Efficiency of Using Dry-Shield and Rubber Dam Isolation on Fissure Sealant Application in Permanent Molars: A Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
研究概览
简要总结
This randomized clinical trial aims to evaluate the efficiency of the Dry-Shield isolation system compared with rubber dam isolation and cotton roll isolation during fissure sealant application in permanent molars among pediatric patients.
The study evaluates chairside time, patient preference, and fissure sealant retention rates after 6 and 12 months of follow-up. Proper isolation during fissure sealant application is considered essential for optimal retention and long-term clinical success.
The study also aims to assess whether Dry-Shield can provide a practical and comfortable alternative to conventional isolation techniques in pediatric dentistry.
详细描述
Fissure sealants are widely used preventive measures for reducing occlusal caries in permanent molars. Successful sealant retention largely depends on adequate moisture control during application. Rubber dam isolation has traditionally been considered the gold standard for moisture control; however, its use in pediatric dentistry may be associated with increased chair time and patient discomfort.
Dry-Shield is an isolation device that combines suction, tongue retraction, bite block support, and moisture control in a single system. This may improve clinical efficiency and patient comfort during dental procedures.
This randomized clinical trial compares the Dry-Shield isolation system with rubber dam isolation and cotton roll isolation during fissure sealant application in permanent molars in children. The study evaluates clinical efficiency through assessment of chairside time, patient preference, and fissure sealant retention at 6 and 12month follow-ups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 6 Years 至 15 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •A- Patient inclusion criteria:
- •Cooperative, apparently healthy children.
- •Each child had at least three fully erupted first and/or second permanent molars.
- •Patient being at high risk of dental caries.
- •Informed consent was filled before treatment.
- •B- Molar inclusion criteria:
- •Tooth had deep pits and fissures.
- •Molars with the International Caries Detection and Assessment System (ICDAS) score 0-
- •All three molars required PFS.
排除标准
- •A- Patient exclusion criteria:
- •Uncooperative children.
- •Children with special needs.
- •Children who required emergency dental care (draining sinus, abscess and cellulitis).
- •Who were suffering from an allergy to latex or a severe gag reflex.
- •Mouth breather or child with nasal obstruction.
- •Children with fixed orthodontic.
- •B- Molar exclusion criteria:
- •Previous restored or carious first or second permanent molars.
- •Molars with anomalies of the enamel or dentin.