Effect of glass-ionomer cement on the progression of proximal caries.
Although effective preventive strategies exist for pit and fissure caries, prevention of proximal caries remains a significant challenge. This split-mouth study was designed to investigate the effect of glass-ionomer cement (GIC) on the progression of initial proximal caries in posterior teeth, testing the hypothesis that local application of fluoride-releasing GIC would reduce this progression. GIC was applied to 41 pairs of posterior teeth after elastic band separation in 7- to 19-year-old individuals. Follow-up bitewing radiographs were taken at 6 and 12 months. Differences in Δ mean lesion depth at 6 and 12 months between test and control groups were significant (p < 0.05, p < 0.000). Lesions treated with GIC were more likely to remain in or regress to the outer half of enamel (OR = 6.3; 95%CI, 1.3-30.9). GIC provides an effective approach to the clinical management of incipient proximal caries.
Trairatvorakul
C
C
Department of Pediatric Dentistry, Faculty of Dentistry, Chulalongkorn University, 34 Henry Dunant Road, Pathumwan, Bangkok 10330, Thailand. ctrairat@yahoo.com
Itsaraviriyakul
S
S
Wiboonchan
W
W
D000149:Acidulated Phosphate Fluoride / Q000627:therapeutic use; D000293:Adolescent; D002327:Cariostatic Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D016022:Case-Control Studies; D002648:Child; D003731:Dental Caries / Q000517:prevention & control*; D003802:Dentifrices / Q000627:therapeutic use; D018450:Disease Progression; D005260:Female; D005459:Fluorides / Q000008:administration & dosage* / Q000627:therapeutic use; D005500:Follow-Up Studies; D005899:Glass Ionomer Cements / Q000737:chemistry*; D006801:Humans; D008297:Male; D008422:Materials Testing; D010865:Pilot Projects; D016300:Radiography, Bitewing; D013499:Surface Properties; D055815:Young Adult
D002327:Cariostatic Agents; D003802:Dentifrices; D005899:Glass Ionomer Cements; D000149:Acidulated Phosphate Fluoride; D005459:Fluorides