ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title Treating Early Smooth Surface Caries with Resin Infiltrate in Conjunction with Fluoride Treatment Is an Effective Method to Prevent Caries Progression
Clinical Question In patients with deciduous teeth, how effective is resin infiltration combined with fluoride treatment in preventing caries progression as compared to fluoride treatment alone?
Clinical Bottom Line For patients with early smooth surface carious lesions, it was found that treatment including a combination of resin infiltration and fluoride varnish was more effective at inhibiting caries progression as opposed to treating patients with fluoride varnish only.
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 27957559Turska-Szybka/2016Children between the ages of 18-71 months diagnosed with at least two smooth surface caries lesionsRandomized Controlled Trial
Key resultsThis study was conducted in a group of children ranging from 18 – 71 months. Eighty-one children met the age criteria and were each diagnosed with two smooth surface carious lesions. Of the 81 patients, 41 were placed in a group that were treated with resin infiltration and a fluoride varnish that was applied every consistently 3 months for an entire year. The remaining 40 patients were placed in a group that was only treated with fluoride varnish that was applied consistently every 3 months for an entire year. After 1 year it was found that caries progression had been prevented in 92.1% of the patients that had the combined therapy of resin infiltration plus fluoride. In contrast, carries progression was prevented in only 70.6% of the patients with fluoride treatment alone. It was concluded that a combination therapy of resin infiltration plus consistent fluoride treatment was significantly more effective at inhibiting the progression of caries in smooth surface lesions (P < 0.001).
Evidence Search (“Resin infiltration”[MesH Terms] AND “Fluoride”[All Fields]) AND (“Smooth Surface Caries, resin” [MeSH Terms] OR (“Fluoride”[All Fields] AND “Smooth Surface Caries”[All Fields])
Comments on
The Evidence
Validity: This study by Turska-Szybka is a randomized control trial. The researchers attempted to eliminate bias by randomly assigning patients into two groups so that variations of the lesions between the two groups would be limited. However, it should be taken into consideration that this was a single blinded study and the sample size was fairly small. Differences in at-home care should also be taken into consideration, as some of the children could be in a household that prioritizes maintaining proper oral hygiene to a greater extent than other households. Perspective: Minimally invasive treatments such as resin infiltration are effective in conserving natural tooth structure while simultaneously preventing the progression of caries.
Applicability Although this study only used a patient pool consisting of children, it should in theory be applicable to any early smooth surface carious lesion. External factors that should be taken into consideration are the maintenance of proper oral hygiene at home.
Specialty/Discipline (Public Health) (General Dentistry) (Pediatric Dentistry)
Keywords Resin infiltration, Caries, Fluoride
ID# 3141
Date of submission: 03/15/2017spacer
E-mail veeramachane@livemail.uthscsa.edu
Author Shanta Veeramachaneni
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Suman Challa, DDS, MS
Faculty mentor/Co-author e-mail challas@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
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