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Sealing proximal surfaces with polyurethane tape: three-year evaluation.

Mohammad Alkilzy1, Christine Berndt, Christian H Splieth

  • 1Department of Preventive and Pediatric Dentistry, Ernst Moritz Arndt University, Greifswald, Rotgerberstrasse 8, 17487 Greifswald, Germany. alkilzy@hotmail.com

Clinical Oral Investigations
|August 11, 2010
PubMed
Summary

Sealing initial proximal caries lesions with a new material demonstrated safety and effectiveness. This dental treatment arrested caries progression in most patients over three years without significant clinical issues.

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Area of Science:

  • Dentistry
  • Dental Materials Science
  • Cariology

Background:

  • Proximal caries are a common dental issue.
  • Early detection and intervention are crucial for caries management.
  • Minimally invasive treatments are sought for initial lesions.

Purpose of the Study:

  • To evaluate the safety and clinical efficacy of a novel polyurethane-dimethacrylate sealant for treating initial proximal caries.
  • To compare the outcomes of sealed lesions with conventionally managed control lesions.

Main Methods:

  • A randomized controlled trial involving 50 patients with initial proximal caries.
  • One lesion per patient was sealed with a polyurethane-dimethacrylate foil; the contralateral lesion served as the control (oral home care).
  • Clinical assessments (retention, adaptation, color, plaque, gingival status) at 6 and 12 months; radiographic evaluation at 2 and 3 years.

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Main Results:

  • The sealant exhibited good retention, marginal adaptation, and color stability throughout the study.
  • No significant differences in plaque accumulation or gingival health were observed between sealed and control teeth.
  • Radiographic analysis indicated that nearly all sealed and control lesions remained stable, suggesting caries arrest.

Conclusions:

  • Sealing initial proximal caries lesions with the tested material is safe and clinically feasible.
  • This minimally invasive approach effectively arrests caries progression, as evidenced by radiographic stability.
  • The findings support the use of this sealant as a viable treatment option for early-stage proximal caries.