Effectiveness of the Isolite System vs. Rubber Dam Technique While Placing Pit and Fissure Sealants in Pediatric Patients.
Abstract: Introduction: With the wide use of pit and fissure sealants for caries prevention it is important to highlight the fact that isolation is a key factor for pit and fissure sealant retention and success. However, means for proper teeth isolation may be challenging during pit and fissure sealant application especially for the pediatric patients. This has led many healthcare professionals to... read moreseek alternative methodologies for proper tooth isolation. Purpose: The aims of this clinical study were to compare the chair time and patients' acceptance to the Isolite system (IS) vs Rubber Dam (RD) during pit and fissure sealant placement in pediatric patients. Methods: Pediatric patients at the clinic in the Department of Pediatric Dentistry at TUSDM whose ages ranged between 7-16 years were recruited for the study. Pit and fissure sealants were placed on one permanent molar in each quadrant using IS on one side and RD on the other. Subjects were randomized to start with either IS or RD. Chair time for dental sealant placement was recorded for each side. Also, patient acceptance was rated by asking the patient to evaluate the noise, soft tissue stretching, overall comfort, system of choice in case of redo, gagging, taste and overall discomfort. Results: A total of 42 subjects (23 females and 19 males) were enrolled in the study. The average chair time was 19.36 minutes for placement of pit and fissure sealants in the RD side, and 10 minutes for the IS side (P
Thesis (M.S.)--Tufts University, 2013.
Submitted to the Dept. of Pediatric Dentistry.
Advisor: Cheen Loo.
Committee: Stanley Alexander, Matthew Finkelman, Gerald Swee, and Mohamed Hassan.
Keyword: Dentistry.read less