Infiltration and sealing versus fluoride treatment of occlusal caries lesions in primary molar teeth. 2-3 years results.
BACKGROUND
Studies examining the efficacy of sealing occlusal caries lesions in the primary dentition are limited, and no studies have so far examined the efficacy of infiltrating occlusal lesions on primary molar teeth.


OBJECTIVE
This study aimed to evaluate the efficacy of infiltrating, sealing, or fluoride varnishing on the occlusal surfaces with initial caries lesions.


METHODS
Split-mouth design study was carried out with 50 children aged between 5 and 8 years with three occlusal lesions. After randomization, one lesion was infiltrated with ICON and varnished with Duraphat (I+F), one lesion was sealed with Delton and varnished with Duraphat (S+F), and one lesion only varnished with Duraphat (F).


RESULTS
Lesion status could be followed on radiographs on 47 children after 2-3 years (mean=22 months). Seven lesions in the I+F group, 9 lesions in the S+F, and 17 lesions in the F group showed radiographic progression. A significant difference in lesion progression was only found between the I+F- and the F group of teeth (P = 0.021).


CONCLUSIONS
Infiltration and sealing occlusal surfaces with initial caries lesions on primary molar teeth showed a high efficacy in arresting caries progression, significant for the I+F or borderline significant for the S+F compared with the F group.
Section for Cariology and Endodontics & Paedodontics and Clinical Genetics, Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, Nørre Alle, Copenhagen N, Denmark.
Azam
A
Bakhshandeh
Kim
K
Ekstrand
D017438:Bisphenol A-Glycidyl Methacrylate / Q000627:therapeutic use*; D002327:Cariostatic Agents / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D003731:Dental Caries / Q000517:prevention & control*; D005260:Female; D005460:Fluorides, Topical / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008963:Molar; D010895:Pit and Fissure Sealants / Q000627:therapeutic use*; D012117:Resins, Synthetic / Q000627:therapeutic use*; D012969:Sodium Fluoride / Q000627:therapeutic use*; D014094:Tooth, Deciduous; D016896:Treatment Outcome
D002327:Cariostatic Agents; D005460:Fluorides, Topical; D010895:Pit and Fissure Sealants; D012117:Resins, Synthetic; C578177:icon infiltrant; C023807:sodium fluoride topical preparation; D017438:Bisphenol A-Glycidyl Methacrylate; D012969:Sodium Fluoride