Retention Rate And Caries Prevention Of Giomer Based Sealant With And Without Pre-Treatment With Bioactive Glass Air Abrasion In Young Adults - Trial NCT06003452

Timeline & Enrollment

Primary Outcome

Loss of sealant's retention

Summary

Prevention of oral diseases is preferable to treatment and is the key method of achieving
 cost effectiveness for oral health improvement programs. Various preventive strategies for
 dental caries have been tried and are still being developed. The occlusal pits and fissures
 of posterior teeth are highly susceptible to caries because of the anatomy of pit and fissure
 surfaces, which favours stagnation of bacteria and substrates. Fissure sealing has been shown
 to be an evidence-based caries preventive method for protecting the occlusal surfaces against
 caries. Non- sealed teeth need to be restored approximately 50% more frequently compared to
 their sealed counterpart. Sealants are effective caries preventive agents as long as they
 remain bonded to teeth.
 
 It has been proposed that sealants should be placed on both sound teeth and incipient
 non-cavitated carious lesions on permanent teeth of high caries risk patients in order to
 prevent the onset of caries and its progression. According to the American Dental Association
 Guidelines for the use of pit and fissure sealants, ICDAS II codes 0, 1 and 2 are recommended
 for sealant application.A variety of dental materials have been used as sealants using
 different application techniques. Their effectiveness depends on the formation of a complete
 seal and is increased by correct technique and moisture control, appropriate follow-up and
 resealing as necessary. Resin-based conventional sealants are preferred choice, however use
 of phosphoric acid demineralizes the enamel layer and have elongated treatment time and is
 more technique sensitive.

ICD-10 Classifications