Results after 3 years of non-operative occlusal caries treatment of erupting permanent first molars.

Carvalho, Joana Christina;Thylstrup, Anders;Ekstrand, Kim Rud
(1992) Community Dentistry and Oral Epidemiology (Print) — Vol. 20, n° 4, p. 187-192 (1992)

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  • Carvalho, Joana ChristinaUCLouvain
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  • Thylstrup, Anders
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  • Ekstrand, Kim Rud
    Author
Abstract
The aim of the study was to describe the 3-yr results of a treatment program designed to control occlusal caries on the basis of intensive patient education and professional toothcleaning. The sample consisted of 56 children 6-8 yr old with their permanent right first molars in different stages of eruption. The results were compared with record data from 58 children of the same age who had received a traditional caries treatment program including fissure sealing (control group). After 1 yr a significant reduction of occlusal surfaces with visible plaque was noted in the study group as well as an increased proportion of arrested lesions. These results were maintained after 2 and 3 yr. Ten (9%) teeth were sealed and one filled during the study period. Examination of record data in the control group over a 3-yr period revealed that 76 (65%) first molars were sealed and 7 (6%) were filled. During the first year 1/3 of the children in the study group needed 5-6 recall visits, whereas in the following period all children were only seen 1-4 times. In contrast, 50% of the children in the control group needed 5-6 recalls in the 3rd yr. Our data indicate that professional care for erupting teeth on an individual basis has a long-term effect on occlusal surfaces as well. The alternative technique required less clinical time than the traditional application of sealants.
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Carvalho, J. C., Thylstrup, A., & Ekstrand, K. R. (1992). Results after 3 years of non-operative occlusal caries treatment of erupting permanent first molars. Community Dentistry and Oral Epidemiology (Print), 20(4), 187-192. https://doi.org/10.1111/j.1600-0528.1992.tb01713.x (Original work published 1992)