10.25241/stomaeduj.2020.7(1).art.2 -abstract

PREVENTIVE DENTISTRY

Arrest of early carious lesions after professional application of different fluoride agents

DOI: https://doi.org/10.25241/stomaeduj.2020.7(1).art.2

Abstract

Objective To compare the effectiveness of three professionally applied fluoride agents in arresting early carious lesions in young permanent teeth.
Methods A quasi-experimental study was performed. Eligible population: School-children aged 5-7 years presenting at least one permanent molar with early active carious lesion.
Sample: 107 dental surfaces with early occlusal carious lesions (lesion code=1-2; activity code=2 -ICDAS II criteria-). Study design: (1) Baseline diagnosis, performed by 2 researchers (Kappa inter-observer: 0.8). (2) Application of a protocol for cariogenic infection control. (3) Participant assignment to groups: matched according to complexity of treatment needs at baseline: Group 1(G1) 5% NaF varnish Duraphat® (n=53); Group 2 (G2) 5% NaF varnish containing β-TCP tricalcium phosphate (n=33) Clinpro White Varnish®; Group 3 (G3) resin-modified glass ionomer cement varnish Clinpro XT Varnish® (n=19). (4) Single professional application of a fluoride agent. (5) Caries assessment 1 year post-treatment. Statistical analysis. The frequency of (a) early caries lesion remineralization one year post-treatment and (b) carious lesions that remained active but showed no progression 1 year post-treatment were calculated. Chi-Square and proportion comparison tests for independent samples were used to evaluate differences among groups.
Results Proportion of arrested lesions 1-year post treatment: G1=54.5%, G2=43.4%, G3=47.4%. No statistical difference was found among groups (p< 0.05). Proportion of lesions remaining active at 1 year showing no caries progression: G1=69%, G2=80%, G3=100%. No statistical difference was found among groups (p< 0.05).
Conclusion The three professionally applied fluoride agents showed similar effectiveness in arresting early carious lesions in young permanent teeth 1 year post-application.
Keywords
Tooth Remineralization; Fluoride Varnishes; Caries Arrest; Preventive Dentistry; Topical Fluorides.

GREEN OPEN ACCESS

The Stomatology Edu Journal (Stoma Edu J) is one of the first Green Open Access journals in the field of dental medicine, publishing well-established authors, but equally committed to encouraging early career researchers and professionals alike to publish their work after a non-partisan, objective, double-blind rigorous peer-reviewed process. A Green Open Access (GOA) journal means that all content is freely available to the user or his/her institution without charge. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. Our aim is to publish in the shortest possible time frame and ensure the rapid dissemination of your work via our journal page, but also through our indexing partners (Dimensions, EBSCO, KUDOS, Google Scholar, Scilit)…(read more)

STATEMENT

STOMATOLOGY EDU JOURNAL (Stoma Edu J) is a new international dental journal whose main purpose is to inform researchers, educators, graduates, postgraduates and practitioners about the latest trends in the field, which followed, would bring immediate and lasting benefits to the patients; and about opinions of the most authorized specialists on what is best in current practice, for the good of both, patient and dentist.
STOMATOLOGY EDU JOURNAL (Stoma Edu J) is a peer-reviewed, open access international dental journal to be database indexed, meant to contribute to the development and completion of the medical training of practitioners as Dr. Greene Vardiman Black stated: “the professional man has no right to be other than a continual student”.
Open access journal, means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.