Jennifer Archibald, Yara Halasa-Rappel, Steven D Ureles, Paulina Miller, Man Wai Ng, Rosalyn M Sulyanto
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A Cox proportional hazards model and a flexible parametric model were used to estimate the association of sealant placement with caries incidence and time to caries onset, respectively.</p><p><strong>Results: </strong>The adjusted hazard ratio of developing PFC on sealed molars was 0.19 (95% CI, 0.11 to 0.32; P < .001) in all settings, 0.35 (95% CI, 0.18 to 0.66; P < .001) in a clinic, and 0.05 (95% CI, 0.02 to 0.14; P < .001) in the OR. The reduction of adjusted hazard ratio for SSC in sealed molars was not significant in all settings, clinic, and OR. Time to PFC onset in sealed molars was 4.76 years (all settings), 4.65 years (clinic), and 4.75 years (OR) vs 4.02 years (all settings), 4.15 years (clinic) and 3.55 years (OR) in unsealed molars. Unsealed primary molars required significantly greater restorative or surgical retreatment.</p><p><strong>Conclusions: </strong>Sealed primary molars are associated with a reduction of, and delay in, onset time of PFC but not SSC. Sealant placement is associated with less invasive restorative and surgical retreatment in primary molars that developed caries and decreased retreatment in the OR.</p><p><strong>Practical implications: </strong>Dental sealants on primary molars should be considered for children at high risk of developing caries.</p>","PeriodicalId":17197,"journal":{"name":"Journal of the American Dental Association","volume":" ","pages":""},"PeriodicalIF":3.5000,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The association of sealed primary molars with caries and restorative treatments.\",\"authors\":\"Jennifer Archibald, Yara Halasa-Rappel, Steven D Ureles, Paulina Miller, Man Wai Ng, Rosalyn M Sulyanto\",\"doi\":\"10.1016/j.adaj.2025.08.017\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The authors investigated the association of resin-based sealants with the onset of pit and fissure caries (PFC) and smooth surface caries (SSC) on primary molars.</p><p><strong>Methods: </strong>Primary molars with sealant placement or nonplacement in a hospital clinic and operating room (OR) were tracked in this 5-year retrospective study of children younger than 6 years with a high risk of developing caries (n = 383 children, n = 1,845 teeth). 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引用次数: 0
摘要
背景:作者研究了树脂基密封剂与乳牙牙窝和牙裂(PFC)和光滑面龋(SSC)发病的关系。方法:对在医院诊所和手术室(or)放置或未放置封闭剂的初生磨牙(n = 383名儿童,n = 1845颗牙齿)进行为期5年的回顾性研究,研究对象为6岁以下发生龋齿的高危儿童。记录PFC和SSC的发病情况以及随后的恢复和手术治疗。采用Cox比例风险模型和柔性参数模型分别估算了密封胶放置与龋发病率和龋发生时间的关系。结果:在所有环境中,封闭磨牙发生PFC的校正风险比为0.19 (95% CI, 0.11 ~ 0.32; P < 0.001),在临床中为0.35 (95% CI, 0.18 ~ 0.66; P < 0.001),在手术室中为0.05 (95% CI, 0.02 ~ 0.14; P < 0.001)。在所有情况下,临床和手术室中,封闭磨牙SSC的调整风险比的降低并不显著。封闭磨牙发生PFC的时间为4.76年(所有情况)、4.65年(临床)和4.75年(OR),而未封闭磨牙为4.02年(所有情况)、4.15年(临床)和3.55年(OR)。未封闭的磨牙需要更大的修复或手术再治疗。结论:封闭的第一磨牙与PFC的发病时间减少和延迟有关,但与SSC无关。在发生龋齿的初生磨牙中放置密封剂可以减少再治疗的侵入性,减少再治疗的次数。实际意义:对于患龋风险高的儿童,应考虑在第一磨牙上使用牙密封剂。
The association of sealed primary molars with caries and restorative treatments.
Background: The authors investigated the association of resin-based sealants with the onset of pit and fissure caries (PFC) and smooth surface caries (SSC) on primary molars.
Methods: Primary molars with sealant placement or nonplacement in a hospital clinic and operating room (OR) were tracked in this 5-year retrospective study of children younger than 6 years with a high risk of developing caries (n = 383 children, n = 1,845 teeth). Onset of PFC and SSC and subsequent restorative and surgical retreatment were recorded. A Cox proportional hazards model and a flexible parametric model were used to estimate the association of sealant placement with caries incidence and time to caries onset, respectively.
Results: The adjusted hazard ratio of developing PFC on sealed molars was 0.19 (95% CI, 0.11 to 0.32; P < .001) in all settings, 0.35 (95% CI, 0.18 to 0.66; P < .001) in a clinic, and 0.05 (95% CI, 0.02 to 0.14; P < .001) in the OR. The reduction of adjusted hazard ratio for SSC in sealed molars was not significant in all settings, clinic, and OR. Time to PFC onset in sealed molars was 4.76 years (all settings), 4.65 years (clinic), and 4.75 years (OR) vs 4.02 years (all settings), 4.15 years (clinic) and 3.55 years (OR) in unsealed molars. Unsealed primary molars required significantly greater restorative or surgical retreatment.
Conclusions: Sealed primary molars are associated with a reduction of, and delay in, onset time of PFC but not SSC. Sealant placement is associated with less invasive restorative and surgical retreatment in primary molars that developed caries and decreased retreatment in the OR.
Practical implications: Dental sealants on primary molars should be considered for children at high risk of developing caries.
期刊介绍:
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