Zöllner Felicitas, Fresen Karl-Ferdinand, Gaballah Ramy, Schill Helen, Pitchika Vinay, Amend Stefanie, Krämer Norbert, Kühnisch Jan
Department of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.
Department of Paediatric Dentistry, Medical Centre for Dentistry, University Medical Center Gießen and Marburg, Justus-Liebig-Universität Gießen, Gießen, Germany.
Clin Oral Investig. 2024 Dec 18;29(1):20. doi: 10.1007/s00784-024-06083-6.
This cross-sectional study aimed to investigate the use, quality, and caries-preventive effects of fissure sealants (FSs) in 8- to 10-year-olds with and without molar-incisor hypomineralization (MIH).
A total of 5,418 children (2,692 males, 2,726 females) were examined via standard instruments (dental mirrors, CPI probes, adequate lighting, mobile examination tables, and air syringes) and methods for the recording of caries (DMFT index, WHO method) and FSs. The classification of MIH followed the recommendations of the European Academy of Pediatric Dentistry (EAPD). Statistical analysis included descriptive analysis and mixed-effects logistic regression models.
59.0% of all children had at least one FS; this percentage was 57.8% in the MIH group. The proportions of fully intact sealants and minimal, moderate, or nearly complete loss of retention were 31.7%, 48.3%, 16.8%, and 3.2%, respectively. The mean caries experience was low, at 0.2 DMFT in the whole population. Lower DMFT means were registered in individuals with FSs without MIH (0.1) and with MIH (0.1). The regression analysis revealed a significant caries-protective effect of FSs and MIH in relation to the overall caries burden. In addition, the caries-protective effect was greater in individuals with fully retained sealants (aOR 0.269) than in those with minimal (aOR 0.346), moderate (aOR 0.567) or nearly complete loss of retention (aOR 0.721).
This study documented the comparable use, quality, and caries-preventive effects of FSs in individuals and permanent molar with and without MIH.
FSs are caries protective in children with and without MIH.
本横断面研究旨在调查窝沟封闭剂（FSs）在有和没有磨牙-切牙矿化不全（MIH）的8至10岁儿童中的使用情况、质量及防龋效果。
通过标准器械（牙科镜、社区牙周指数探针、充足照明、移动检查台和气枪）及记录龋病（DMFT指数，世界卫生组织方法）和窝沟封闭剂的方法，对总共5418名儿童（2692名男性，2726名女性）进行了检查。MIH的分类遵循欧洲儿童牙科学会（EAPD）的建议。统计分析包括描述性分析和混合效应逻辑回归模型。
所有儿童中有59.0%至少使用了一种窝沟封闭剂；在MIH组中这一比例为57.8%。完全完整的封闭剂以及保留情况为轻微、中度或几乎完全丧失的比例分别为31.7%、48.3%、16.8%和3.2%。总体龋病经历较低，整个人群的DMFT均值为0.2。在没有MIH且使用了窝沟封闭剂的个体（0.1）和有MIH且使用了窝沟封闭剂的个体（0.1）中，DMFT均值较低。回归分析显示，窝沟封闭剂和MIH对总体龋病负担具有显著的防龋作用。此外，封闭剂完全保留的个体（调整后比值比0.269）的防龋作用大于保留情况为轻微（调整后比值比0.346）、中度（调整后比值比0.567）或几乎完全丧失（调整后比值比0.721）的个体。
本研究记录了窝沟封闭剂在有和没有MIH的个体及恒牙中的使用情况、质量及防龋效果相当。
窝沟封闭剂对有和没有MIH的儿童均有防龋作用。
