窝沟封闭剂和流动复合树脂的对比评价：36 个月的随机分组、分牙合面临床研究。

Comparative evaluation of a fissure sealant and a flowable composite: A 36-month split-mouth, randomized clinical study.

机构信息

Istanbul University Faculty of Dentistry Department of Restorative Dentistry, Turkey.

出版信息

J Dent. 2022 Aug;123:104205. doi: 10.1016/j.jdent.2022.104205. Epub 2022 Jun 18.

DOI:10.1016/j.jdent.2022.104205

PMID:35724939

Abstract

OBJECTIVES

The purpose of the present clinical evaluation was to investigate the effect of a fissure sealant and a flowable composite at fissures of permanent molars in terms of retention and caries-incidence rates over a 36-month period.

METHODS

Thirty-four patients, ages varied from 16 to 22 years, diagnosed with at least 2 non-cavitated pit-and-fissure caries in the first and second molars were involved in the study. A total of 220 sealants, were placed in 117 upper molars and 103 lower molars. Teeth were sealed with either a flowable resin composite (Tetric Evo Flow) or a sealant material (Helioseal F)(n = 110). Each restoration was evaluated in terms of retention and caries incidence at 6, 12, 24 and 36 months according to their location as well. Data were analyzed using Mann-Whitney U, Friedman and 1-way ANOVA tests at p < 0.05.

RESULTS

Tetric Evo Flow showed total retention with 95.5%, 93.8%, 88.5% and 80.2% at 6, 12, 24 and 36-month follow-ups respectively, while Helioseal F had retention rates of 95.5%, 94.8%, 85.4% and 80.2% respectively. After 36-months, there were 6 subjects totally lost in Helioseal F group, whereas 7 of the Tetric Evo Flow sunjects were totally lost. Caries development was firstly detected at 12-month evaluation for both of the materials however, no significant differences were observed among materials in retention rates or caries incidence after 36-month follow-ups (p > 0.05).

SIGNIFICANCE

Using the flowable composite found as effective as the fissure sealant after 36-months regarding retention and caries incidence rates.

摘要

目的

本临床评估的目的是研究在 36 个月的时间内，一种窝沟封闭剂和一种流动复合树脂在磨牙窝沟处的保留率和龋齿发生率方面的效果。

方法

本研究纳入了 34 名年龄在 16 至 22 岁之间的患者，这些患者至少有 2 颗第一和第二磨牙的非龋性窝沟龋。共有 220 个窝沟封闭剂被放置在 117 颗上颌磨牙和 103 颗下颌磨牙中。这些牙齿分别用流动树脂复合材料（Tetric Evo Flow）或封闭剂材料（Helioseal F）进行封闭（n=110）。根据位置，每个修复体在 6、12、24 和 36 个月时分别评估保留率和龋齿发生率。数据采用 Mann-Whitney U、Friedman 和 1 -way ANOVA 检验进行分析，p<0.05。

结果

Tetric Evo Flow 在 6、12、24 和 36 个月的随访中分别显示出 95.5%、93.8%、88.5%和 80.2%的完全保留率，而 Helioseal F 的保留率分别为 95.5%、94.8%、85.4%和 80.2%。36 个月后，Helioseal F 组有 6 名受试者完全脱落，而 Tetric Evo Flow 组有 7 名受试者完全脱落。两种材料在 12 个月的评估中首先发现了龋齿的发展，但在 36 个月的随访中，两种材料的保留率或龋齿发生率均无显著差异（p>0.05）。