3-year survival rates of retained composite resin and ART sealants using two assessment criteria

The aim was to test the null-hypothesis that there is no difference in the cumulative survival rate of retained composite resin (CR) sealants and a high-viscosity glass-ionomer Atraumatic Restorative Treatment (ART) sealant in first permanent molars calculated according to the traditional and the mo...

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Detalles Bibliográficos
Autores: Hilgert, Leandro Augusto, Leal, Soraya Coelho, Freire, Gabriela Mesquita Lopes, Mulder, Jan, Frencken, Jo E.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:Brasil
Institución:Universidade de Brasília (UnB)
Repositorio:Repositório Institucional da UnB
Idioma:inglés
OAI Identifier:oai:repositorio.unb.br:10482/30862
Acceso en línea:http://repositorio.unb.br/handle/10482/30862
http://dx.doi.org/10.1590/1807-3107bor-2017.vol31.0035
Access Level:acceso abierto
Palabra clave:Selantes de depressões e fissuras (Odontologia)
Cáries dentárias
Odontopediatria
Descripción
Sumario:The aim was to test the null-hypothesis that there is no difference in the cumulative survival rate of retained composite resin (CR) sealants and a high-viscosity glass-ionomer Atraumatic Restorative Treatment (ART) sealant in first permanent molars calculated according to the traditional and the modified retention assessment criteria over a period of 3 years. This cluster-randomized controlled clinical trial consisted of 123 schoolchildren, 6–7-years-old. At baseline, high-caries risk pits and fissures of fully erupted first permanent molars were treated with CR and ART sealants. Evaluations were performed after 0.5, 1, 2 and 3 years. Retention was scored for free-smooth surface and for each of three sections into which the occlusal surface had been divided. The modified criterion differed from the traditional in that it determined an occlusal sealant to be a failure when at least one section contained no visible sealant material. Data were analysed according to the PHREG model with frailty correction, Wald-test, ANOVA and t-test, using the Jackknife procedure. The cumulative survival rates for retained CR and ART sealants in free-smooth and occlusal surfaces for both criteria were not statistically significantly different over the 3 years. A higher percentage of retained CR sealants on occlusal surfaces was observed at longer evaluations. Cumulative survival rates were statistically significantly lower for the modified criterion in comparison to the traditional. The modified retention assessment criterion should be used in future sealant-retention studies.