Source:http://linkedlifedata.com/resource/pubmed/id/11145354
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
2000-12-28
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pubmed:abstractText |
Recent in vitro work and a short clinical study suggest that adding a bonding agent layer between sealant and saliva-contaminated enamel allows for adequate bond strength and retention of resin sealants and may improve success of all sealant applications. This five-year clinical study scored 617 occlusal and 441 buccal/lingual molar sealants, with use of a split-mouth design, with half receiving sealant alone and half bonding agent plus sealant. Treatment effects and potential risk factors for sealant failure were tested by means of a Cox regression model. Three bonding agent groups were analyzed for treatment effect: Tenure primer, Scotchbond Multi-Purpose, and 3 single-bottle dentin bonding agents as a third group. The single-bottle group was successful in reducing risk of sealant failure, with a hazard ratio (HR) of 0.53 (p = 0.014) for occlusal and 0.35 (p = 0.006) for buccal/lingual sealants. Scotchbond was detrimental to occlusal sealant success, with a HR of 2.96 (p = 0.0003). Tenure primer was neutral, showing HRs close to 1.0. Variables that affected success differed between occlusal and buccal/lingual sealants, suggesting that failures on these two surfaces may be dependent upon differing factors. Early eruption stage was a significant risk factor for both surfaces (HR = 2.91, p = 0.00001, occlusal; and HR = 1.52, p = 0.015, buccal/lingual). Behavior (HR = 1.96, p = 0.0007), salivary problems (HR = 1.73, p = 0.002), and visually apparent variations in enamel (HR = 1.51, p = 0.018) were significant risk factors for occlusal sealants only. In addition to completing detailed analyses of risk factors for sealant survival, this study shows that single-bottle bonding agents protect sealant survival, yielding half the usual risk of failure for occlusal sealants and one-third the risk of failure for buccal/lingual sealants.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
D
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Dentin-Bonding Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Methacrylates,
http://linkedlifedata.com/resource/pubmed/chemical/Pit and Fissure Sealants,
http://linkedlifedata.com/resource/pubmed/chemical/Resin Cements,
http://linkedlifedata.com/resource/pubmed/chemical/Scotchbond Multi-Purpose,
http://linkedlifedata.com/resource/pubmed/chemical/Tenure adhesive
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0022-0345
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
79
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1850-6
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:11145354-Child,
pubmed-meshheading:11145354-Dental Bonding,
pubmed-meshheading:11145354-Dental Restoration, Permanent,
pubmed-meshheading:11145354-Dental Restoration Failure,
pubmed-meshheading:11145354-Dentin-Bonding Agents,
pubmed-meshheading:11145354-Female,
pubmed-meshheading:11145354-Humans,
pubmed-meshheading:11145354-Longitudinal Studies,
pubmed-meshheading:11145354-Male,
pubmed-meshheading:11145354-Methacrylates,
pubmed-meshheading:11145354-Molar,
pubmed-meshheading:11145354-Pit and Fissure Sealants,
pubmed-meshheading:11145354-Proportional Hazards Models,
pubmed-meshheading:11145354-Resin Cements,
pubmed-meshheading:11145354-Saliva,
pubmed-meshheading:11145354-Survival Analysis
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pubmed:year |
2000
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pubmed:articleTitle |
Improved sealant retention with bonding agents: a clinical study of two-bottle and single-bottle systems.
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pubmed:affiliation |
Department of Orthodontics and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor 48109-1078, USA. feig@umich.edu
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Research Support, U.S. Gov't, P.H.S.,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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