Caries Research
Original Paper
A Randomised Controlled Trial to Determine the Effectiveness of Glass Ionomer Sealants in Pre-School ChildrenChadwick B.L.a · Treasure E.T.a · Playle R.A.a,baDepartment of Dental Health and Biological Sciences, Dental School, and bDepartment of Epidemiology, Statistics and Public Health, University of Wales College of Medicine, Cardiff, UK
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Article / Publication Details
Received: November 04, 2003
Accepted: March 02, 2004
Published online: December 10, 2004
Issue release date: January – February
Number of Print Pages: 7
Number of Figures: 0
Number of Tables: 5
ISSN: 0008-6568 (Print)
eISSN: 1421-976X (Online)
For additional information: https://www.karger.com/CRE
Abstract
Background: Caries levels in pre-school children remain high in some areas of the UK. Studies of glass ionomer fissure sealants show their potential for caries prevention in permanent teeth, but their use in primary teeth has not been reported. Aim: To determine whether a glass ionomer fissure sealant placed on primary molars in pre-school children at high risk of developing dental caries can decrease the incidence of dental caries. Material: 508 children aged 18–30 months from high caries areas of South Wales with caries-free first primary molars were recruited to the trial after informed consent. Methods: This was a placebo-controlled individual randomised controlled trial (RCT). All children (n = 508) received a standard package of dental health education. Children in the test group (n = 241) had their first primary molars sealed with glass ionomer. All the children were re-examined once at varying intervals between 12 and 30 months. Results: Analysis of the caries data revealed no significant difference between test and control groups for any of the parameters examined. Examination of the confidence intervals showed no indication that there might be a difference even if the sample size had been increased. Conclusion: There is no evidence that the intervention as used in this population had any effect on caries incidence and it cannot be recommended as a clinical procedure.
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References
- Aranda M, Garcia-Godoy F: Clinical evaluation of the retention and wear of a light cured pit and fissure glass ionomer sealant. J Clin Pediatr Dent 1995;19:273–277.
- Forss H, Saarni U-M, Seppä L: Comparison of glass-ionomer fissure sealants: A 2-year clinical trial. Community Dent Oral Epidemiol 1994;22:21–24.
- Frenken JE, Songpaisan Y, Phantumvanit P, Pilot T: An atraumatic restorative treatment (ART) technique: Evaluation after one year. Int Dent J 1994;44:460–464.
-
Hinds K, Gregory JR: National Diet and Nutrition Survey: Children Aged 1½ to 4½ Years. Volume 2: Report of the Dental Survey. London, HMSO, 1995.
-
Johnson NW: Introduction: The nature of dental caries; in Johnson NW (ed): Dental Caries: Markers of High and Low Risk Groups and Individuals. Cambridge, Cambridge University Press, 1991, pp 1–12.
-
Kidd EAM, Joyston-Bechal S: Fissure sealants; in Essentials of Dental Caries: The Disease and Its Management. Bristol, Wright, 1997, pp 163–180.
-
Kidd EAM, Nunn J: Managing caries in enamel; in Murray JJ, Nunn JH, Steele JG (eds): Prevention of Oral Diseases. Oxford, Oxford University Press, 2003, pp 77–96.
- McKenna EF, Grundy GE: Glass ionomer cement fissure sealants applied by operative dental auxiliaries – retention rate after one year. Aust Dent J 1987;32:200–203.
- McLean J, Wilson A: Fissure sealing and filling with an adhesive glass ionomer cement. Br Dent J 1974;136:269–274.
- Mejàre I, Mjör IA: Glass ionomer and resin based fissure sealants: A clinical study. Scand J Dent Res 1990;98:345–350.
-
O’Brien M: Child Dental Health in the UK, 1993. London, HMSO, 1994.
- Pitts NB, Evans DJ: The dental caries experience of 5-year-old children in the United Kingdom. Community Dent Health 1997;14:47–52.
- Randall RC, Wilson NH: Glass-ionomer restoratives: A systematic review of a secondary caries treatment effect. J Dent Res 1999;78:628–637.
-
Reuterving GK, van Dijken JWV: A three-year follow-up of glass ionomer cement and resin fissure sealants. J Dent Child 1995;89:108–110.
-
Roeters J, Bugersdijk R, Truin GJ, van ‘t Hof M: Dental caries and its determinants in 2- to 5-year-old children. J Dent Child 1995;78:628–637.
- Svanberg M, Mjör I, Örstavik D: Mutans streptococci in plaque from margins of amalgam, composite and GIC restorations. J Dent Res 1990;69:861–864.
-
Welsh Office: Common Minimum Data Set. 1996.
- Williams B, Laxton L, Holt RD, Winter GB: Fissure sealants: A 4-year clinical trial comparing an experimental glass polyalkenoate cement with bis glycidyl methacrylate resin used as fissure sealants. Br Dent J 1996;180:104–108.
Article / Publication Details
Received: November 04, 2003
Accepted: March 02, 2004
Published online: December 10, 2004
Issue release date: January – February
Number of Print Pages: 7
Number of Figures: 0
Number of Tables: 5
ISSN: 0008-6568 (Print)
eISSN: 1421-976X (Online)
For additional information: https://www.karger.com/CRE
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