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

Authors
Journal
Dental Materials
0109-5641
Publisher
Elsevier
Volume
30
Issue
5
Identifiers
DOI: 10.1016/j.dental.2014.01.016
Keywords
  • Sealants
  • Caries Prevention
  • Resin Composite
  • Glass-Ionomer Cement
  • Glass-Carbomer
  • Atraumatic Restorative Treatment

Abstract

Abstract 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.

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