The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
권호 표지

Reliability of Q-Ray View for Assessing Retention Status of Pit and Fissure Sealant

Q-Ray View를 이용한 치면열구전색재의 유지상태 평가

  • Nam, Sang-Mi (Department of dental hygiene, SahmYook Health University) ;
  • Ku, Hye-Min (Department of Preventive Dentistry and Public Oral Health, Yonsei University College of Dentistry) ;
  • Lee, Eun-Song (Department of Preventive Dentistry and Public Oral Health, Yonsei University College of Dentistry) ;
  • Kim, Baek-Il (Department of Preventive Dentistry and Public Oral Health, Yonsei University College of Dentistry)
  • 남상미 (삼육보건대학교 치위생과) ;
  • 구혜민 (연세대학교 치과대학 예방치과학교실) ;
  • 이은송 (연세대학교 치과대학 예방치과학교실) ;
  • 김백일 (연세대학교 치과대학 예방치과학교실)
  • Received : 2019.11.05
  • Accepted : 2019.12.30
  • Published : 2020.02.29
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: To evaluate reliability of Q-ray view (Aiobio Inc,. Seoul, Korea) for assessing retention status of pit and fissure sealants. Methods: Pit and fissure sealants of 58 permanent molars from 15 third-grade students were examined. Posterior teeth with ≥1 pit and fissure sealants applied to the occlusal surface for >6 months were examined. The teeth were examined using traditional visual-tactile assessments and combined Q-ray view. Pit and fissure sealants were evaluated by assessing marginal plaque, marginal discoloration, marginal integrity, retention, and presence of caries. Fleiss kappa and Cohen's kappa values were calculated to compare inter- and intrarater agreements between visual-tactile and combined Q-ray view assessments. Results: Regarding interrater agreement in visual-tactile assessments, K values of Cohen's kappa for marginal plaque, marginal discoloration, and presence of caries were 0.22-0.57, 0.36-0.57, and 0.43-0.61, respectively, and agreements ranged from slight to moderate. When combined with Q-ray view, the values were 0.81-0.89, 0.69-0.88, and 0.80-0.90, respectively, and agreements ranged from substantial to nearly perfect level, indicating statistical significance. Marginal plaque (0.81-0.83), marginal discoloration (0.57-0.89), and presence of caries (0.69-0.91) showed higher agreements in combined Q-ray view than in visual-tactile assessments, and kappa values of marginal plaques were significantly higher in combined Q-ray view than in visual-tactile assessments. Conclusion: Evaluating retention status of pit and fissure sealants using Q-ray view showed higher reliability than using visual/tactile assessments for marginal plaque, marginal discoloration, and presence of caries. Therefore, Q-ray view may be used to assess the retention status of pit and fissure sealants.

Keywords

References

  1. Cueto EI, Buonocore MG. Sealing of pits and fissures with an adhesive resin: its use in caries prevention. J Am Dent Assoc 1967;75(1):121-128 https://doi.org/10.14219/jada.archive.1967.0205
  2. Gwinnett A, Ripa L. Penetration of pit and fissure sealants into conditioned human enamel in vivo. Arch Oral Biol 1973;18(3):435-439 https://doi.org/10.1016/0003-9969(73)90168-4
  3. Forss H, Walsh T, Hiiri A, et al. Sealants for preventing dental decay in the permanent teeth. Cochrane Database Syst Rev 2013;3:CD001830
  4. Wright JT, Tampi MP, Graham L, et al. Sealants for preventing and arresting pit-and-fissure occlusal caries in primary and permanent molars: a systematic review of randomized controlled trials-a report of the American Dental Association and the American Academy of Pediatric Dentistry. J Am Dent Assoc 2016;147(8):631-645. e618 https://doi.org/10.1016/j.adaj.2016.06.003
  5. Chestnutt IG, Playle R, Hutchings S, et al. Fissure seal or fluoride varnish? A randomized trial of relative effectiveness. J Dent Res 2017;96(7):754-761 https://doi.org/10.1177/0022034517702094
  6. Ahovuo-Saloranta A, Forss H, Hiiri A, et al. Pit and fissure sealants versus fluoride varnishes for preventing dental decay in the permanent teeth of children and adolescents. Cochrane Database Syst Rev 2016(1):CD003067
  7. Beauchamp J, Caufield PW, Crall JJ, et al. Evidence-based clinical recommendations for the use of pit-and-fissure sealants: a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc 2008;139(3):257-268 https://doi.org/10.14219/jada.archive.2008.0155
  8. Stookey GK. Quantitative light fluorescence: a technology for early monitoring of the caries process. Dental Clinics 2005;49(4):753-770
  9. Lee SH. Pit and fissure sealing - Advaced technique. J Korean Dent Assoc 2011;49(1):22-32
  10. Going RE. Microleakage around dental restorations: a summarizing review. J Am Dent Assoc 1972;84(6):1349-1357 https://doi.org/10.14219/jada.archive.1972.0226
  11. Simonsen RJ, Neal RC. A review of the clinical application and performance of pit and fissure sealants. Aust Dent J 2011;56 Suppl 1:45-58 https://doi.org/10.1111/j.1834-7819.2010.01295.x
  12. Feigal RJ, Donly KJ. The use of pit and fissure sealants. Pediatr Dent 2006;28(2):143-150
  13. Feigal R, Musherure P, Gillespie B, et al. Improved sealant retention with bonding agents: a clinical study of two-bottle and single-bottle systems. J Dent Res 2000;79(11):1850-1856 https://doi.org/10.1177/00220345000790110601
  14. Seth S. Glass ionomer cement and resin-based fissure sealants are equally effective in caries prevention. J Am Dent Assoc 2011;142(5):551-552 https://doi.org/10.14219/jada.archive.2011.0225
  15. Dunkin R, Chambers DW. Gingival response to class V composite resin restorations. J Am Dent Assoc 1983;106(4):482-484 https://doi.org/10.14219/jada.archive.1983.0095
  16. Fraser CJ. A study of the efficiency of dental fillings. J Dent Res 1929;9(4):507-517 https://doi.org/10.1177/00220345290090040401
  17. Krauss E, Krauss L. Evaluation of Autopolymer Direct Plastic Filling Materials (abst). JD Res 1959;30:498
  18. Seltzer S. The penetration of microorganisms between the tooth and direct resin fillings. J Am Dent Assoc 1955;51(5):560-566 https://doi.org/10.14219/jada.archive.1955.0242
  19. Rose EE, Lal J, Williams NB, Falcetti JP. The screening of materials for adshesion to human tooth structure. J Dent Res 1955;34(4):577-588 https://doi.org/10.1177/00220345550340041401
  20. Harrison LM. Bacterial penetration of varnish-lines amalgam restorations [master's thesis]. Ann Arbor: University of Michigan; 1964.
  21. Lee SH. Retention of pit and fissure sealant. J Korean Acad Pediatr Dent 2006;33(2):336-347
  22. Deery C, Iloya J, Nugent Z, Srinivasan V. Effect of placing a clear sealant on the validity and reproducibility of occlusal caries detection by a laser fluorescence device: an in vitro study. Caries Res 2006;40(3):186-193 https://doi.org/10.1159/000092224
  23. Hitij T, Fidler A. Effect of dental material fluorescence on DIAGNOdent readings. Acta Odontol Scand 2008;66(1):13-17 https://doi.org/10.1080/00016350701810641
  24. Chen X, Cuijpers V, Fan M, Frencken J. Marginal leakage of two newer glass-ionomer-based sealant materials assessed using micro-CT. J Dent 2010;38(9):731-735 https://doi.org/10.1016/j.jdent.2010.05.018
  25. Kim BI. QLF concept and clinical implementation. J Korean Dent Assoc 2011;49(8):443-450
  26. Oh HY, Jung HI, Ku HM, Kim BI. The Effects of the Q-Ray View on Reliability of Assessing a Tooth Status for Dental Hygiene Process. J Dent Hyg Sci 2014;14(4):461-467 https://doi.org/10.17135/jdhs.2014.14.4.461
  27. Unal M, Oznurhan F, Kapdan A, Durer S. A comparative clinical study of three fissure sealants on primary teeth: 24-month results. J Clin Pediatr Dent 2015;39(2):113-119 https://doi.org/10.17796/jcpd.39.2.h247471176596757
  28. Lee H-S, Kim S-K, Park S-W, et al. Caries detection and quantification around stained pits and fissures in occlusal tooth surfaces with fluorescence. J Biomed Opt 2018;23(9):1-7
  29. Ellwood R, Goma J, Pretty I. Caries clinical trial methods for the assessment of oral care products in the 21st century. Adv Dent Res 2012;24(2):32-35 https://doi.org/10.1177/0022034512449464
  30. Kim HE, Kim BI. Analysis of orange/red fluorescence for bacterial activity in initial carious lesions may provide accurate lesion activity assessment for caries progression. J Evid Based Dent Pract 2017;17(2):125-128 https://doi.org/10.1016/j.jebdp.2017.03.010
  31. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977:159-174
  32. Cho JY, Kim JW, Jang KT, et al. Evaluation of pit and fissure sealants retention between different operators using different isolation techniques. J Korean Acad Pediatr Dent 2003;30(3):415-422
  33. Ozyoney G, Tagtekin DA, Durmusoglu O, Yanikoglu FC. Twenty-four month evaluation of fissure sealants by clinical exami-nation and quantitative light-induced fluorescence. OHDMBSC 2005;4(3):14-19
  34. Dennison JB, STRAFFON LH, SMITH RC. Effectiveness of sealant treatment: over five years in an insured population. J Am Dent Assoc 2000;131(5):597-605 https://doi.org/10.14219/jada.archive.2000.0233
  35. Kidd E. Microleakage in relation to amalgam and composite restorations. A laboratory study. Br Dent J 1976;141(10):305-310 https://doi.org/10.1038/sj.bdj.4803840
  36. Futatsuki M, Kubota K, Yeh Y-C, et al. Early loss of pit and fissure sealant: a clinical and SEM study. J Clin Pediatr Dent 1995;19(2):99-104
  37. Hatibovic-Kofman S, Wright G, Braverman I. Microleakage of sealants after conventional, bur, and air-abrasion preparation of pits and fissures. Pediatr Dent 1998;20:173-176
  38. Coulthwaite L, Pretty IA, Smith PW, et al. The microbiological origin of fluorescence observed in plaque on dentures during QLF analysis. Caries Res 2006;40(2):112-116 https://doi.org/10.1159/000091056
  39. Lee E-S, Kang S-M, Ko H-Y, et al. Association between the cariogenicity of a dental microcosm biofilm and its red fluorescence detected by Quantitative Light-induced Fluorescence-Digital (QLF-D). J Dent 2013;41(12):1264-1270 https://doi.org/10.1016/j.jdent.2013.08.021
  40. Han SY, Kim BR, Ko HY, et al. Validity and reliability of autofluorescence-based quantification method of dental plaque. Photodiagnosis Photodyn Ther 2015;12(4):587-591 https://doi.org/10.1016/j.pdpdt.2015.10.003
  41. Diniz MB, Eckert GJ, Gonzalez-Cabezas C, et al. Caries Detection around Restorations Using ICDAS and Optical Devices. J Esthet Restor Dent 2016;28(2):110-121 https://doi.org/10.1111/jerd.12183