A Cluster Randomized Controlled Trial of the Dental Sealants Quality in Rural Schoolchildren Using Innovative Suction without Dental Assistance
Abstract
:1. Introduction
2. Materials and Methods
Statement of Approval for Human Subjects and Registry for the Clinical Trial
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics | Moisture Control Type (%) | ||
---|---|---|---|
Control (DA) * | Intervention (SS) ** | p-Value | |
Child level (n = 482) | |||
Gender (n = 482) | |||
Boy | 120 (50.4) | 117 (48.0) | 0.588 |
Girl | 118 (49.6) | 127 (52.0) | |
Age (n = 482) | |||
5–7 years | 193 (81.1) | 203 (83.2) | 0.546 |
≥8 years | 45 (18.9) | 41 (16.8) | |
Tooth brushing (n = 461) | |||
Regular (≥2 times per day) | 86 (38.2) | 111 (47.0) | 0.056 |
Irregular (<2 times per day) | 139 (61.8) | 125 (53.0) | |
Fluoride toothpaste (n = 339) | |||
Yes | 161 (97.0) | 169 (97.7) | 0.689 |
No | 5 (3.0) | 4 (2.3) | |
Sugar snack or drink consumption (n = 456) | |||
Rarely/seldom | 42 (18.7) | 38 (16.5) | 0.596 |
Not everyday | 117 (52.0) | 131 (56.7) | |
Everyday | 66 (29.3) | 62 (26.8) | |
Tooth level (n = 672 teeth) | |||
Child cooperation (n = 672) | |||
Moderate | 36 (10.3) | 23 (7.1) | 0.137 |
Good | 312 (89.7) | 301 (92.9) | |
Tooth position (n = 672) | |||
Left | 172 (49.4) | 180 (55.6) | 0.112 |
Right | 176 (50.6) | 144 (44.4) |
Characteristics | Moisture Control Type (%) | ||
---|---|---|---|
Control (DA) * | Intervention (SS) ** | p-Value | |
Child level (n = 410) | |||
Gender (n = 410) | |||
Boy | 107 (52.2) | 98 (47.8) | 0.374 |
Girl | 98 (47.8) | 107 (52.2) | |
Age (n = 410) | |||
5–7 years | 166 (81.0) | 168 (82.0) | 0.799 |
≥8 years | 39 (19.0) | 37 (18.0) | |
Tooth brushing (n = 396) | |||
Regular (≥2 times per day) | 75 (38.3) | 92 (46.0) | 0.119 |
Irregular (<2 times per day) | 121 (61.7) | 108 (54.0) | |
Fluoride toothpaste (n = 299) | |||
Yes | 142 (96.6) | 149 (98.0) | 0.444 |
No | 5 (3.4) | 3 (2.0) | |
Sugar snack or drink consumption (n = 391) | |||
Rarely/seldom | 38 (19.4) | 34 (17.4) | 0.686 |
Not everyday | 100 (51.0) | 108 (55.4) | |
Everyday | 58 (29.6) | 53 (27.2) | |
Tooth level (n = 586 teeth) | |||
Child cooperation (n = 586) | |||
Moderate | 33 (10.5) | 20 (7.3) | 0.176 |
Good | 280 (89.5) | 253 (92.7) | |
Tooth position (n = 586) | |||
Left | 151 (48.8) | 152 (55.5) | 0.072 |
Right | 162 (51.6) | 121 (44.5) | |
Follow-up time (n = 586) | <0.001** | ||
15 months | 133 (42.5) | 182 (66.7) | |
16 months | 111 (35.5) | 91 (33.3) | |
17 and 18 months # | 69 (22.0) | 0 (0.0) |
Satisfaction | Teeth 36 (Left Side) (n = 180) | Teeth 46 (Right Side) (n = 144) | ||||||
---|---|---|---|---|---|---|---|---|
Median | Q1 *, Q3 * | Mean | S.D. | Median | Q1, Q3 | Mean | S.D. | |
Tongue retraction | 9 | 8, 10 | 8.94 | 1.15 | 9 | 8, 10 | 9.11 | 1.08 |
Buccal retraction | 9 | 8, 10 | 9.04 | 1.09 | 9 | 8, 10 | 9.28 | 0.94 |
Insertion and removal | 9 | 8, 10 | 8.63 | 1.37 | 9 | 8, 10 | 8.77 | 1.37 |
Attachment with the patient’s jaw | 9 | 8, 10 | 8.67 | 1.20 | 9 | 8, 10 | 8.89 | 1.18 |
Obstructing working area | 9 | 8, 10 | 8.96 | 1.04 | 9 | 8, 10 | 9.13 | 1.15 |
Suction saliva | 9 | 8, 10 | 8.89 | 1.19 | 9 | 8, 10 | 8.98 | 1.25 |
Child cooperation | 9 | 8, 10 | 8.77 | 1.44 | 9 | 8, 10 | 9.01 | 1.38 |
Overall | 9 | 8, 10 | 8.91 | 1.02 | 9 | 8, 10 | 8.93 | 1.11 |
Safety | Frequency (%) n = 180 | Frequency (%) n = 144 | ||||||
Uncomfortable/Pain in mouth | 30 (16.7) | 26 (18.1) | ||||||
Uncomfortable/Pain at chin | 12 (6.7) | 12 (8.3) | ||||||
Ulcer in mouth ** | 2 (1.1) | 2 (1.4) | ||||||
Ulcer at chin ** | 6 (3.3) | 4 (2.8) |
Characteristics | Moisture Control Type (%) | ||
---|---|---|---|
Control (DA) * | Intervention (SS) ** | p-Value | |
Oral Hygiene (n = 583)# | |||
Good | 125 (40.5) | 115 (42.0) | 0.710 |
Poor | 184 (59.5) | 159 (58.0) | |
Caries on sealed surface occlusal (n = 586) | |||
Yes | 86 (27.5) | 73 (26.7) | 0.853 |
No | 227 (72.5) | 200 (73.3) | |
Caries on sealed surface buccal (n = 586) | |||
Yes | 114 (36.4) | 96 (35.2) | 0.796 |
No | 199 (63.6) | 177 (64.8) |
Variables (Reference) | OR | 95%CI | p-Value |
---|---|---|---|
Fixed effect | |||
Intercept | 8.63 | 3.24, 22.97 | <0.001 ** |
Tooth (Right vs. left) | 0.80 | 0.55, 1.16 | 0.238 |
Group (SS-suction vs. control) | 1.06 | 0.53, 2.13 | 0.861 |
Age (8 yrs+ vs. 5–7 years) | 1.09 | 0.40, 3.00 | 0.862 |
Follow-up (T2 vs. T1) | 0.40 | 0.15, 1.08 | 0.072 |
Follow-up (T3 vs. T1) | 1.21 | 0.30, 4.91 | 0.795 |
Random effect: Standard deviation | Level 1 (Tooth) = 1 Level 2 (Children) = 2.471 Level 3 (Dental nurse) = 1.363 |
Variables (Reference) | OR | 95%CI | p-Value |
---|---|---|---|
Fixed effect | |||
Intercept | 2.56 | 1.42, 4.61 | 0.002 * |
Tooth (Right vs. left) | 0.87 | 0.61, 1.23 | 0.419 |
Group (SS-suction vs. control) | 1.07 | 0.63, 1.79 | 0.810 |
Age (8 yrs+ vs. 5-7 years) | 1.47 | 0.73, 2.95 | 0.277 |
Follow-up (T2 vs. T1) | 0.57 | 0.29, 1.11 | 0.102 |
Follow-up (T3 vs. T1) | 0.90 | 0.35, 2.35 | 0.833 |
Random effect: Standard deviation | Level 1 (Tooth) = 1 Level 2 (Children) = 1.765 Level 3 (Dental nurse) = 0.577 |
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Thitasomakul, S.; Tianviwat, S. A Cluster Randomized Controlled Trial of the Dental Sealants Quality in Rural Schoolchildren Using Innovative Suction without Dental Assistance. Int. J. Environ. Res. Public Health 2023, 20, 4035. https://doi.org/10.3390/ijerph20054035
Thitasomakul S, Tianviwat S. A Cluster Randomized Controlled Trial of the Dental Sealants Quality in Rural Schoolchildren Using Innovative Suction without Dental Assistance. International Journal of Environmental Research and Public Health. 2023; 20(5):4035. https://doi.org/10.3390/ijerph20054035
Chicago/Turabian StyleThitasomakul, Songchai, and Sukanya Tianviwat. 2023. "A Cluster Randomized Controlled Trial of the Dental Sealants Quality in Rural Schoolchildren Using Innovative Suction without Dental Assistance" International Journal of Environmental Research and Public Health 20, no. 5: 4035. https://doi.org/10.3390/ijerph20054035