Abstract: | Objective To compare the operation time, acceptability and sealing effect of resin-based sealant and resin-reinforced glass ionomer combined with certain adhesive systems applied to seal deciduous molar teeth, so as to provide a more appropriate oral health promotion activity for children in areas with insufficient oral medical resources. Methods The qualified second deciduous molars were randomly divided into three groups: ClinproTM Sealant + phosphoric acid etching (the control group), ClinproTM Sealant + Single bond Universal, ClinproTM XT Vanish + Single bond Universal.The pit and fissure sealant were applied, operation time and treatment sensitivity were recorded. After 3, 6, and 12 months, preservation conditions and caries incidence were reviewed. Results (1)A total of 62 people in SO group included 228 teeth, 63 people in SS group included 234 teeth, and 56 people in VS group included 221 teeth. (2)The operating time of SE group (181.88±12.37) s and SS group (103.07±11.37) s was significantly different from that of SO group (108.56±8.65) in control group (Z = 460.163, P < 0.001). (3) Compared with the other two groups, the treatment sensitivity of SO group was worse (Z = 20.232, P < 0.001). (4) At reexamination 3 months after operation, the preservation rate of sealant and the incidence rate of caries were 100% and 0% in SO group, 62.1% and 2.2% in SS group, and 93.1% and 1.8% in VS group, respectively; At reexamination 6 months after operation, the preservation rate of sealant and incidence rate of caries in SO group were 98.2% and 1.8% respectively, the preservation rate and incidence rate of caries in SS group were 52.3% and 4.2%, and the preservation rate and incidence rate of caries in VS group were 89.2% and 3.3% respectively; At reexamination 12 months after operation, the preservation rate of sealant and the incidence rate of caries in SO group were 95.0% and 5.0% respectively; the preservation rate and the incidence rate of caries in SS group were 42.8% and 7.2%, and the preservation rate and the incidence rate of caries in VS group were 78.9% and 6.2%. Among the three reexaminations, the preservation rate of SO group was the highest, and the difference in the preservation of sealants among the three groups was statistically significant (χ2 = 144.286, P < 0.001; χ2 = 159.703, P = < 0.001; χ2 = 152.945, P < 0.001), but the caries prevention effect of the three groups was similar (χ2 = 24.842, P = 0.089;χ2 = 2.153, P = 0.341; χ2 = 0.915, P = 0.613) Conclusion The self-etching adhesive combined with resin-reinforced glass ionomer can simplify the operation procedure, improve the comfort of children, and achieve good sealing effect, which is a practical and effective choice for the promotion of sealing technology in economically underdeveloped areas. |