Condò R, Cioffi A, Riccio A, Totino M, Condò S G, Cerroni L
Department of Clinical Sciences and Translational Medicine - University of Rome "Tor Vergata"
Oral Implantol (Rome). 2014 Apr 4;6(3):67-74. eCollection 2013 Mar.
The occlusal surface is the most affected area by dental caries and the sealing of the pits and of the fissures has been found, in time, the preventive method most effective trying to counteract the onset. Currently, the WHO considers it as a primary preventive measure, in other words one of the most effective and least invasive available to ensure the complete protection and the total preservation of the occlusal carious by the phenomenon.
THE AIM OF THIS WORK HAS BEEN TO PERFORM A SYSTEMATIC REVIEW OF THE LITERATURE ON CLINICAL TRIALS OF DIFFERENT SEALING MATERIALS, IN ORDER TO: compare their individual characteristics, highlight the reliability and the long-term efficacy and identify the most significant variables, both technological and clinics, in order to declare whether or not the success of this method prior.
The research has been carried out in the MEDLINE database by choosing keywords as "sealants" and "follow up". Only studies published in the last thirteen years have been considered and have been evaluated only types of scientific articles that fall within the definition of Anglo-Saxon "Clinical Trial" and "Controlled Clinical Trial", excluding all experimental works in vitro, case-reports, meta-analyzes and literature reviews. Have been also considered only scientific papers on patients between the ages of 0 and 18 years.
Out of 29 studies, evaluating a total of 2900 individuals (aged between 2.5 and 17 years), 7411 seals made by using resin-based sealants (RB Sealants), modified glass ionomer sealants (RMGI) and compomer sealants have been analyzed. The best retention capacity of the material in time has been obtained from the use of RB Sealants compared to RMGI, demonstrating retention values much lower with partial loss of material at a distance of one year from the clinic. The compomers demonstrate retention values intermediates. The incidence of caries in a year is negligible for all sealants application.
In terms of retention, resin-based sealants (RB Sealants) are the materials that give more guarantees of success at 12 months, while in the same period there haven't been significant differences in caries prevention of disease among the various classes sealing materials analyzed.
咬合面是受龋齿影响最严重的区域，及时发现窝沟封闭是预防龋齿发生最有效的方法。目前，世界卫生组织将其视为一项一级预防措施，也就是说，这是确保完全保护和保存咬合面免受龋齿现象侵害的最有效且侵入性最小的措施之一。
本研究旨在对不同封闭材料临床试验的文献进行系统综述，以便：比较它们各自的特性，突出其可靠性和长期疗效，并确定技术和临床方面最重要的变量，从而判断该方法是否成功。
在MEDLINE数据库中进行检索，选择“窝沟封闭剂”和“随访”作为关键词。仅考虑过去十三年发表的研究，且仅评估符合盎格鲁 - 撒克逊“临床试验”和“对照临床试验”定义的科学文章类型，排除所有体外实验研究、病例报告、荟萃分析和文献综述。还仅考虑关于0至18岁患者的科学论文。
在29项研究中，共评估了2900名个体（年龄在2.5至17岁之间），分析了使用树脂基窝沟封闭剂（RB封闭剂）、改良玻璃离子封闭剂（RMGI）和复合体封闭剂制成的7411颗封闭剂。与RMGI相比，使用RB封闭剂能使材料在一段时间内保持最佳保留能力，在距离临床一年时显示出更低的保留值，材料有部分损失。复合体封闭剂的保留值处于中间水平。所有封闭剂应用一年后的龋齿发生率可忽略不计。
在保留方面，树脂基窝沟封闭剂（RB封闭剂）在12个月时成功的保证更大，而在所分析的各类封闭材料中，同期在预防龋齿疾病方面没有显著差异。
