Journal Scope
Inventi Rapid/Impact: OroDental is the peer reviewed journal of the Health Science. It accepts the articles related to research, disorders, diagnosis, prevention and treatment of dental area of body. The journal has the papers having content related to dental problems, dental check ups, disease in oral cavity, and all other fields of dentistry.
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PROTOCOL FOR “SEAL OR VARNISH?” (SOV) TRIAL: A RANDOMISED CONTROLLED TRIAL TO MEASURE THE RELATIVE COST AND EFFECTIVENESS OF PIT AND FISSURE SEALANTS AND FLUORIDE VARNISH IN PREVENTING DENTAL DECAY
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Ivor Gordon Chestnutt, Barbara Lesley Chadwick, Simon Hutchings, Rebecca Playle, Timothy Pickles, Catherine Lisles, Nigel Kirkby, Maria Zeta Morgan, Lindsay Hunter, Ceri Hodell, Beverely Withers, Simon Murphy, Sarah Morgan-Trimmer, Deborah Fitzsimmons, Ceri Phillips, Jacqueline Nuttall, Kerenza Hood
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Background: Dental caries remains a significant public health problem, prevalence being linked to social and
economic deprivation. Occlusal surfaces of first permanent molars are the most susceptible site in the developing
permanent dentition. Cochrane reviews have shown pit and fissure sealants (PFS) and fluoride varnish (FV) to be
effective over no intervention in preventing caries. However, the comparative cost and effectiveness of these
treatments is uncertain. The primary aim of the trial described in this protocol is to compare the clinical
effectiveness of PFS and FV in preventing dental caries in first permanent molars in 6-7 year-olds. Secondary aims
include: establishing the costs and the relative cost-effectiveness of PFS and FV delivered in a community/school
setting; examining the impact of PFS and FV on children and their parents/carers in terms of quality of life/
treatment acceptability measures; and examining the implementation of treatment in a community setting.
Methods/design: The trial design comprises a randomised, assessor-blinded, two-arm, parallel group trial in 6–7
year old schoolchildren. Clinical procedures and assessments will be performed at 66 primary schools, in deprived
areas in South Wales. Treatments will be delivered via a mobile dental clinic. In total, 920 children will be recruited
(460 per trial arm). At baseline and annually for 36 months dental caries will be recorded using the International
Caries Detection and Assessment System (ICDAS) by trained and calibrated dentists. PFS and FV will be applied by
trained dental hygienists. The FV will be applied at baseline, 6, 12, 18, 24 and 30 months. The PFS will be applied at
baseline and re-examined at 6, 12, 18, 24, and 30 months, and will be re-applied if the existing sealant has become
detached/is insufficient. The economic analysis will estimate the costs of providing the PFS versus FV. The process
evaluation will assess implementation and acceptability through acceptability scales, a schools questionnaire and
interviews with children, parents, dentists, dental nurses and school staff. The primary outcome measure will be the
proportion of children developing new caries on any one of up to four treated first permanent molars.
(Continued on next page) Discussion: The objectives of this study have been identified by the National Institute for Health Research as one
of importance to the National Health Service in the UK. The results of this trial will provide guidance on which of
these technologies should be adopted for the prevention of dental decay in the most susceptible tooth-surface in
the most at risk children....
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CARIES PREVENTIVE EFFICACY OF SILVER DIAMMINE FLUORIDE (SDF) AND ART SEALANTS IN A SCHOOL-BASED DAILY FLUORIDE TOOTHBRUSHING PROGRAM IN THE PHILIPPINES
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Bella Monse, Roswitha Heinrich-Weltzien, Jan Mulder, Christopher Holmgren, Wim H van Palenstein Helderman
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Background: Occlusal surfaces of erupting and newly erupted permanent molars are particularly susceptible to
caries.
The objective of the study was to assess and compare the effect of a single application of 38% SDF with ART
sealants and no treatment in preventing dentinal (D3) caries lesions on occlusal surfaces of permanent first molars
of school children who participated in a daily school-based toothbrushing program with fluoride toothpaste.
Methods: The prospective community clinical trial in the Philippines was conducted over a period of 18 months
and included 704 six- to eight-year-old school children in eight public elementary schools with a daily school-based
fluoride toothpaste brushing program. Children were randomly assigned for SDF application or ART sealant
treatment. Children from two of the eight schools did not receive SDF or ART sealant treatment and served as
controls. SDF or ART sealant treatment was applied on sound occlusal surfaces of permanent first molars. Surfaces
that were originally defined as sound at baseline but which changed to dentinal (D3) caries lesions were defined as
surfaces with new caries (caries increment). Non-compliance to the daily toothbrushing program in three schools
offered the opportunity to analyze the caries preventive effect of SDF and sealants separately in fluoride toothpaste
brushing and in non-toothbrushing children.
Results: In the brushing group, caries increment in the SDF treatment group was comparable with the
non-treatment group but caries increment in the sealant group was lower than in the non-treatment group with a
statistically significant lower hazard ratio of 0.12 (0.02-0.61). In the non-brushing group, caries increment in the SDF
treatment group and the sealant group was lower than the non-treatment group but the hazard ratio was only
statistically significant for the sealant group (HR 0.33; 0.20-0.54). Caries increment was lower in toothbrushing
children than in non-toothbrushing children. Hazard ratios reached statistical significance for the non-treated
children (HR 0.43; 0.21-0.87) and the sealant-treated children (HR 0.15; 0.03-0.072).
Conclusions: A one-time application of 38% SDF on the occlusal surfaces of permanent first molars of six- to
eight-year-old children is not an effective method to prevent dentinal (D3) caries lesions. ART sealants significantly
reduced the onset of caries over a period of 18 months...
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ASSOCIATION BETWEEN GINGIVAL BLEEDING AND GINGIVAL ENLARGEMENT AND ORAL HEALTH-RELATED QUALITY OF LIFE (OHRQOL) OF SUBJECTS UNDER FIXED ORTHODONTIC TREATMENT: A CROSS-SECTIONAL STUDY
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Fabricio Batistin Zanatta, Thiago Machado Ardenghi, Raquel Pippi Antoniazzi, Tatiana Militz Perrone Pinto, Cassiano Kuchenbecker Rösing
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Background: There are scarce evidences that evaluated the impact of periodontal disease on oral health-related
quality of life (OHRQoL) taking marginal gingival alterations into consideration. Thus, this study aimed to verify the
association between OHRQoL and gingival enlargement and gingival bleeding in subjects under fixed orthodontic
treatment (FOT).
Methods: 330 participants under FOT for at least 6 months were examined by a single, calibrated examiner for
periodontal variables and dental aesthetic index. Socio-economic background, body mass index, time with
orthodontic appliances, and use of dental floss were assessed by oral interviews. OHRQoL was evaluated using the
oral health impact profile (OHIP-14) questionnaire. The assessment of associations used unadjusted and adjusted
Poisson regression models.
Results: Higher impacts on the OHIP-14 overall were observed in subjects who presented higher levels of anterior
gingival enlargement (RR 2.83; 95% CI 2.60-3.09), were non-whites (RR 1.29; 95% CI 1.15-1.45), had household
income lower than five national minimum wages (RR 1.85; 95% CI 1.30-2.61), presented body mass index > 25
(RR 1.14; 95% CI 1.01-1.29), and showed a dental aesthetic index > 30 (RR 1.32; 95% CI 1.20-1.46).
Conclusions: Anterior gingival enlargement seems to influence the OHRQoL in subjects receiving orthodontic
treatment....
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E- ISSN: Awaited
P- ISSN: Awaited
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Frequency: Quarterly
E- ISSN: Awaited
P- ISSN: Awaited
Abstracted/ Indexed in: Ulrich’s International Periodical Directory & Google Scholar, SCIRUS
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