Blake, H.

Brady, L.

Dawett, B.

Deery, C.

Leighton, P.

Younis, F.

Repository@Nottingham

Citation:	BRADY,	LR,	DAWETT,	B,	BLAKE,	H,	LEIGHTON,	P,	YOUNIS,	F	and	DEERY,	C,	2013.	Evaluation	of	a	Glass-ionomer	sealant	applied	to	erupting	permanent	molars	in	children.	International	Journal	of	Paediatric	Dentistry:	Abstracts	of	the	British	Society	of	Paediatric	Dentistry	Annual	Scientific	Meeting,	10-13	September	2013,	Edinburgh.	23(Suppl	2),	2-48		Evaluation	of	a	Glass-ionomer	sealant	applied	to	erupting	permanent	molars	in	children.	BRADY	L1,	DAWETT	B1,	BLAKE	H2,	LEIGHTON	P2,	F.	YOUNIS	F1,	DEERY	C3	1	Hafren	House	Dental	Practice,	Alfreton,	UK;	2	University	of	Nottingham,	Nottingham,	UK	;	3University	of	Sheffield,	Sheffield,	UK		Background	Prior	to	full	eruption,	dental	caries	can	already	be	established	in	the	pits	and	fissures	of	partially	erupted	permanent	molars	(PEPM).	The	operculum	and	moisture	control	limit	conventional	sealant	application.	Glass-ionomer	based	sealants	(GIS)	may	provide	an	alternative.		Methods		This	UK	practice-based	study	assessed	the	application	of	GIS	on	PEPM.	Sixty	patients	(aged	6-15	yrs)	had	caries-free	PEPM	sealed	with	a	GIS	(Fuji	Triage).	127	occlusal	and	73	buccal	surfaces	were	treated	by	a	dental	therapist	and	were	followed	up	at	least	until	full	eruption.	Further	sealant	was	applied	at	review	appointments	if	unsealed	exposed	pits	or	fissures	were	visible.	Sealant	retention,	eruption	stage,	and	presence	of	dentinal	caries	were	recorded.	Supplementary	data	was	obtained	by	clinical	diary,	stakeholder	meetings,	and	focus	groups.	Results	At	final	follow	up	(mean	315	days)	no	sealed	tooth	had	developed	caries.	At	first	review	(mean	105	days)	89.5%	of	occlusal	surfaces	and	61%	of	buccal	surfaces	had	complete	retention	of	GIS.	At	6	month	review	(mean	219	days)	85%	of	occlusal	surfaces	and	29%	of	buccal	surfaces	had	complete	retention	of	GIS.	Clinician	feedback	emphasised	ease	of	GIS	application	and	care	pathway;	no	adverse	events	occurred.	Children	and	parents	provided	positive	evaluation	and	support	for	further	practice-based	research.	Implications	This	study	showed	high	GIS	retention	on	occlusal	surfaces	with	less	retention	on	buccal	surfaces,	which	indicates	a	potential	for	caries	prevention	on	PEPM.	This	work	demonstrates	the	feasibility	of	GIS	application	by	a	dental	therapist,	with	high	acceptance	by	patients	and	parents.		

Evaluation of a Glass-ionomer sealant applied to erupting permanent molars in children

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Evaluation of a Glass-ionomer sealant applied to erupting permanent molars in children

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