H B Sæthre-Sundli1, S Y Løken1, N J Wang1, T I Wigen2. 1. Department of Paediatric Dentistry and Behavioural Science, Institute of Clinical Dentistry, University of Oslo, Blindern, Box 1109, 0317, Oslo, Norway. 2. Department of Paediatric Dentistry and Behavioural Science, Institute of Clinical Dentistry, University of Oslo, Blindern, Box 1109, 0317, Oslo, Norway. wigen@odont.uio.no.
Abstract
PURPOSE: To explore the use of fissure sealing as a caries preventive method by describing characteristics of children who had received sealants and to study associations between sealing and caries prevalence at 12 years of age. METHODS: The study included 3075 children examined at 5 and 12 years of age. Data were collected by clinical examination and questionnaire to parents. The questionnaire provided information on child characteristics and oral health behaviour in children at 5 years of age. Data on sealing and caries prevalence were obtained from dental records. Bi- and multivariate logistic regressions were performed. The Regional Committee for Medical Research Ethics approved the study (2.200.54 and 2013/1881). RESULTS: Of the children, 12% had received sealants on permanent teeth before 12 years of age. Children with dentin caries at 5 years of age (OR 2.0, CI 1.5-2.7) had a higher probability of having received sealants than children without caries. Having sealants (OR 2.8, CI 2.2-3.6), enamel caries (OR 1.5, CI 1.2-1.9), dentin caries (OR 2.9, CI 2.3-3.6) and using fluoride lozenges less than daily (OR 1.5, CI 1.3-1.8) at 5 years of age were associated with having dentin caries prevalence at 12 years of age. CONCLUSION: Few children had received fissure sealing. Although sealing was used as a caries preventive method in children who had experienced caries in primary teeth, these children continued developing caries in their permanent teeth.
PURPOSE: To explore the use of fissure sealing as a caries preventive method by describing characteristics of children who had received sealants and to study associations between sealing and caries prevalence at 12 years of age. METHODS: The study included 3075 children examined at 5 and 12 years of age. Data were collected by clinical examination and questionnaire to parents. The questionnaire provided information on child characteristics and oral health behaviour in children at 5 years of age. Data on sealing and caries prevalence were obtained from dental records. Bi- and multivariate logistic regressions were performed. The Regional Committee for Medical Research Ethics approved the study (2.200.54 and 2013/1881). RESULTS: Of the children, 12% had received sealants on permanent teeth before 12 years of age. Children with dentin caries at 5 years of age (OR 2.0, CI 1.5-2.7) had a higher probability of having received sealants than children without caries. Having sealants (OR 2.8, CI 2.2-3.6), enamel caries (OR 1.5, CI 1.2-1.9), dentin caries (OR 2.9, CI 2.3-3.6) and using fluoride lozenges less than daily (OR 1.5, CI 1.3-1.8) at 5 years of age were associated with having dentin caries prevalence at 12 years of age. CONCLUSION: Few children had received fissure sealing. Although sealing was used as a caries preventive method in children who had experienced caries in primary teeth, these children continued developing caries in their permanent teeth.
Authors: Ivor Gordon Chestnutt; Simon Hutchings; Rebecca Playle; Sarah Morgan-Trimmer; Deborah Fitzsimmons; Nadine Aawar; Lianna Angel; Sharron Derrick; Cheney Drew; Ceri Hoddell; Kerenza Hood; Ioan Humphreys; Nigel Kirby; Tin Man Mandy Lau; Catherine Lisles; Maria Zeta Morgan; Simon Murphy; Jacqueline Nuttall; Kateryna Onishchenko; Ceri Phillips; Timothy Pickles; Charlotte Scoble; Julia Townson; Beverley Withers; Barbara Lesley Chadwick Journal: Health Technol Assess Date: 2017-04 Impact factor: 4.014