国际口腔医学杂志 ›› 2022, Vol. 49 ›› Issue (6): 699-706.doi: 10.7518/gjkq.2022079
Lin Kaifeng(),Wang Xinyue,Zou Jing,Zhang Qiong.()
摘要:
窝沟封闭术是预防龋病,尤其是窝沟龋的有效措施。其防龋疗效依赖于封闭剂的完整性,封闭剂的不完整或脱落会导致致龋微生物的堆积及侵入。近年来,学者们对提高封闭剂的保留率,提高窝沟封闭术的防龋疗效进行了一系列研究,并取得了诸多成果。本文总结了影响窝沟封闭剂保留率的临床相关因素,包括牙面清洁方式、牙齿表面物理和化学改性、窝沟封闭剂的选择及临床操作注意事项等,并针对这些因素提出了相应的对策,以期为临床医生提供参考和指导。
中图分类号:
1 | 王兴. 第四次全国口腔健康流行病学调查报告[M]. 北京: 人民卫生出版社, 2018: 12-22. |
Wang X. The fourth national oral health epidemiological survey report[M]. Beijing: People’s Medical Publishing House, 2018: 12-22. | |
2 | Wright JT, Crall JJ, Fontana M, et al. Evidence-based clinical practice guideline for the use of pit-and-fissure sealants: a report of the American Dental Association and the American Academy of Pe-diatric Dentistry[J]. J Am Dent Assoc, 2016, 147(8): 672-682.e12. |
3 | Bagherian A, Shirazi AS. Flowable composite as fissure sealing material? A systematic review and meta-analysis[J]. Br Dent J, 2018, 224(2): 92-97. |
4 | Buonocore MG. A simple method of increasing the adhesion of acrylic filling materials to enamel surfaces[J]. J Dent Res, 1955, 34(6): 849-853. |
5 | Cueto EI, Buonocore MG. Sealing of pits and fissures with an adhesive resin: its use in caries prevention[J]. J Am Dent Assoc, 1967, 75(1): 121-128. |
6 | Ansari G, Oloomi K, Eslami B. Microleakage assessment of pit and fissure sealant with and without the use of pumice prophylaxis[J]. Int J Paediatr Dent, 2004, 14(4): 272-278. |
7 | Naaman R, El-Housseiny AA, Alamoudi N. The use of pit and fissure sealants-a literature review[J]. Dent J (Basel), 2017, 5(4): E34. |
8 | Nair P, Ilie N. The long-term consequence of salivary contamination at various stages of adhesive application and clinically feasible remedies to decontaminate[J]. Clin Oral Investig, 2020, 24(12): 4413-4426. |
9 | Vanhée T, Tassignon C, Porta P, et al. Behavior of children during dental care with rubber dam isolation: a randomized controlled study[J]. Dent J (Basel), 2021, 9(8): 89. |
10 | Bandi M, Mallineni S, Nuvvula S. Influence of isolation methods on retention of pit and fissure sea-lants in young permanent teeth based on simonsen’s criteria: a randomised clinical trial[J]. J Clin Diagn Res, 2021, 15(4): ZC06-ZC09. |
11 | Miao C, Yang XY, Wong MC, et al. Rubber dam isolation for restorative treatment in dental patients[J]. Cochrane Database Syst Rev, 2021, 5: CD009858. |
12 | Keys W, Carson SJ. Rubber dam may increase the survival time of dental restorations[J]. Evid Based Dent, 2017, 18(1): 19-20. |
13 | Mattar RE, Sulimany AM, Binsaleh SS, et al. Comparison of fissure sealant chair time and patients’ preference using three different isolation techniques[J]. Children (Basel), 2021, 8(6): 444. |
14 | Lyman T, Viswanathan K, McWhorter A. Isolite vs cotton roll isolation in the placement of dental sea-lants[J]. Pediatr Dent, 2013, 35(3): E95-E99. |
15 | Alhareky MS, Mermelstein D, Finkelman M, et al. Efficiency and patient satisfaction with the Isolite system versus rubber dam for sealant placement in pediatric patients[J]. Pediatr Dent, 2014, 36(5): 400-404. |
16 | Gigandet M, Hofer D, Attin T, et al. Assessment of treatment field isolation during scaling, root planing and rinsing[J]. Swiss Dent J, 2018, 128(6): 490-496. |
17 | BekesKatrin. Pit and fissure sealants[M]. Switzerland: Springer International Publishing, 2018: 21. |
18 | Muntean A, Simu MR, Suhani R, et al. Pit and fissure sealants penetration capacity and their correlation with fissure morphology[J]. Med Pharm Rep, 2019, 92(): S50-S54. |
19 | Garg N, Indushekar KR, Saraf BG, et al. Comparative evaluation of penetration ability of three pit and fissure sealants and their relationship with fissure patterns[J]. J Dent (Shiraz), 2018, 19(2): 92-99. |
20 | Bagherian A, Sarraf Shirazi A. Preparation before acid etching in fissure sealant therapy: yes or no? A systematic review and meta-analysis[J]. J Am Dent Assoc, 2016, 147(12): 943-951. |
21 | Dean JA, Jones JE, Vinson LAW. McDonald and a-very ’ s dentistry for the child and adolescent[M]. 10th ed. India: Elsevier, 2016: 179-181. |
22 | Singh A, Konark, Patil V, et al. Comparative evaluation of occlusal pits and fissures morphology modification techniques before application of sealants: an in vitro study[J]. Indian J Dent Res, 2020, 31(2): 247-251. |
23 | Hatirli H, Yasa B, Yasa E. Microleakage and penetration depth of different fissure sealant materials after cyclic thermo-mechanic and brushing simulation[J]. Dent Mater J, 2018, 37(1): 15-23. |
24 | Beauchamp J, Caufield PW, Crall JJ, et al. Evidence-based clinical recommendations for the use of pit-and-fissure sealants: a report of the American Dental Association Council on Scientific Affairs[J]. J Am Dent Assoc, 2008, 139(3): 257-268. |
25 | Lopes LPB, Herkrath FJ, Vianna ECB, et al. Effect of photobiomodulation therapy on postoperative pain after endodontic treatment: a randomized, controlled, clinical study[J]. Clin Oral Investig, 2019, 23(1): 285-292. |
26 | Sungurtekin E, Oztaş N. The effect of erbium, chromium: yttrium-scandium-gallium-garnet laser etching on marginal integrity of a resin-based fissure sealant in primary teeth[J]. Lasers Med Sci, 2010, 25(6): 841-847. |
27 | Fumes AC, Longo DL, De Rossi A, et al. Microlea-kage of sealants after phosphoric acid, Er: YAG laser and air abrasion enamel conditioning: systematic review and meta-analysis[J]. J Clin Pediatr Dent, 2017, 41(3): 167-172. |
28 | Zhang YH, Wang Y, Chen YD, et al. The clinical effects of laser preparation of tooth surfaces for fissure sealants placement: a systematic review and meta-analysis[J]. BMC Oral Health, 2019, 19(1): 203. |
29 | Durmus B, Giray F, Peker S, et al. Clinical evaluation of a fissure sealant placed by acid etching or Er: YAG laser combined with acid etching[J]. Oral Health Prev Dent, 2017, 15(2): 157-162. |
30 | Schwimmer Y, Beyth N, Ram D, et al. Laser tooth preparation for pit and fissure sealing[J]. Int J Environ Res Public Health, 2020, 17(21): E7813. |
31 | Zhang Y, Jiang AJ. The influence of Er: YAG laser treatment on the shear bond strength of enamel and dentin: a systematic review and meta-analysis[J]. Quintessence Int, 2020, 51(1): 8-16. |
32 | Laurell KA, Hess JA. Scanning electron micrographic effects of air-abrasion cavity preparation on human enamel and dentin[J]. Quintessence Int, 1995, 26(2): 139-144. |
33 | Yazici AR, Kiremitçi A, Celik C, et al. A two-year clinical evaluation of pit and fissure sealants placed with and without air abrasion pretreatment in tee-nagers[J]. J Am Dent Assoc, 2006, 137(10): 1401-1405. |
34 | Huang CT, Kim J, Arce C, et al. Intraoral air abrasion: a review of devices, materials, evidence, and clinical applications in restorative dentistry[J]. Compend Contin Educ Dent, 2019, 40(8): 508-514. |
35 | Bagheri M, Pilecki P, Sauro S, et al. An in vitro investigation of pre-treatment effects before fissure sealing[J]. Int J Paediatr Dent, 2017, 27(6): 514-522. |
36 | Bhushan U, Goswami M. Evaluation of retention of pit and fissure sealants placed with and without air abrasion pretreatment in 6-8 year old children-an in vivo study[J]. J Clin Exp Dent, 2017, 9(2): e211-e217. |
37 | Zidan O, Hill G. Phosphoric acid concentration: enamel surface loss and bonding strength[J]. J Prosthet Dent, 1986, 55(3): 388-392. |
38 | Shinchi MJ, Soma K, Nakabayashi N. The effect of phosphoric acid concentration on resin tag length and bond strength of a photo-cured resin to acid-etched enamel[J]. Dent Mater, 2000, 16(5): 324-329. |
39 | Espinosa R, Valencia R, Uribe M, et al. Enamel deproteinization and its effect on acid etching: an in vitro study[J]. J Clin Pediatr Dent, 2008, 33(1): 13-19. |
40 | Yang QN, Rosa V, Hong CHL, et al. Sodium hypochlorite treatment post-etching improves the bond strength of resin-based sealant to hypomineralized enamel by removing surface organic content[J]. Pediatr Dent, 2020, 42(5): 392-398. |
41 | Fernández-Barrera MÁ, da Silva AF, Pontigo-Loyola AP, et al. The effect of deproteinizing agents on bond strength of Resin-based materials to enamel: a systematic review and meta-analysis of in vitro studies[J]. J Adhes Dent, 2021, 23(4): 287-296. |
42 | Christopher A, Krishnakumar R, Reddy NV, et al. Effect of enamel deproteinization in primary teeth[J]. J Clin Pediatr Dent, 2018, 42(1): 45-49. |
43 | Rishika, Garg N, Mayall SS, et al. Combined effect of enamel deproteinization and intermediate bon-ding in the retention of pit and fissure sealants in children: a randomized clinical trial[J]. J Clin Pediatr Dent, 2018, 42(6): 427-433. |
44 | Abdelmegid FY. Effect of deproteinization before and after acid etching on the surface roughness of immature permanent enamel[J]. Niger J Clin Pract, 2018, 21(5): 591-596. |
45 | Daou C, Akl R, Mati M, et al. Effects of enamel deproteinization with different application times on the shear bond strength of a self-etching primer: an in vitro study[J]. Int Orthod, 2021, 19(3): 505-511. |
46 | Alirezaei M, Bagherian A, Sarraf Shirazi A. Glass ionomer cements as fissure sealing materials: yes or no? A systematic review and meta-analysis[J]. J Am Dent Assoc, 2018, 149(7): 640-649.e9. |
47 | McLean JW, Wilson AD. Fissure sealing and filling with an adhesive glass-ionomer cement[J]. Br Dent J, 1974, 136(7): 269-276. |
48 | Taneja S, Singh A. Retention of flowable composite resins in comparison to pit and fissure sealants: a systematic review and meta-analysis[J]. Gen Dent, 2020, 68(4): 50-55. |
49 | Papageorgiou SN, Dimitraki D, Kotsanos N, et al. Performance of pit and fissure sealants according to tooth characteristics: a systematic review and meta-analysis[J]. J Dent, 2017, 66: 8-17. |
50 | Khudanov BO, Abdullaev JR, Bottenberg P, et al. Evaluation of the fluoride releasing and recharging abilities of various fissure sealants[J]. Oral Health Prev Dent, 2018: 96-103. |
51 | Cocco AR, Cuevas-Suárez CE, Liu Y, et al. Anti-biofilm activity of a novel pit and fissure self-adhesive sealant modified with metallic monomers[J]. Biofouling, 2020, 36(3): 245-255. |
52 | Memarpour M, Afzali Baghdadabadi N, Rafiee A, et al. Ion release and recharge from a fissure sealant containing amorphous calcium phosphate[J]. PLoS One, 2020, 15(11): e0241272. |
53 | Memarpour M, Shafiei F, Rafiee A, et al. Effect of hydroxyapatite nanoparticles on enamel reminera-lization and estimation of fissure sealant bond str-ength to remineralized tooth surfaces: an in vitro study[J]. BMC Oral Health, 2019, 19(1): 92. |
54 | Fei XZ, Li YC, Weir MD, et al. Novel pit and fissure sealant containing nano-CaF2 and dimethylaminohexadecyl methacrylate with double benefits of fluoride release and antibacterial function[J]. Dent Mater, 2020, 36(9): 1241-1253. |
55 | Ibrahim MS, Garcia IM, Vila T, et al. Multifunctio-nal antibacterial dental sealants suppress biofilms derived from children at high risk of caries[J]. Biomater Sci, 2020, 8(12): 3472-3484. |
56 | Bagherian A, Sarraf Shirazi A, Sadeghi R. Adhesive systems under fissure sealants: yes or no? A syste-matic review and meta-analysis[J]. J Am Dent Assoc, 2016, 147(6): 446-456. |
57 | Coelho A, Canta JP, Martins JNR, et al. Influence of self-etch all-in-one adhesives on fissure sealant shear bond strength under contaminated enamel conditions[J]. Eur Arch Paediatr Dent, 2019, 20(1): 15-22. |
58 | Nogourani MK, Janghorbani M, Khadem P, et al. A 12-month clinical evaluation of pit-and-fissure sea-lants placed with and without etch-and-rinse and self-etch adhesive systems in newly-erupted teeth[J]. J Appl Oral Sci, 2012, 20(3): 352-356. |
59 | Griffin SO, Jones K, Gray SK, et al. Exploring four-handed delivery and retention of resin-based sealants[J]. J Am Dent Assoc, 2008, 139(3): 281-289, 358. |
60 | 冯希平. 口腔预防医学[M]. 7版. 北京: 人民卫生出版社, 2020: 76-77. |
Feng XP. Preventive dentistry[M]. 7th ed. Beijing: People’s Medical Publishing House, 2020: 76-77. | |
61 | Bekes K. Pit and fissure sealants[M]. Cham: Sprin-ger International Publishing, 2018: 51-63. |
62 |
Silvertown JD, Wong BPY, Abrams SH, et al. Comparison of The Canary System and DIAGNOdent for the in vitro detection of caries under opaque dental sealants[J]. J Investig Clin Dent, 2017, 8(4). doi: 10.1111/jicd.12239 .
doi: 10.1111/jicd.12239 |
63 | Bahrololoomi Z, Khodabakhsh M, Khaksar Y. The effects of opaque and clear pit and fissure sealants on infrared laser fluorescence measurements[J]. J Dent (Shiraz), 2014, 15(2): 63-67. |
[1] | 钟婷,邓雅兰,邵美瑛,雷蕾,李雪,胡涛. 成都市7~9岁儿童第一恒磨牙牙体情况及窝沟封闭的效果分析[J]. 国际口腔医学杂志, 2020, 47(4): 391-396. |
[2] | 高雪彬, 张琦, 李晶, 毕也, 杨华, 黄洋. 低龄儿童行窝沟封闭术时酸蚀剂选择的临床研究[J]. 国际口腔医学杂志, 2017, 44(4): 433-436. |
[3] | 吴幸晨综述 束陈斌审校. 窝沟封闭术在儿童口腔临床中的应用和防龋效能[J]. 国际口腔医学杂志, 2013, 40(4): 467-470. |
|