PMC:7546139 / 18598-24132 JSONTXT 9 Projects

Annnotations TAB TSV DIC JSON TextAE

Id Subject Object Predicate Lexical cue
T176 0-38 Sentence denotes Methods for sealing the carious lesion
T177 40-89 Sentence denotes Fissure sealing over non-cavitated carious lesion
T178 91-120 Sentence denotes What it is and when to use it
T179 121-445 Sentence denotes Sealant materials can control non-cavitated lesions on occlusal surfaces where there is no significant breach in the surface integrity of the tooth, even if the lesion can be seen clinically (through shadowing), or radiographically, to extend into dentine.55,56,57,58,59,60 These are also known as micro-invasive treatments.
T180 447-486 Sentence denotes How it works and clinical effectiveness
T181 487-671 Sentence denotes As well as being highly effective for prevention of dental caries,30 placing a well-sealed fissure sealant over a carious lesion will arrest it and stop it from progressing.57,58,59,60
T182 672-849 Sentence denotes While shallow or moderately deep lesions are likely to be successfully managed, there is not enough evidence to make recommendations for deeper lesions for long-term management.
T183 850-941 Sentence denotes Although they may provide a good seal, they will not add much to the strength of the tooth.
T184 942-1108 Sentence denotes Their application is limited to teeth where there is less weakening of the tooth structure (that is, less extensive lesions) and the tooth structure can support them.
T185 1109-1245 Sentence denotes In cases where the lesion is extensive, the sealant may not be able to withstand breakdown of the lesion surface if the forces are high.
T186 1246-1392 Sentence denotes Although they have a lower retention rate than resin sealants, the therapeutic effect of GIC on the tooth seems to balance the bulk material loss.
T187 1393-1632 Sentence denotes There is good evidence to support a high caries-preventive effect from high-viscosity glass-ionomer sealants.30 However, there is little directly comparable evidence, as yet, on their relative performances sealing dentinal carious lesions.
T188 1634-1645 Sentence denotes Non-AGP use
T189 1646-1739 Sentence denotes Resin fissure sealant application involves use of the air-water syringe, creating an aerosol.
T190 1740-1911 Sentence denotes Clinicians could consider using GIC or HVGIC ART sealants instead, as these do not require rinsing or desiccation for placement, to prevent further progression of lesions.
T191 1912-2094 Sentence denotes More long-term treatment may be required later, but there may be sufficient success from the sealant to allow it to be managed by re-sealing rather than replacing with a restoration.
T192 2096-2114 Sentence denotes Resin infiltration
T193 2116-2145 Sentence denotes What it is and when to use it
T194 2146-2334 Sentence denotes Resin infiltration (RI) is a technique that arrests non-cavitated carious lesions.61,62 It can treat non-cavitated lesions on smooth and approximal surfaces in both dentitions effectively.
T195 2335-2585 Sentence denotes Lesions have to be limited to enamel and the outer third of dentine.61,62,63,64,65 It can also camouflage the whitish appearance of hypomineralised enamel on smooth surfaces.62,64 Similar to sealants, this is also known as a micro-invasive treatment.
T196 2587-2626 Sentence denotes How it works and clinical effectiveness
T197 2627-2896 Sentence denotes A very low-viscosity resin infiltrate is introduced into the micro-porosities of carious lesions to fill them through capillary action and arrest their progress.65 Systematic reviews show RI to be an effective micro-invasive treatment at timespans up to 36 months.61,65
T198 2898-2909 Sentence denotes Low AGP use
T199 2910-3043 Sentence denotes The diffusion of the RI results from surface and sub-surface dehydration conditions created by hydrochloric acid followed by ethanol.
T200 3044-3125 Sentence denotes The air-water syringe has to be used to rinse and dry which may produce aerosols.
T201 3126-3201 Sentence denotes Rubber dam, sealing material and high-volume evacuators should be used.5,66
T202 3203-3217 Sentence denotes Hall Technique
T203 3219-3248 Sentence denotes What it is and when to use it
T204 3249-3394 Sentence denotes The HT is a method for treating asymptomatic carious primary molar teeth where the lesion has extended into dentine (cavitated or non-cavitated).
T205 3395-3507 Sentence denotes The correct size of preformed metal crown is chosen and then pushed over the tooth to seal the carious lesion.67
T206 3508-3669 Sentence denotes The HT has been used in some secondary care settings for temporary management of partially erupted permanent molars affected by molar incisor hypomineralisation.
T207 3670-3738 Sentence denotes However, there are currently no clinical trials to support this use.
T208 3739-3934 Sentence denotes If practitioners are considering using the HT as a temporary non-AGP measure for permanent molar teeth, there are a few points, besides the lack of supporting evidence, that they should consider.
T209 3935-4016 Sentence denotes Firstly, the crowns should only be placed on teeth that are not yet in occlusion.
T210 4017-4209 Sentence denotes Secondly, the HT in this cas , unlike primary teeth HT use, provides only a temporary solution until more definitive restorative treatment and this will necessitate an AGP to remove the crown.
T211 4210-4375 Sentence denotes Finally, permanent tooth preformed crowns are less easy to fit than those for primary teeth and almost always need to be trimmed with scissors, crimped and polished.
T212 4377-4416 Sentence denotes How it works and clinical effectiveness
T213 4417-4546 Sentence denotes It provides full coronal coverage and the risk of future carious lesion development on another surface of the tooth is avoided.67
T214 4547-5091 Sentence denotes The HT is technically simple to carry out and is well accepted by children, their parents and dentists.68,69 It has a strong evidence base showing high long-term success rates in randomised control trials (>90%) compared to conventional restorations (50-80%) and comparable to conventional crowns.68,69,70 The high rate of success, its durability and cost-effectiveness have meant use of the HT has increased, with a recent survey including 709 paediatric dentists from six continents showed that 92% had heard about it and 51% were using it.71
T215 5093-5104 Sentence denotes Non-AGP use
T216 5105-5190 Sentence denotes The HT is AGP-free as there is no removal of carious tissue and no tooth preparation.
T217 5191-5224 Sentence denotes No local anaesthesia is required.
T218 5225-5250 Sentence denotes The luting cement is GIC.
T219 5251-5414 Sentence denotes As with all clinical procedures, careful case selection with accurate lesion and pulp status diagnoses (clinically and radiographically) are essential for success.
T220 5415-5534 Sentence denotes Parents have to be happy with the appearance before placement, although children generally like the crown's appearance.