COES: Curing Order Effects on Sealants

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age5-14
SponsorUniversity of Southern California

About this trial

Background: Sealants are a great tool in the prevention of caries in the pediatric population. It has been shown that up to 71% of occlusal decay is preventable after a single sealant application in a fissure, and thus is the standard of care due to difficulty for pediatric patients in hygiene, diet, and overall home care until manual dexterity increases.

Purpose: This prospective randomized case control study aims to look at the longevity of sealants with bonding agent cured prior to sealant placement vs those with uncured bond. The study will be performed by USC graduate pediatric personnel.

Methods: A split mouth prospective randomized control study will be performed on pediatric dental patients at Long Beach Memorial's Children's Dental Health Clinic and USC Pediatric Dental Clinic, placing sealants with cured bond on half of a mouth and sealants with uncured bond on the contralateral half. Intraoral photos will be obtained at the initial visit and recalls to evaluate the overall retention/longevity of the sealant placement. The goal of this study is determine which sealant has higher longevity and to provide recommendations for future pediatric dentists regarding sealant procedures.

Eligibility criteria

Qualifiers

ASA I and ASA II children, aged 5 to 14 years who are patients of CDHC and USC with adequate eruption of permanent first or second molars for placement of sealants

These teeth will not have previous restorations, interproximal lesions, pathology, or occlusal lesions.

Behavior of the children should be within a Frankl 3 or 4 category, indicating a "positive" and "Definitely Positive" behavior rating, which would allow for safe and controlled execution of the proposed protocol

Patient must have contralateral molars in the same arch in which sealants can be placed. For example a child with #30 and #19 present will qualify for the study.

Disqualifiers

Any tooth with previous sealant placement

Children who are allergic or intolerant to sealant material

Children who cannot tolerate a dental suction isolation system, such as DryShield isolation

Children who do not complete a prophy cup polish.

Trial design

Treatments tested in this trial

  • Ultradent Ultra Seal XT Plus

Treatment groups

217 Participants
are divided into 2 treatment groups