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Efetividade do Selamento de Fossas e Fissuras na Prevenção da Doença Cárie: Análise Crítica da Literatura

DOI: http://dx.doi.org/10.15603/2176-1000/odonto.v20n40p23-30

https://www.metodista.br/revistas/revistas-ims/index.php/O1/index 

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Larissa C. B. Pavinato1 & José C. P. Imparato2

 

Resumo: Introdução: A cárie dentária ainda está entre as doenças mais prevalentes entre todas as agressões à saúde humana, constituindo-se em um grave problema de saúde pública no mundo. Acredita-se que, para reverter este quadro, a implementação de cuidados básicos, enfatizando a promoção e a prevenção da saúde bucal aos grupos mais vulneráveis pode melhorar a qualidade de vida da população, diminuindo a polarização da doença. Dessa forma, medidas preventivas que minimizem a instalação e a progressão da doença cárie em superfícies oclusais são essenciais. Objetivo: o propósito deste trabalho foi conduzir uma análise crítica da literatura para discutir as principais evidências científicas a respeito da indicação de selantes resinosos e ionoméricos para a prevenção de cárie oclusal, em primeiros molares permanentes. Revisão de Literatura: nesta revisão, discutiram-se as principais evidências de ensaios clínicos randomizados e não randomizados, e de revisões sistemáticas e metanálises realizadas com o intuito de esclarecer a efetividade dos selantes resinosos e ionoméricos em relação à prevenção da doença cárie. Conclusão: com base na análise das evidências disponíveis, o efeito de proteção à cárie dos selantes resinosos parece não ser significativamente diferente dos selantes ionoméricos.

Palavras-chave: Avaliação de eficácia-efetividade de intervenções. Cárie dentária. Odontopediatria. Selantes de fossas e fissuras.

 

Abstract: Introduction: Dental caries is still among the most prevalent of all attacks on human health, thus becoming a serious public health problem worldwide. It is believed that to change this situation, the implementation of primary care emphasizing prevention and promotion of oral health to vulnerable groups can improve the quality of life, decreasing the polarization of the disease. Thus, preventive measures to minimize the onset and progression of caries in occlusal surfaces are essential. Objective: the purpose of this study was to conduct a review of the literature to discuss the key scientific evidence regarding the indication and ionomeric resin sealants to prevent occlusal caries in first permanent molars. Literature Review: this review discussed the principal evidence from randomized clinical trials and not randomized, and systematic reviews and meta-analysis carried out in order to clarify the effectiveness of sealants and ionomeric resin in relation to the prevention of dental caries. Conclusion: based on available evidence, the protective effect of sealing resin to tooth seems to be not significantly different from ionomeric sealants.

Key words: Dental caries. Evaluation of the efficacy-effectiveness of interventions. Pit and fissure sealants. Pediatric dentistry.

 

1 CD, Me, Aluna de Doutorado do Instituto e Centro de Pesquisas Odontológicas São Leopoldo Mandic, Campinas/SP, Brasil. Professora, Disciplina Clínica da Criança e do Adolescente, Faculdade de Odontologia, Universidade de Passo Fundo (UPF), Passo Fundo/RS, Brasil.
2 CD, Me, Dr, Professor Livre Docente, Disciplina de Odontopediatria da Faculdade de Odontologia da Universidade de São Paulo, Reitor da Universidade Camilo Castelo Branco, Professor do Programa de Pós-Graduação do Centro de Pesquisas Odontológicas São Leopoldo Mandic, Campinas/SP, Brasil. E- mail: jimparato@ usp.br

 

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