Effects of Clearfil SE Bond 2 on restoring deciduous anterior teeth with ring caries and analysis of caries risk factors in children aged 3-8 years

To investigate the impact of various self-acid corrosion adhesives in restoring ring caries in anterior deciduous teeth and the influencing factors of childhood caries. This study retrospectively analyzed the repair effect of two kinds of restoration schemes on the annular caries of children's deciduous anterior teeth. According to the repair scheme, 54 children with caries were divided into two groups. The children with 3M single bond repair were set as the control group, and the children with Clearfil SE Bond 2 repair were set as the study group. The repair effect of 6 months and 12 months of treatment and the treatment satisfaction of children were compared. Additionally, 50 children with no oral abnormalities were included as a healthy control group to analyze dental caries risk factors comparatively. The retention of dental restorations, marginal adaptation to dentin, and dental pulp vitality scores in the study group were significantly lower than those in the control group at both 6 and 12 months post-treatment, with statistically significant differences (p < 0.05). Moreover, satisfaction levels in the study group notably exceeded those in the control group (92.59% vs. 70.37%). Fisher exact test yielded a p value of 0.041. Binary logistic regression analysis revealed that daily tooth brushing habits and parental supervision were protective against dental caries occurrence. Conversely, plaque, dental calculus, proficiency in tooth brushing techniques, and post-brushing bedtime snacking emerged as independent risk factors for dental caries (p < 0.05). Compared to the conventional self-etching dentin adhesive filling regimen, the novel blended adhesive and composite resin filling significantly enhanced dental caries restoration outcomes and increased children's satisfaction. Notably, this approach was well-received by both children and their families. Further proactive measures targeting children with identified risk factors are warranted to reduce the incidence of dental caries.