Teimoory Naimeh, Katebi Katayoun, Ghahramanzadeh Armin, Vafaei Ali
Department of Pediatric Dentistry, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Oral and Maxillofacial Medicine, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
J Dent Res Dent Clin Dent Prospects. 2023 Spring;17(2):81-86. doi: 10.34172/joddd.2023.39160. Epub 2023 Jul 17.
This systematic review aimed to evaluate the available scientific evidence concerning the effects of topical fluoride treatment on the bond strength of pit and fissure sealants. Prevention of dental caries is one of the crucial issues in pediatric dentistry. Pit and fissure sealant and fluoride therapies are two caries prevention procedures that may be performed in one session. However, fluoride therapy may affect the bond strength of pit and fissure sealants.
An electronic search for in vitro studies published in English and Persian on topical fluoride therapy and the bond strength of pit and fissure sealants was performed via PubMed/ Medline, Web of Science, Google Scholar, Embase, and Scopus databases until May 2022. The articles were independently reviewed for quality by two reviewers. Textual data were analyzed manually, and the bond strength of sealants placed after fluoride application was compared with control groups.
A total of 8482 articles were initially identified and reviewed by two independent reviewers, and 13 were selected for full-text evaluation. Finally, six articles were included in the systematic review. A total of 250 teeth were studied, 148 of which were in the case group (fluoride group) and 102 in the control group. Tensile and shear bond strengths were compared between groups in the studies.
In the studies in which the tooth surfaces were washed after applying fluoride, there was no change in the fissure sealant bond strength. However, in studies in which fluoride was not washed, the bond strength decreased significantly, independent of the fluoride type.
本系统评价旨在评估有关局部用氟治疗对窝沟封闭剂粘结强度影响的现有科学证据。预防龋齿是儿童牙科的关键问题之一。窝沟封闭剂和氟化物治疗是两种可在同一疗程中进行的防龋程序。然而，氟化物治疗可能会影响窝沟封闭剂的粘结强度。
通过PubMed/Medline、科学网、谷歌学术、Embase和Scopus数据库，对截至2022年5月发表的关于局部用氟治疗与窝沟封闭剂粘结强度的英文和波斯文体外研究进行电子检索。由两名 reviewers 独立评估文章质量。对文本数据进行人工分析，并将应用氟化物后放置的封闭剂的粘结强度与对照组进行比较。
最初共识别并由两名独立 reviewers 审查了8482篇文章，选择了13篇进行全文评估。最后，6篇文章纳入系统评价。共研究了250颗牙齿，其中148颗在病例组（氟化物组），102颗在对照组。在研究中比较了各组之间的拉伸和剪切粘结强度。
在应用氟化物后对牙齿表面进行冲洗的研究中，窝沟封闭剂的粘结强度没有变化。然而，在未冲洗氟化物的研究中，粘结强度显著降低，与氟化物类型无关。
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