Assessment of the Success Rate of Conservative Adhesive Resin Restoration (CAR) in First Permanent Molar Teeth Treatment in Hamadan, Iran
American Journal of Clinical and Experimental Medicine
Volume 2, Issue 4, July 2014, Pages: 74-78
Received: Jul. 12, 2014;
Accepted: Jul. 23, 2014;
Published: Jul. 30, 2014
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Rezvan Rafatjou, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
Mahshad Nikfar, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
SHokoufeh Nobahar, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
Mohammadfoad Amini, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
Seyed-Mostafa Hosseini-Zijoud, Clinical Research Development Unit, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Background & aim: Dental caries is one of the most common childhood diseases in the world. Pit and fissure caries constitute more than 80% of all caries in children and adolescents. Although occlusal surfaces account for only 12.5% of tooth surfaces, approximately 60% of dental caries are observed in these surfaces. Caries preventive methods include fluoride therapy, fissure sealant, and conservative adhesive restoration (CAR). Although CAR method has been increasingly applied for the prevention of dental caries progression, little research has been conducted so far. Despite the advantages of CAR method, this technique is time-consuming and uneconomical for the patient and health care system. In this study, we aimed to assess the one year success rate of CAR in caries prevention at Hamadan Dental School, Hamadan, Iran. Methods & Patients: In this cross-sectional study, the estimated sample size was 150 treated first permanent molar teeth. We examined variables such as CAR success or failure (retention and caries prevention), need for re-treatment, frequency of tooth brushing, previous history of fluoride therapy, Decayed-Missing-Filled Permanent Teeth (DMFT) index, decayed-missing filled deciduous teeth (dmft) index, dental visit, and current dental treatment. Data were analyzed using SPSS version 16. Results: Fifty-seven patients were examined, among whom 24 (42%) were male and 33 were female (58 %). The age range of the subjects was 7-13 years. A total of 125 molar teeth were studied, of which 88 (70.4%) and 37 (29.6%) belonged to female and male subjects, respectively. According to the results, the association between CAR and the patient’s age was significant (P˂0.05); also, there was a significant difference in using fluoride and CAR success (P=0.001). Conclusion: There is a significant association between the patient’s age, use of fluoride mouth rinse, and treatment success rate. In addition, older cases showed better response to CAR.
Assessment of the Success Rate of Conservative Adhesive Resin Restoration (CAR) in First Permanent Molar Teeth Treatment in Hamadan, Iran, American Journal of Clinical and Experimental Medicine.
Vol. 2, No. 4,
2014, pp. 74-78.
Roberson TM,Heyman Ho, swift EJ. Art and science of Operative Dentistry. 5th ed. Mosbyco; 2006.Chapter 3, p67-71.
Dye BA, Tan S, et al. Trends in oral health status: United States, 1988–1994 and 1999–2004. Vital Health Stat. 2007; 11(248):1– 92.
Dye BA, Arevalo O, and Vargas CM. Trends in paediatric dental caries by poverty status in the United States, 1988–1997 and 1994–2004. Int J Paediatric Dent. 2010; 20(2):132–43. [PubMed]
Vargas CM, Crall JJ, Schneider DA. Sociodemographic distribution of pediatric dental caries: NHANES III, 1988–1994. J Am Dent Assoc. 1998; 129:1229–38.
Pinkham JR,casanasimo PS,fields HW,McTigue DJ ,nowak AJ.Pit and Fissure Sealants and Conservative Adhesive Restoration .In: Pinkham JR.pediatric dentistry. 4th ed. W.B: Saunders co; 2005. P521-576.
RG Rozier. Effectiveness of methods used by dental professionals for the primary prevention of dental caries. Journal of Dental Education October 1, 2001 vol. 65 no. 10 1063-1072
McDonald,Avery’s. Dentistry for the Child and Adolescent.9th ed.st lauis CV: Mosby co; 2011.Chapter10, p195-200.
Ahovuo-Saloranta A1, Hiiri A, Nordblad A, Worthington H, Mäkelä M. Pit and fissure sealants for preventing dental decay in the permanent teeth of children and adolescents. Cochrane Database Syst Rev. 2004 ;( 3):CD001830.
Splieth CH, Ekstrand KR, Alkilzy M, Clarkson J, Meyer-Lueckel H, Martignon S, et. al. Sealants in dentistry: outcomes of the ORCA Saturday Afternoon Symposium 2007. Caries Research 2010; 44(1):3-13.
Feigal RJ. Current status of pit and fissure sealant:improving effectivence of the preventive strategy. J Pediatr Dental Care 2003; 9:10.
Feigal RJ. Sealant and preventive restoration:review of effectiveness and clinical changesfor improvoment. Pediatr Dent 1998 Mar-A [li filk spr; 20(2):85-92.
Mejàre I, Lingström P, Petersson LG, Holm AK, Twetman S, Källestål C, et al. Caries-preventive effect of fissure sealants: a systematic review. Acta Odontologica Scandinavica 2003; 61(6):321-30.
Torres CP, Balbo P, Gomes Silva JM, Ramos RP, Palma Dibb RG, Borsatto MC. Effect of individual or simultaneous curing on sealant bond strength. J Dent Child. 2005; 72(1):31-5.
Hicks J, Flaitz CM. Pit and fissure sealants and conservative adhesive restorations In: Pinkham JR, Casamassimo PS, Fields HW, McTigue DJ, Nowak A. Pediatric dentistry: infancy through adolescent. 4th ed. Philadelphia: Elsevier Co; 2005; chap32:520-56.
Nowak A, Crall JJ. Prevention of dental disease In: Pinkham JR, Casamassimo PS, Fields HW, MC Tigue DJ, Nowak A. Pediatric dentistry: infancy through adolescent. 4th ed. Philadelphia: Elsevier Co; 2005; chap 31:511-19.
McDonald RE, Avery DR, Dean JA. Dentistry for the child and adolescent. 8th ed. St Louis: Mosby Co.; 2004; chap17: 353-60.
Subramanya Phanilatha. An in vivi comparativestudy of preventiveresin restoration and glass ionomerpreventive restorationin young permenent teethat school dental health program [dissertation]. Bangalore: RalivGandhiUniversity of Health Siences; 2006.
Wellbury RR,walls A WG murrag jj,Mc Cabe JF. The managnent o occlusal Caries in permanent molar.A Five-year clinical trial Comparing a minimal Composite with an amalgam restoration.Br Dent J 1990 Dec 8-22; 169(11):361-6.
Walker¸ JD¸Floyd k¸jakobson J ¸pinkham JR. The effectiveness of preventive resin restoration in pediatric patients. J Dent Child 1996; 63:338.
Memarpour M,Shafiei F,Shokouh P,Shaddel M.Evaluation of a school –based pit-fissure sealant programme in Iranian children.Oral Health Prev Dent 2011;9(4):381-386.
Folke BD,Walton JL,Feigal RJ.Occlusal sealant success over ten years in a private practice:comparing longevity of sealant placed by dentists, hygienists,and assistants.Pediater Dent 2004 Sep;26(5):426-432.
Oulis CJ,Berdouses ED.Fissure sealant retention and caries development after resealing on first permanent molars of children with low,moderate and high caries risk.Eur Arch Paediater Dent 2009 Dec;10(4):207-211.
Bravo M, Osorio E, Garcia-Anllo l, Llodra JC,Baca P.The influence of dft index on sealant success: a 48-month survival analysis. J Dent Res 1996 Feb; 75(2):768-774.