Journal of Dental Sciences
Volume 4, Issue 2 , Pages 55-60, June 2009

Anticaries effect of atraumatic restorative treatment with fissure sealants in suburban districts of Turkey

  • Ertuĝrul Ercan

      Affiliations

    • Department of Operative Dentistry, Dental School, Kirikkale University, Kirikkale, Turkey
    • Corresponding Author InformationCorresponding author. Department of Operative Dentistry, Dental School, Kirikkale University, Kirikkale 71100, Turkey
    • ,
  • Çoruh Türksel Dülgergil

      Affiliations

    • Department of Operative Dentistry, Dental School, Kirikkale University, Kirikkale, Turkey
    • ,
  • Mehmet Dalli

      Affiliations

    • Department of Operative Dentistry, Dental School, Diyarbakir University, Diyarbakir, Turkey
    • ,
  • Işil Yildirim

      Affiliations

    • Department of Operative Dentistry, Dental School, Kirikkale University, Kirikkale, Turkey
    • ,
  • Bayram Ince

      Affiliations

    • Department of Operative Dentistry, Dental School, Diyarbakir University, Diyarbakir, Turkey
    • ,
  • Hakan Çolak

      Affiliations

    • Department of Operative Dentistry, Dental School, Kirikkale University, Kirikkale, Turkey

Received 29 December 2008; accepted 3 April 2009.

Article Outline

Background/Purpose

This 3-year field trial was performed to compare the effectiveness of high-viscosity atraumatic restorative treatment with glass ionomer sealant (ARTGIS) on the development of caries in a population of children living in two distinct localities in Diyarbakir City in southeastern Anatolia, Turkey. One of these was a suburban district with low socioeconomic conditions and lacked routine dental care, and the other was located in the city center and had a moderate socioeconomic status with proximity to a well-designed dental center.

Materials and methods

Two primary schools were selected as study sites in these two locations. In total, 368 ART-GIS procedures were performed on 208 children aged 9-11 years, while 174 children who were students at another school in the center of the same city did not receive the sealant and served as controls. The clinical status of the ART-GIS was evaluated at the baseline and during the first, second and third years after placement. Differences between the two groups for each evaluation period were analyzed using Student's t test for the two independent groups.

Results

The control group had nearly ten, five and three times greater numbers of new caries than did the ART group during the first, second and third years, respectively. The difference between the groups was statistically significant for each examination period with respect to the number of children having new caries (Student's t test, P < 0.001), and new caries occurrence (Student's t test, P < 0.001).

Conclusion

These results clearly show that the ART-GIS procedure can be used as a preventive method in rural and/or suburban areas where other preventive approaches are neither available nor economical.

KEY WORDS:  atraumatic restorative treatment , caries prevention , fissure sealant , glass ionomer cement

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 This study was presented at the 12th Congress of the BASS Association on 12-14 April 2007, in Istanbul, Turkey.

PII: S1991-7902(09)60009-X

doi:10.1016/S1991-7902(09)60009-X

Journal of Dental Sciences
Volume 4, Issue 2 , Pages 55-60, June 2009

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