvantages of sealing materials. Herein, a new strategy is proposed to occlude fossae by amyloid-mediated biomimetic remineralization. In contrast to conventional inward blocking from the outside of fossae, amyloid-mediated biomimetic mineralization delivers an amyloid-like protein nanofilm into the deepest zone of the fossae and induces the formation of remineralized enamel inside. Such assembly from lysozyme conjugated with poly (ethylene glycol) enriches the interface with strongly bonded ionsand directs in situ nucleation to achieve enamel epitaxial growth. Not only is the structure of the enamel-like crystalline hydroxyapatite layer but also its mechanical stability is similar to that of natural enamel. Furthermore, the layer shows good biocompatibility and antibacterial properties. On the basis of the findings, it is demonstrated that amyloid-like protein aggregation may provide an enamel remineralization strategy to modify the current clinically available methods of pit and fissure sealing and shows great promise in preventing caries.

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“…Pits and fissures are prone to dental caries because they provide suitable conditions for plaque accumulation. 1 Fissure sealant placement creates a physical barrier preventing the growth of biofilm and fissure caries. 2 These materials are usually applied as soon as possible after eruption.…”

Section: Introductionmentioning

confidence: 99%

Influence of Laser and Ozone Pretreatment on the Shear Bond Strength of Fissure Sealants: An In Vitro Comparative Study

Celik

Yapar

Karalar

et al. 2020

Journal of Advanced Oral Research

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Aim: To evaluate the shear bond strength (SBS) of 3 fissure sealants used alone and with ozone and laser pretreatment. Materials and Methods: For the SBS test, the flattened enamel surfaces of 90 healthy third molars were randomly divided into nine groups ( n = 10 for each groups), based on different sealants (BeautiSealant, Fuji Triage, and Grandio Seal) and pretreatment conditions (no pretreatment, pretreatment with ozone, and pretreatment with neodymium-doped yttrium aluminum garnet [Nd:YAG laser]). Ozone was applied for 30 s in caries superficial mode, and Nd:YAG laser was applied for 60 s. After the pretreatment procedures, sealants were placed inside a mold on the enamel surface. SBS was measured with a universal testing machine. Data were analyzed using analysis of variance. Tukey’s multiple comparison tests were applied to determine the difference between the groups (α = 0.05). Results: The lowest SBS was observed in the Fuji triage group. Nd:YAG laser and ozone did not affect the SBS of BeautiSealant. However, significant differences were determined in the Fuji triage and Grandio Seal groups after pretreatment procedures ( P < .05). Conclusion: Ozone and laser can be employed to disinfect fissures before BeautiSealant application.

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Fissure sealants or fluoride varnish? Routines and attitudes among dental health personnel in Norway

Cited by 4 publications

References 20 publications

Fissure sealing and caries development in Norwegian children

Fissure sealing and caries development in Norwegian children

Amyloid‐Mediated Remineralization in Pit and Fissure for Caries Preventive Therapy

Influence of Laser and Ozone Pretreatment on the Shear Bond Strength of Fissure Sealants: An In Vitro Comparative Study

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