Do light cured ART conventional high-viscosity glass-ionomer sealants perform better than resin-composite sealants: A 4-year randomized clinical trial

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• 作者：WeiWei Zhang^a ; Xi Chen^a ; Ming-Wen Fan^a ; ^{fmw@whuss.com" class="auth_mail} ; Jan Mulder^b ; Marie-Charlotte C.D.N.J.M. Huysmans^c ; Jo E. Frencken^b ; ^{Jo.Frencken@radboudumc.nl" class="auth_mail} ; ^{j.frencken@dent.umcn.nl" class="auth_mail}
• 关键词：Sealants ; Caries prevention ; Resin composite ; Glass-ionomer cement ; Glass-carbomer ; Atraumatic restorative treatment ; Caries prevention
• 刊名：Dental Materials
• 出版年：May, 2014
• 年：2014
• 卷：30
• 期：5
• 页码：487-492
• 全文大小：609 K

文摘

Objective

The hypotheses tested were: the cumulative survival rates of dentin caries lesion-free pits and fissures of ART conventional high-viscosity glass-ionomer sealants with light-curing (high-intensity LED) and glass-carbomer sealants are higher than those of conventional ART sealants and resin-composite sealants after 4 years.

Methods

The randomized controlled clinical trial covered 405 children (mean age 8-years). Three dentists placed sealants in pits and fissures of high caries-risk children. Evaluation by two independent evaluators was conducted after 0.5, 1, 2, 3 and 4 years. The Kaplan-Meier survival method, ANOVA and t-test were used in data analyses.

Results

1304 first permanent molars were sealed. 12.3% of children and 15.4% of sealants dropped out. 46 re-exposed pits and fissures, 39 (occlusal) 7 (free smooth surfaces), in 42 children developed a dentin carious lesion. The cumulative survival of dentin caries lesion-free occlusal pits and fissures in ART plus LED group (98%) was statistically significantly higher than in the resin-composite group (96.4%) and in the glass-carbomer group (94.5%). The cumulative survival of dentin caries lesion-free occlusal pits and fissures in the glass-carbomer group was statistically significantly lower than that in the conventional ART group (97.3%). For the free smooth surfaces, there was no statistically significantly difference among the four sealant groups.

Significance

Light-cured ART conventional high-viscosity glass-ionomer sealants prevented the occurrence of dentin cavities best.