Title Isolite Isolation System Is Superior to Traditional Isolation Methods for Patient Satisfaction in Pediatric Preventative Dental Treatment
Clinical Question In pediatric preventative dental treatment, is use of an Isolite isolation system superior to traditional isolation methods for patient satisfaction?
Clinical Bottom Line The use of an Isolite isolation system is superior to, or can be used as an alternate option to, traditional isolations methods for patient satisfaction in pediatric preventative dental treatment.
Best Evidence  
PubMed ID Author / Year Patient Group Study type
(level of evidence)
25303507Alhareky/201442 children ranging in age from 7-16 years old with erupted non-carious permanent molarsRandomized Controlled Trial
Key resultsDuring sealant placement, 69% of the patients preferred the Isolite system (IS) versus 31% who preferred a rubber dam (RD) (P=0.02). This result was significant as a P-value < 0.05 was considered statistically significant. Thirty-one subjects (74%) stated that they would rather have the procedure performed in the future with an IS compared to a RD. This difference was also statistically significant. In conclusion, the Isolite is a practical alternative to the universal rubber dam and was associated with greater patient satisfaction.
Evidence Search ("pediatrics"[MeSH Terms] OR "pediatrics"[All Fields] OR "pediatric"[All Fields]) AND ("patient satisfaction"[MeSH Terms] OR ("patient"[All Fields] AND "satisfaction"[All Fields]) OR "patient satisfaction"[All Fields]) isolite[All Fields] AND system[All Fields]
Comments on
The Evidence
Validity: This article is a randomized control trial with 42 healthy pediatric subjects with at least one fully erupted, caries-free molar in each quadrant. All subjects were used as controls against his/herself and underwent sealant placement in one of the four treatment groups. There was no loss to follow-up and a 100% completion rate was obtained since the patients were cooperative. Neither the subjects and operators were not blinded. However, a comparison of comfort experience with each of the two operators was completed using a cross tabulation and a chi-square test. Researchers used a seven-item, closed-ended questionnaire to collect data on patient satisfaction immediately after the procedure was completed. Perspective: Based on the trial, the results represent a reasonable approach for collecting data concerning pediatric patient satisfaction during preventative treatment. However, this article did not specifically address the success rate of patient satisfaction in less than ideal patients (non-healthy, not as cooperative, etc.). A larger patient pool might help validate the results from this specific study.
Applicability In practice, this evidence can be applied to parents who want the best experience for their children in preventing decay. Patients should be aware of initial discomfort and cheek stretching with use of the Isolite system. This kind of study is important to practicing dental professionals who seek new dental materials and technology to be used in their practice with patient’s needs and wants kept in mind.
Specialty (General Dentistry) (Pediatric Dentistry)
Keywords Isolite system, pediatric dentistry, patient satisfaction
ID# 3203
Date of submission 04/27/2017
E-mail hope@livemail.uthscsa.edu
Author Chelsea Hope
Co-author(s) e-mail
Faculty mentor Mark Littlestar, DDS
Faculty mentor e-mail littlestarm@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?)
None available
Comments and Evidence-Based Updates on the CAT
None available