1
|
Nazir A, Iqbal H, Mehmood A, Khan MA, Shaukat Z, Abbas Z, Kashif M. Efficacy of Glass Ionomer Cement as Pit and Fissure Sealant in Permanent First Molars. Cureus 2024; 16:e55882. [PMID: 38595900 PMCID: PMC11002968 DOI: 10.7759/cureus.55882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/10/2024] [Indexed: 04/11/2024] Open
Abstract
Background/Objectives Pit and fissure caries constitute a predominant portion, approximately 90% in permanent posterior teeth and 44% in primary teeth among children and adolescents. Among various preventive modalities, pit and fissure sealants play a pivotal role in safeguarding these vulnerable areas. Categorized by materials such as glass ionomer, composites, and polyacid-modified glass ionomers, these sealants offer effective protection. This study aims to evaluate the efficacy of glass ionomer-based pit and fissure sealants in terms of retention rate at 12-month post-procedure period in permanent first molars. Methodology This study was conducted at the Department of Operative Dentistry, Nishtar Institute of Dentistry, Multan, Pakistan. Fifty-six children, aged 7 to 12 years, presenting with pit and fissure caries in permanent first molar teeth were enrolled. Glass ionomer sealant was meticulously applied to the affected pits and fissures. The efficacy was assessed after 12 months based on predefined criteria. Results The age of participants ranged from 7 to 12 years, with a mean age of 9.24 ± 1.38 years. Among the 56 patients, 23 (41.2%) were male and 33 (58.8%) were female. Sealant retention was noted in 31 (55.35%) patients, while 25 (44.65%) experienced sealant loss. In the 7 to 9-year age group, 19 demonstrated complete sealant retention, whereas in the 10 to 12-year age group, 12 exhibited complete retention. Concerning gender distribution, 17 males and 14 females exhibited complete sealant retention. Conclusion Glass ionomer-based sealants demonstrate excellent properties for pit and fissure sealing owing to their low technique sensitivity, cost-effectiveness, and favorable retention rates. Therefore, they represent an optimal choice for this preventive dental procedure.
Collapse
Affiliation(s)
- Amara Nazir
- Operative Dentistry, Bakhtawar Amin Medical and Dental College, Multan, PAK
| | - Humara Iqbal
- Operative Dentistry, Multan Medical & Dental College, Multan, PAK
| | - Asad Mehmood
- Oral Biology, Lahore Medical and Dental College, Lahore, PAK
| | - Muhammad A Khan
- Operative Dentistry, Bakhtawar Amin Medical and Dental College, Multan, PAK
| | - Zunaira Shaukat
- Science of Dental Materials, Multan Medical & Dental College, Multan, PAK
| | - Zaineb Abbas
- Oral Biology, Bakhtawar Amin Medical and Dental College, Multan, PAK
| | - Muhammad Kashif
- Oral Pathology, Bakhtawar Amin Medical and Dental College, Multan, PAK
| |
Collapse
|
2
|
Yassin SM, Mohamad D, Togoo RA, Sanusi SY, Johari Y. Do nanofillers provide better physicomechanical properties to resin-based pit and fissure sealants? A systematic review. J Mech Behav Biomed Mater 2023; 145:106037. [PMID: 37499522 DOI: 10.1016/j.jmbbm.2023.106037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Revised: 07/16/2023] [Accepted: 07/21/2023] [Indexed: 07/29/2023]
Abstract
The purpose of this study was to systematically review the impact of nanofillers on the physicomechanical properties of resin-based pit and fissure sealants (RBS). This review included in vitro studies with full-length English-language articles reporting on the physicomechanical properties of nanofilled RBS until February 2023. PubMed, Web of Sciences, Scopus, and LILACS databases were accessed for literature searches. The review was formulated based on the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines and used the Consolidated Standards of Reporting Trials (CONSORT) guidelines and risk of bias Cochrane tool for quality assessment. The search resulted in 539 papers, of which 22 were eligible to be included in the review. Inorganic, polymeric, core-shell, and composite nanomaterials were used to reinforce the studied RBS. The inherent nature of the nanomaterial used, its morphology, concentration, and volume used were the primary parameters that determined the nanomaterial's success as a filler in RBS. These parameters also influenced their interaction with the resin matrix, which influenced the final physicomechanical properties of RBS. The use of nanofillers that were non-agglomerated and well dispersed in the resin matrix enhanced the physicomechanical properties of RBS.
Collapse
Affiliation(s)
- Syed M Yassin
- Biomaterials and Craniofacial Aesthetics Research Cluster, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia; Department of Pediatric Dentistry and Orthodontic Sciences, College of Dentistry, King Khalid University, Abha, 62529, Kingdom of Saudi Arabia.
| | - Dasmawati Mohamad
- Biomaterials and Craniofacial Aesthetics Research Cluster, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.
| | - Rafi Ahmad Togoo
- Department of Pediatric Dentistry and Orthodontic Sciences, College of Dentistry, King Khalid University, Abha, 62529, Kingdom of Saudi Arabia.
| | - Sarliza Yasmin Sanusi
- Biomaterials and Craniofacial Aesthetics Research Cluster, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.
| | - Yanti Johari
- Biomaterials and Craniofacial Aesthetics Research Cluster, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kubang Kerian, Kelantan, Malaysia.
| |
Collapse
|
3
|
Gyati O, Jain M, Sogi S, Shahi P, Sharma P, Ramesh A. Clinical Evaluation of Retention of Hydrophilic and Hydrophobic Pit and Fissure Sealants in Permanent First Molars: An 18 Months Follow-up: Randomized Controlled Trial. Int J Clin Pediatr Dent 2023; 16:350-356. [PMID: 37519987 PMCID: PMC10373778 DOI: 10.5005/jp-journals-10005-2578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/01/2023] Open
Abstract
Introduction Deep pits and fissures are more prone to caries development due to their complex morphological anatomy. Preventive measures, such as pit and fissure sealants, can help in the reduction of dental caries. Conventional sealants being hydrophobic in nature, require isolation. Sealants which are hydrophilic have been introduced as an alternative where isolation is difficult to achieve. Aim To compare and evaluate the retention and marginal integrity of hydrophilic pit and fissure sealant (Embrace WetBond) with hydrophobic pit and fissure sealant (Clinpro) in permanent first molars. Materials and methods Sealants were applied randomly using the split-mouth design technique on 80 permanent first molars in children aged between 6 and 9 years and evaluation was done at 3, 6, 9, and 18 months. Results The difference in retention rates between the groups was not significant using the Chi-squared test, though the WetBond group exhibited better results with 40% complete retention at the end of 18 months while in the Clinpro group, it was 37.50%. The marginal integrity in both the sealant groups was also found to be statistically insignificant. Caries incidence was found to be slightly higher in the Clinpro group. Conclusion The clinical performance of Embrace WetBond was better when compared to Clinpro because of its moisture-tolerance capacity. Embrace Wetbond pit and fissure sealant can be the choice of material in cases where moisture control is a challenging issue. How to cite this article Gyati O, Jain M, Sogi S, et al. Clinical Evaluation of Retention of Hydrophilic and Hydrophobic Pit and Fissure Sealants in Permanent First Molars: An 18 Months follow-up: Randomized Controlled Trial. Int J Clin Pediatr Dent 2023;16(2):350-356.
Collapse
Affiliation(s)
- Oma Gyati
- Department of Pediatric and Preventive Dentistry, Maharishi Markandeshwar College of Dental Sciences and Research, Ambala, Haryana, India
| | - Mansi Jain
- Department of Pediatric and Preventive Dentistry, Maharishi Markandeshwar College of Dental Sciences and Research, Ambala, Haryana, India
| | - Suma Sogi
- Department of Pediatric and Preventive Dentistry, Maharishi Markandeshwar College of Dental Sciences and Research, Ambala, Haryana, India
| | - Prinka Shahi
- Department of Pediatric and Preventive Dentistry, Maharishi Markandeshwar College of Dental Sciences and Research, Ambala, Haryana, India
| | - Priyanka Sharma
- Department of Pediatric and Preventive Dentistry, Maharishi Markandeshwar College of Dental Sciences and Research, Ambala, Haryana, India
| | - Archana Ramesh
- Department of Pediatric and Preventive Dentistry, Maharishi Markandeshwar College of Dental Sciences and Research, Ambala, Haryana, India
| |
Collapse
|
4
|
Baby on Baby's Thumb: An Innovative Approach to Thumb Sucking Habits in Children. Indian J Pediatr 2023; 90:91. [PMID: 36342600 DOI: 10.1007/s12098-022-04388-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 10/14/2022] [Indexed: 11/09/2022]
|
5
|
Kaverikana K, Vojjala B, Subramaniam P. Comparison of Clinical Efficacy of Glass Ionomer-based Sealant using ART Protocol and Resin-based Sealant on Primary Molars in Children. Int J Clin Pediatr Dent 2022; 15:724-728. [PMID: 36866139 PMCID: PMC9973092 DOI: 10.5005/jp-journals-10005-2450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023] Open
Abstract
Aim The present in vivo study aims to evaluate and compare the clinical efficacy and survival rate of resin-based composite sealant (Clinpro Sealant, 3M ESPE, Irvine, California, United States of America) with high viscosity glass ionomer (GI) (Equia Forte, GC India, Patancheru, Telangana, India) using atraumatic restorative treatment (ART) sealant protocol in primary molars. Materials and methods The design of the study was a clinical, prospective split-mouth study. A total of 100 contralateral primary molars were selected and divided into two groups. In group I, children received Equia Forte, and in group II, children received Clinpro Sealant. The follow-up examinations were performed in the 1st and 6th months. Simonsen's criteria were used to check for retention. International Caries Assessment and Detection System II (ICDAS II) criteria were used to check for dental caries. The data obtained were subjected to statistical analysis. Results At 6 months, there was no statistically significant difference between the groups with regard to retention and caries preventive effect. Conclusions High-viscosity GI sealants can be applied using the ART protocol and provide an alternative to resin-based sealants. Clinical significance There is a limited number of studies on the performance of ART sealants in primary molars. Thus, the clinical efficacy and survival rate of resin-based composite sealant (Clinpro Sealant, 3M ESPE, Irvine, California, United States of America) with high viscosity GI (Equia Forte, GC India, Patancheru, Telangana, India) using ART sealant protocol in primary molars were evaluated. The research concluded that high-viscosity GI sealants using ART protocol are effective sealants in primary molars. How to cite this article Kaverikana K, Vojjala B, Subramaniam P. Comparison of Clinical Efficacy of Glass Ionomer-based Sealant using ART Protocol and Resin-based Sealant on Primary Molars in Children. Int J Clin Pediatr Dent 2022;15(6):724-728.
Collapse
Affiliation(s)
- Kiran Kaverikana
- Department of Pedodontics and Preventive Dentistry, The Oxford Dental College, Bengaluru, Karnataka, India
| | - Bhargavi Vojjala
- Department of Pedodontics and Preventive Dentistry, The Oxford Dental College, Bengaluru, Karnataka, India
| | - Priya Subramaniam
- Department of Pedodontics and Preventive Dentistry, The Oxford Dental College, Bengaluru, Karnataka, India
| |
Collapse
|
6
|
Singh R, Lakhanam M. An In Vitro Study of Three Types of Pit and Fissure Sealants for Viscosity, Resin Tag, and Microleakage: A Scanning Electron Microscope Study. Int J Clin Pediatr Dent 2022; 15:304-310. [PMID: 35991789 PMCID: PMC9357544 DOI: 10.5005/jp-journals-10005-2392] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Introduction One of the important techniques for prevention of dental caries is the application of pit and fissure sealants. The sealant success depends on not only adhering firmly to the enamel surface, but also isolation of pits and fissures from the rest of the oral environment. The study was conducted to evaluate and compare three pit and fissure sealant materials for viscosity, microleakage, and resin tag length. Materials and methods Sixty premolars were selected for the study. The teeth were randomly divided into three groups. Group I: type VII GIC, group II: Delton FS, group III: Delton. Teeth were prepared by pumice prophylaxis and etched with 37% phosphoric acid. The respective pit and fissure sealants were applied. Teeth were stored in 1% methylene blue dye and sectioned mesiodistally into two halves. The microleakage was assessed using stereomicroscope and resin tag length using scanning electron microscope (SEM). Brookfield's viscometer was used to measure the viscosity. Result Viscosity was lowest for Delton and highest for type VII GIC. Microleakage was seen least with the Delton (0.0%) sealant, followed by Delton FS (20.0%), and highest in Type VII GIC (85.0%) in the scoring criteria of 3 and 4 and the mean length of the resin tags was least for Type VII GIC was 3.79 ± 2.58 µm, followed by Delton FS was 5.60 ± 2.12 µm, and highest for Delton was 7.27 ± 3.43 µm. The relation between viscosity, resin tag length, and microleakage was negative. As the viscosity gets lower, the more long the resin tags formed and the microleakage decreased. Delton pit and fissure sealant had lowest viscosity and microleakage scores while longest resin tag lengths. Conclusion Delton with the lowest viscosity and microleakage appears to be a more suitable pit and fissure sealant compatible with residual moisture and ideal for use in children, where isolation is a problem. How to cite this article Singh R, Lakhanam M. An In Vitro Study of Three Types of Pit and Fissure Sealants for Viscosity, Resin Tag, and Microleakage: A Scanning Electron Microscope Study. Int J Clin Pediatr Dent 2022;15(3):304-310.
Collapse
Affiliation(s)
- Raghavendr Singh
- Department of Pedodontics and Preventive Dentistry, Purvanchal Institute of Dental Sciences, Gorakhpur, Uttar Pradesh, India
- Raghavendr Singh, Department of Pedodontics and Preventive Dentistry, Purvanchal Institute of Dental Sciences, Gorakhpur, Uttar Pradesh, India, Phone: +91 9956327428, e-mail:
| | - Medha Lakhanam
- Department of Orthodontics and Dentofacial Orthopedics, Purvanchal Institute of Dental Sciences, Gorakhpur, Uttar Pradesh, India
| |
Collapse
|
7
|
Uchil SR, Suprabha BS, Shenoy R, Rao A. Clinical effectiveness of resin-modified glass ionomer-based fluoride varnish for preventing occlusal caries lesions in partially erupted permanent molars: A randomised active-controlled trial. Int J Paediatr Dent 2022; 32:314-323. [PMID: 34379856 DOI: 10.1111/ipd.12887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Revised: 07/22/2021] [Accepted: 07/28/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Deep pits and fissures in partially erupted permanent molars are vulnerable to dental caries. AIM To assess the clinical effectiveness of resin-modified glass ionomer-based fluoride varnish (RMGI-F varnish: Clinpro XT™ varnish) in preventing occlusal caries lesions in partially erupted permanent first molars. DESIGN In this randomised active-controlled superiority trial with a single-blind parallel design, 74 children with 182 partially erupted first permanent molars were allocated into two groups: Group 1: RMGI-F varnish; and Group 2: GI sealant (active control), with an application of 0.1% sodium fluoride varnish for all other teeth. The primary outcome was ICDAS score ≥1 at 12 months of follow-up. Data were analysed using adjusted Chi-square test and GEE regression for binary outcomes. RESULTS Group 1 (15.7%) and Group 2 (13.8%) did not differ significantly in ICDAS ≥1 scores at 12 months of follow-up (adjusted χ2 = 0.373, p = .541). There was no significant difference in retention between Group 1 (48.3%) and Group 2 (20.7%) at 12 months of follow-up (adjusted χ2 = 0.1, p = .752). Mean application time per tooth (16 ± 5.9 vs 20.2 ± 5.4 min) was significantly different (t = 5.26, p = .014). CONCLUSIONS RMGI-F varnish was not superior to GI sealant in preventing occlusal caries lesions in partially erupted molars.
Collapse
Affiliation(s)
- Savil Ramachandra Uchil
- Department of Pediatric and Preventive Dentistry, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, India
| | - Baranya Shrikrishna Suprabha
- Department of Pediatric and Preventive Dentistry, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, India
| | - Ramya Shenoy
- Department of Public Health Dentistry, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, India
| | - Arathi Rao
- Department of Pediatric and Preventive Dentistry, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, India
| |
Collapse
|
8
|
Beresescu L, Kovacs M, Vlasa A, Stoica AM, Benedek C, Pop M, Bungardean D, Eșian D. Retention Ability of a Glass Carbomer Pit and Fissure Sealant. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19041966. [PMID: 35206153 PMCID: PMC8871583 DOI: 10.3390/ijerph19041966] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Revised: 02/07/2022] [Accepted: 02/08/2022] [Indexed: 02/01/2023]
Abstract
Dental sealants are an excellent means to prevent pits and fissure decay. Currently, there are multiple commercially available sealant materials. The purpose of this study was to assess the retention of glass carbomer fissure sealant and the incidence of secondary caries over a period of 24 months in comparison with a resin-based sealant. Materials and Methods: We included 32 children in the study, with ages between six and eight years and an average age of 6.8 years old. For each child, we sealed four permanent molars (totaling 128 teeth). The study group was divided into sub-groups. Sub-group A was represented by 64 first permanent molars which underwent dental sealing procedures with composite resin-based fissure sealant, Helioseal F™, and sub-group B was represented by 64 first permanent molars which underwent dental sealing procedures with glass carbomer cement, GCP Glass Seal™. The sealants were assessed clinically at 6, 12, 18, and 24 months. Results: The 6-month follow-up evaluation showed no statistically significant differences between the two materials neither regarding sealant retention nor new carious lesions formation (p > 0.05). At the 12-month recall, 57 molars had good retention (89.06%) from sub-group A and 44 molars (68.75%) from sub-group B; there was a statistically significant difference (p = 0.0187) between the two treatment choices only regarding material retention. At the last recall after 2 years, sub-group A had a higher number of molars with perfect sealing (47–73.43%) and 8 molars (12.5%) with new caries lesions and sub-group B had 23 (35.93%) molars with perfect sealing and 15 molars (23.44%) with new caries lesions; there was a statistically significant difference (p < 0.0001) between the two treatment choices only regarding material retention. Conclusions: The glass carbomer retention is very inferior to the resin-based material. The glass carbomer sealant was effective in preventing new caries development, comparable with the conventional resin-based sealant.
Collapse
Affiliation(s)
| | | | - Alexandru Vlasa
- Correspondence: (A.V.); (A.M.S.); Tel./Fax: +40-742825920 (A.V.); +40-746115788 (A.M.S.)
| | | | | | | | | | | |
Collapse
|
9
|
Mathew G, Jayakaran TG, Ramkumar H, Dakshinamoorthy S, Paulindraraj S, Solomon N. Evaluation of Embrace WetBond and Helioseal-F sealant retention with and without a Self-etch adhesive: A 12 month follow-up. J Clin Exp Dent 2022; 13:e1189-e1195. [PMID: 34987710 PMCID: PMC8715554 DOI: 10.4317/jced.58707] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Accepted: 11/08/2021] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Pit and fissures on the young permanent tooth are ideal in harbouring dental plaque and calculus. Hence it is important to provide a preventive agent to protect against dental caries. Aim: To evaluate the retention of two different pit and fissure sealants with and without a self-etch adhesive in the first permanent molars for a period of one year. MATERIAL AND METHODS 280 molars were included among 70 healthy children. According to randomisation, the groups were divided into Group IA - Embrace without Adhse One F bonding agent and Group IB - Embrace with Adhse One F bonding agent, Group IIA - Helioseal F without Adhse One F bonding agent and Group IIB - Helioseal F with Adhse One F bonding agent. The sealants were assessed clinically at 3,6,9, and 12 months using the modified Colour, Coverage, Caries (CCC) sealant evaluation system. RESULTS At the end of 12 months, the retention rates of Group IB showed statistically significant results, followed by Group IIB, Group IA and Group IIA. CONCLUSIONS At twelve months follow-up Embrase WetBond and Helioseal-F were better retentive when used with a Adhese One F bonding agent which was statistically significant. Key words:Retention, Bonding agent, Embrace WetBond, Helioseal-F.
Collapse
Affiliation(s)
- Gemimaa Mathew
- Consultant Pediatric Dentist. Rya Cosmo Hospital, Purasaiwakkam, Chennai - 600012, Tamil Nadu, India
| | - Trophimus-Gnanabagyan Jayakaran
- Senior Lecturer. Department of Pediatric and Preventive Dentistry, SRM Dental College, Ramapuram, Chennai - 600089, Tamil Nadu, India
| | - Hemalatha Ramkumar
- Professor and Head of the Department. Department of Pediatric and Preventive Dentistry, SRM Dental College, Ramapuram, Chennai - 600089, Tamil Nadu, India
| | - Senthil Dakshinamoorthy
- Reader. Department of Pediatric and Preventive Dentistry, SRM Dental College, Ramapuram, Chennai - 600089, Tamil Nadu, India
| | - Shankar Paulindraraj
- Reader. Department of Pediatric and Preventive Dentistry, SRM Dental College, Ramapuram, Chennai - 600089, Tamil Nadu, India
| | - Nancy Solomon
- Senior Lecturer. Department of Pediatric and Preventive Dentistry, SRM Dental College, Ramapuram, Chennai - 600089, Tamil Nadu, India
| |
Collapse
|
10
|
Tyagi M, Rana V, Srivastava N, Kaushik N, Moirangthem E, Gaur V. Comparison of the Conventional Band and Loop Space Maintainers with Modified Space Maintainers: A Split-mouth Randomized Clinical Trial. Int J Clin Pediatr Dent 2021; 14:S63-S68. [PMID: 35082470 PMCID: PMC8754275 DOI: 10.5005/jp-journals-10005-2046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Aim and background Space maintainers (SMs) are used to preserve space created by premature loss of primary teeth. The most commonly used band and loop (B&L) SMs have several demerits, e.g., non-functional, poor gingival health, limited survival, laboratory work for fabrication and multi-sitting procedure, etc. This study aimed to compare the efficacy of conventional B&L SMs with conventional tube and loop (CTL), bonded tube and loop (BTL) and bonded B&L in terms of gingival health, survival time, and patients’ and parents’ satisfaction. Materials and methods Fifteen children between 4 years and 8 years of age with at least two fresh extraction sites of primary molars contra- or bilaterally in each child (total 30 fresh extraction sites) were included in the study. Conventional B&L on one site while bonded loop (BL)/CTL or BTL on the other site were delivered, based on random allocation. An evaluation was done at 1st, 3rd, 6th, and 9th months for survival time, gingival health, and patients’/parents’ satisfaction. Results were statistically analyzed using independent t-test and Chi-square test under SPSS version 20.0 software. Results 100% B&L and CTL while only 60% BL and 80% BTL survived till the end of the study. For gingival health, statistically significant differences were obtained at 1st, 3rd, 6th, and 9th month's intervals (p < 0.05) when CTL was compared with B&L, BL, and BTL. In terms of patients’ acceptance, all the SMs were well accepted by the patients. However, on the intergroup comparison, patients’ acceptance was higher with bonded SMs. Conclusion Conventional tube and loop SMs were found to be most efficacious in terms of survival time, gingival health, and patients’ satisfaction. Clinical significance To find a better alternative for the conventional B&L SMs. How to cite this article Tyagi M, Rana V, Srivastava N, et al. Comparison of the Conventional Band and Loop Space Maintainers with Modified Space Maintainers: A Split-mouth Randomized Clinical Trial. Int J Clin Pediatr Dent 2021;14(S-1):S63–S68.
Collapse
Affiliation(s)
- Manisha Tyagi
- Department of Pediatric Dentistry, Subharti Dental College, Meerut, Uttar Pradesh, India
- Manisha Tyagi, Department of Pediatric Dentistry, Subharti Dental College, Meerut, Uttar Pradesh, India, Phone: +91 8279395609, e-mail:
| | - Vivek Rana
- Department of Pediatric Dentistry, Subharti Dental College, Meerut, Uttar Pradesh, India
| | - Nikhil Srivastava
- Department of Pediatric Dentistry, Subharti Dental College, Meerut, Uttar Pradesh, India
| | - Noopur Kaushik
- Department of Pediatric Dentistry, Subharti Dental College, Meerut, Uttar Pradesh, India
| | - Elizabeth Moirangthem
- Department of Pediatric Dentistry, Rajasthan Dental College, Jaipur, Rajasthan, India
| | - Vidisha Gaur
- Department of Periodontology, Uttar Pradesh University of Medical Sciences, Uttar Pradesh, India
| |
Collapse
|
11
|
Jaafar N, Ragab H, Abedrahman A, Osman E. Performance of fissure sealants on fully erupted permanent molars with incipient carious lesions: A glass-ionomer-based versus a resin-based sealant. J Dent Res Dent Clin Dent Prospects 2020; 14:61-67. [PMID: 32454960 PMCID: PMC7235696 DOI: 10.34172/joddd.2020.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Background. The effectiveness of fissure sealants in caries prevention depends on their long-term retention and ability to stop caries progression. This randomized controlled clinical trial compared the retention rate and cariostatic properties of a contemporary glass-ionomer-based sealant (GIS) versus a resin-based sealant (RS) placed on fully erupted permanent molars in a split-mouth design. Methods. The sealants were placed on fully erupted permanent teeth (8‒12 years of age) in 45 children. The evaluation was conducted after one week and three and six months. Results. There was a statistically significant difference in the retention rate and caries transition between the two groups over a six-month clinical evaluation period. The resin-based sealant group showed a better retention rate than the GIS group (75.56% and 48.88%, respectively). The resin-based sealant was superior to GIS in preventing caries progression. Conclusion. Resin-based fissure sealant with fluoride releasing properties might be preferable in preventing caries progression of incipient non-cavitated carious lesions in fully-erupted teeth.
Collapse
Affiliation(s)
- Nada Jaafar
- Department of Pediatric Dentistry, Faculty of Dentistry, Beirut Arab University, Lebanon
| | - Hala Ragab
- Department of Operative and Esthetic Dentistry, Faculty of Dentistry, Beirut Arab University, Lebanon
| | - Ahmed Abedrahman
- Department of Pediatric Dentistry and Dental Public Health, Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Egypt
| | - Essam Osman
- Department of Dental Materials, Faculty of Dentistry, Beirut Arab University, Lebanon
| |
Collapse
|
12
|
Mathew SR, Narayanan RK, Vadekkepurayil K, Puthiyapurayil J. One-year Clinical Evaluation of Retention Ability and Anticaries Effect of a Glass Ionomer-based and a Resin-based Fissure Sealant on Permanent First Molars: An In Vivo Study. Int J Clin Pediatr Dent 2020; 12:553-559. [PMID: 32440074 PMCID: PMC7229385 DOI: 10.5005/jp-journals-10005-1702] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Aim To evaluate and compare the retention ability, anticaries effect and marginal discoloration when sealed with a glass ionomer-based sealant (Fusion i-seal) and a resin-based fissure sealant (Helioseal-F) on permanent first molars. Materials and methods Caries free, fully erupted permanent first molars of 50 children between 6 years and 8 years were sealed with pit and fissure sealants under rubber dam isolation. Glass ionomer-based sealant was applied on a permanent first molar and the contralateral molar with resin-based sealant. The sealants were evaluated at regular intervals for a period of 1 year. Statistical analysis was done by Chi-square test. Results Higher retention rates were noted for resin-based sealant (88%) compared to glass ionomer-based sealant (78%). None of the teeth sealed with resin sealant developed caries whereas 2% of teeth sealed with glass ionomer sealant developed caries. Marginal discoloration was not noted in teeth sealed with glass ionomer sealant whereas slight marginal discoloration was noted for 6% of teeth sealed with resin sealant. Conclusion Clinically a difference was noted in the retention rate, anticaries effect and marginal discoloration whereas statistically no significant difference was noted for the two sealants after 1 year. Clinical significance Pit and fissure sealants are highly effective and economical in preventing occlusal caries in young permanent tooth with low failure rate. How to cite this article Mathew SR, Narayanan RK, Vadekkepurayil K, et al. One-year Clinical Evaluation of Retention Ability and Anticaries Effect of a Glass Ionomer-based and a Resin-based Fissure Sealant on Permanent First Molars: An In Vivo Study. Int J Clin Pediatr Dent 2019;12(6):553–559.
Collapse
Affiliation(s)
- Sheeja R Mathew
- Department of Pedodontics and Preventive Dentistry, Government Dental College, Kozhikode, Kerala, India
| | - Retna K Narayanan
- Department of Pedodontics and Preventive Dentistry, Government Dental College, Kozhikode, Kerala, India
| | - Kannan Vadekkepurayil
- Department of Pedodontics and Preventive Dentistry, Government Dental College, Kozhikode, Kerala, India
| | - Jeeva Puthiyapurayil
- Department of Pedodontics and Preventive Dentistry, Government Dental College, Kozhikode, Kerala, India
| |
Collapse
|
13
|
Al-Sultani HFF, Aljanabi WH, Hasan HA, Al-Murib NMH, Alam MK. Clinical Evaluation of Pit and Fissure Sealants Placed by Undergraduate Dental Students in 5-15 Years-old Children in Iraq. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2020. [DOI: 10.1590/pboci.2020.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
|
14
|
Butail A, Dua P, Mangla R, Saini S, Chauhan A, Rana S. Evaluation of Marginal Microleakage and Depth of Penetration of Different Materials Used as Pit and Fissure Sealants: An In Vitro Study. Int J Clin Pediatr Dent 2020; 13:38-42. [PMID: 32581477 PMCID: PMC7299877 DOI: 10.5005/jp-journals-10005-1742] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Objective Fissure sealants hold a great significance in the preclusion of inception of caries process. The present in vitro study assesses the marginal sealing ability and penetration depth of various dental products used as pit and fissure sealants. Study design Sixty freshly extracted human non-carious premolars were arbitrarily categorized into four groups of 15 samples. Prophylaxis of occlusal surfaces of sample teeth was done with pumice slurry and sealant was applied. Later, the teeth underwent thermocycling and immersion in 5% methylene blue for 24 hours. Sectioning of teeth samples was done buccolingually and they were analyzed under stereomicroscope. Statistical analysis used Nonparametric tests Kruskal–Wallis and Mann–Whitney were applied to carry out microleakage comparison. The percentage penetration depth was compared using the one-way analysis of variance (ANOVA) test. Tukey's post hoc test was applied for multiple analogies. Results Highest microleakage was seen in glass ionomer-based sealant followed by flowable composite and least for classical sealant. Flowable nanocomposite gave comparable results with that of the classical sealant. No statistical difference was found with respect to depth of penetration between different tested materials. Conclusion Flowable nanocomposite can be considered as a promising substitute for sealing fissures and thus can be endorsed to caries-susceptible pediatric patients. How to cite this article Butail A, Dua P, Mangla R, et al. Evaluation of Marginal Microleakage and Depth of Penetration of Different Materials Used as Pit and Fissure Sealants: An In Vitro Study. Int J Clin Pediatr Dent 2020;13(1):38–42.
Collapse
Affiliation(s)
- Apra Butail
- Department of Pedodontics and Preventive Dentistry, Himachal Institute of Dental Sciences, Paonta Sahib, Himachal Pradesh, India
| | - Parminder Dua
- Department of Pedodontics and Preventive Dentistry, Himachal Institute of Dental Sciences, Paonta Sahib, Himachal Pradesh, India
| | - Ritu Mangla
- Department of Pedodontics and Preventive Dentistry, Himachal Institute of Dental Sciences, Paonta Sahib, Himachal Pradesh, India
| | - Sheeba Saini
- Department of Pedodontics and Preventive Dentistry, Himachal Institute of Dental Sciences, Paonta Sahib, Himachal Pradesh, India
| | - Ananya Chauhan
- Department of Pedodontics and Preventive Dentistry, Himachal Institute of Dental Sciences, Paonta Sahib, Himachal Pradesh, India
| | - Swati Rana
- Department of Pedodontics and Preventive Dentistry, DAV Dental College, Yamuna Nagar, Haryana, India
| |
Collapse
|
15
|
Alkhodairi A, Alseweed M, Alwashmi S, Elmoazen RA. Clinical Evaluation of the Retention of Resin and Glass Ionomer Sealants Applied as a Part of School-Based Caries Prevention Program. Open Access Maced J Med Sci 2019; 7:4127-4130. [PMID: 32165964 PMCID: PMC7061390 DOI: 10.3889/oamjms.2019.869] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Revised: 11/24/2019] [Accepted: 11/25/2019] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND: Using of sealant on pits and fissures is likely one of the most generally well-known strategies by the new cavity-prevention systems. AIM: The purpose of this research is to measure the retentiveness of sealants of resin-modified ionomer glass cement (GIC) and resin pits and fissures, on the first permanent molars of special patients as a part of caries prevention program in schools. METHODS: The sample was comprised by 60 molars. Resin-based sealants on one side and glass-ionomer sealant on the contralateral side of the mouth. The molars were examined in three and six months after application for retention with three standards: TR: Totally Retained; PR: Partially Retained; and CL: Completely Lost. RESULTS: by the end of the study 60% of resin sealant was present. While 55% of GIC were retentive after 6 months. CONCLUSION: Resin sealants are more retentive than glass ionomer sealants in school-based carries prevention program.
Collapse
Affiliation(s)
- Asem Alkhodairi
- College of Dentistry, Qassim University, Quassim, Saudi Arabia
| | | | | | - Ramy A Elmoazen
- College of Dentistry, Qassim University, Quassim, Saudi Arabia
| |
Collapse
|
16
|
Alsabek L, Al-Nerabieah Z, Bshara N, Comisi JC. Retention and remineralization effect of moisture tolerant resin-based sealant and glass ionomer sealant on non-cavitated pit and fissure caries: Randomized controlled clinical trial. J Dent 2019; 86:69-74. [PMID: 31136817 DOI: 10.1016/j.jdent.2019.05.027] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Revised: 05/16/2019] [Accepted: 05/22/2019] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION/OBJECTIVES Pit and fissure sealants are an essential part of preventive dentistry and should be adopted as a crucial part of the minimally invasive dentistry due to their profound benefit to our patients. METHODS The study design is a single-blind, split-mouth, randomized controlled clinical trial. Forty patients between age 6-9 were selected. First permanent molars' occlusal surfaces with scores of 1, or 2 according to the International Caries Detection and Assessment System II (ICDAS II) and with scores between 14-30 by using DIAGNOdent device (Kavo®, Biberach, Germany) were selected and readings recorded. One side of the mouth was randomly chosen to have either the moisture tolerant resin sealant or the glass ionomer sealant placed, and then the second material was placed on the other side. The retention of these materials was analyzed at 3 and 6 months. The sealants were then removed and DIAGNOdent readings were subsequently taken. RESULTS After three months, full retention was found in 38/40 (95%) teeth in Group A (Embrace™ WetBond™) and 35/40 (87.5%) teeth in Group B (Fuji TRIAGE®). Additionally, no sealant suffered a total loss in group A, whereas, three sealants were totally lost (7.5%) in group B. The difference in sealant retention in two groups in this period was not found to be statistically significant (P > 0.05). At six months, full retention was found in Group A 34/40 (85%) and 25/40 (62.5%) in Group B. Also, the partial loss in Group A was 2/40 (5%) whereas in Group B 7/40 (17.5%). Also, the total loss was 4/40 (10%) and 8/40 (20%) in Group A and B, respectively. The difference in sealant retention in two groups after six months follow-up was found statistically significant (P < 0.05). The initial mean values of DIAGNOdent readings were 22.42 and 22.8 in Group A and Group B, respectively. After six months, DIAGNOdent mean values revealed a drop in both groups, and this difference was statistically significant. Nevertheless, when Group A was compared to Group B in terms of remineralization effect, the differences were found not to be statistically significant (p > 0.05). CONCLUSIONS Within the limitation of this study, we affirmed that occlusal caries lesions, which is restrictive to enamel and in need of surgical intervention, can be arrested clinically by sealing the lesion with both a hydrophilic resin sealant and glass ionomer sealant materials. Embrace™ WetBond™ showed superiority over the glass ionomer sealant tested in retention after six months follow up.
Collapse
Affiliation(s)
- Laith Alsabek
- Dental College, Damascus University, Al-Mazzeh St. Damascus, PO Box 30621, Syria
| | - Zuhair Al-Nerabieah
- Pediatric Dentistry, Dental College, Damascus University, Al-Mazzeh St. Damascus, PO Box 30621, Syria
| | - Nada Bshara
- Pediatric Dentistry, Dental College, Damascus University, Al-Mazzeh St. Damascus, PO Box 30621, Syria
| | - John C Comisi
- Restorative Dentistry, Department of Oral Rehabilitation, The Medical University of South Carolina, James B. Edwards College of Dental Medicine, 173 Ashley Avenue, Charleston, SC, 29425, USA.
| |
Collapse
|
17
|
Kondo Y, Ito S, Uehara O, Kurashige Y, Fujita Y, Saito T, Saitoh M. Chemical and biological properties of new sealant-use cement materials. Dent Mater 2019; 35:673-685. [PMID: 30871786 DOI: 10.1016/j.dental.2019.02.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2018] [Accepted: 02/07/2019] [Indexed: 10/27/2022]
Abstract
OBJECTIVES The aim of this study was to investigate the chemical and biological properties of newly developed bioactive cements, modified such that they are largely composed of calcium, phosphate and fluoride. We investigated whether newly developed bioactive cements have the potential to further protect surrounding hard tissue and enhance remineralization of demineralized tissue by additional ion release. METHODS We developed four types of novel GIC based on Fuji VII, modified with phosphate and fluoride and calcium. Compressive strength tests were performed following JIS T6607 methods. Ion release of calcium, phosphate and fluoride after 24 h storage were determined using atomic absorption spectroscopy, colorimetry and an ion-specific electrode. Fluoride releases and recharge were measured at 1, 3, 6, 12, 24 and 168 h. Viability was determined by colony-forming units. Inhibitions of biofilm formation and cell proliferation activity were measured. RESULTS The GIC groups showed no significant differences in compressive strength after 1 and 7 days. The rates of fluoride ion release from newly developed GICs were significantly greater than those of Fuji VII, Fuji III and BS. All materials except TM can be recharged with fluoride ions. Compared with the control group, which did not release fluoride ions, all materials showed significantly stronger antibacterial effects. The newly developed GICs and BS showed less biofilm formation than Fuji VII and Fuji III. SIGNIFICANCE Three of four newly developed GICs modified with calcium, phosphate and fluoride ions were found to be superior to other sealant materials.
Collapse
Affiliation(s)
- Yuki Kondo
- Division of Pediatric Dentistry, Department of Oral Growth and Development, Health Sciences University of Hokkaido, 1757 Kanazawa, Tobetsu-cho, Ishikari-gun, Hokkaido, 061-0293, Japan
| | - Shuichi Ito
- Division of Dental Education Development, Department of Integrated Dental Education, School of Dentistry, Health Sciences University of Hokkaido, 1757 Kanazawa, Tobetsu-cho, Ishikari-gun, Hokkaido, 061-0293, Japan.
| | - Osamu Uehara
- Division of Disease control & Molecular Epidemiology, Department of Oral growth and Development, Health Sciences University of Hokkaido, 1757 Kanazawa, Tobetsu-cho, Ishikari-gun, Hokkaido, 061-0293, Japan
| | - Yoshihito Kurashige
- Division of Pediatric Dentistry, Department of Oral Growth and Development, Health Sciences University of Hokkaido, 1757 Kanazawa, Tobetsu-cho, Ishikari-gun, Hokkaido, 061-0293, Japan
| | - Yusuke Fujita
- Division of Pediatric Dentistry, Department of Oral Growth and Development, Health Sciences University of Hokkaido, 1757 Kanazawa, Tobetsu-cho, Ishikari-gun, Hokkaido, 061-0293, Japan
| | - Takashi Saito
- Division of Clinical Cariology and Endodontology, Department of Oral Rehabilitation, Health Sciences University of Hokkaido, 1757 Kanazawa, Tobetsu-cho, Ishikari-gun, Hokkaido, 061-0293, Japan
| | - Masato Saitoh
- Division of Pediatric Dentistry, Department of Oral Growth and Development, Health Sciences University of Hokkaido, 1757 Kanazawa, Tobetsu-cho, Ishikari-gun, Hokkaido, 061-0293, Japan
| |
Collapse
|
18
|
Bhushan U, Goswami M. Evaluation of retention of pit and fissure sealants placed with and without air abrasion pretreatment in 6-8 year old children - An in vivo study. J Clin Exp Dent 2017; 9:e211-e217. [PMID: 28210438 PMCID: PMC5303320 DOI: 10.4317/jced.53259] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2016] [Accepted: 08/22/2016] [Indexed: 11/06/2022] Open
Abstract
Background The success of pit and fissure sealants is directly related to their retention. The purpose of this study was to assess and compare the retention of pit and fissure sealants placed using acid etch alone and a combination of air abrasion and acid etch techniques. Material and Methods 50 subjects aged 6-8 years were included in the study. Primary second molars and permanent first molars were sealed in all four quadrants using split mouth design. The right maxillary and mandibular molars (Group A) were treated by acid etching alone while the left maxillary and mandibular molars (Group B) were pretreated with air abrasion followed by acid etching before application of pit and fissure sealant. Retention of sealants was checked using Simonsen’s criteria of sealant retention after three and six months of sealant application. Results There was no significant difference in retention of sealants in Group A and Group B (p<0.05) after three and six months follow up. The difference in sealant retention in primary and permanent molars was not significant (p>0.05). Maxillary molars showed superior retention compared to mandibular molars, which was statistically significant at both three and six months (p<0.05). Conclusions Combining air abrasion pretreatment with subsequent acid etching did not result in statistically significant difference in sealant retention compared to acid etching alone in both primary and permanent molars after 3 and 6 months follow up. An additional air abrasion pretreatment step can be avoided in pediatric patients when placing sealants and the procedure can be completed faster with better behavior management using acid etching alone. Key words:Pit and fissure sealant, acid etching, air abrasion.
Collapse
Affiliation(s)
- Urvashi Bhushan
- BDS, Postgraduate student in Department of Pedodontics and Preventive Dentistry at Maulana Azad Institute of Dental Sciences, New Delhi
| | - Mridula Goswami
- BDS, MDS, Head of the Department & Professor, Department of Pedodontics and Preventive Dentistry at Maulana Azad Institute of Dental Sciences, New Delhi
| |
Collapse
|
19
|
Babaji P, Vaid S, Deep S, Mishra S, Srivastava M, Manjooran T. In vitro evaluation of shear bond strength and microleakage of different pit and fissure sealants. J Int Soc Prev Community Dent 2016; 6:S111-5. [PMID: 27652241 PMCID: PMC5022386 DOI: 10.4103/2231-0762.184038] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Aim and Objectives: Fissure caries is most common in children due to deep pit and fissures. Pit and fissure areas on the occlusal surface of the teeth make them susceptible to dental caries, which need to be prevented or restored. Fissures sealant reduces the risk of occlusal caries. The present study was done to evaluate microleakage and shear bond strength of various fissure sealants. Materials and Methods: Thirty-six extracted molars were randomly allocated equally (n = 12) into three groups with three different sealants to evaluate shear bond strength and microleakage at sealant space. The shear bond strengths was evaluated with one-way analysis of variance and microleakage by Kruskal-Wallis nonparametric test using the Statistical Package for the Social Sciences version 18.0 (Chicago: SPSS Inc, 2009). Results: Tetric flow (16.8 MPa) recorded the highest shear bond strength and the difference was statistically significant with enamel loc (12.8 MPa). There was no statistically significant difference in relation to microleakage (P > 0.05) in the tested groups. Conclusions: Tetric flow recorded the highest shear bond strength and the difference was statistically significant with enamel loc. However, there was no statistically significant difference among the groups regarding microleakage.
Collapse
Affiliation(s)
- Prashant Babaji
- Department of Pedodontics and Preventive Dentistry, Sharavthi Dental College, Karnataka, India
| | - Shivali Vaid
- Department of Oral Pathology and Microbiology, MPCD and Research Centre, Gwalior, India
| | - S Deep
- Department of Pedodontics, Triveni Dental College, Chhattisgarh, India
| | - Samvit Mishra
- Department of Orthodontics, Bhabha College of Dental Sciences, Bhopal, Madhya Pradesh, India
| | | | | |
Collapse
|
20
|
Moreira KMS, Kantovitz KR, Aguiar JPD, Borges AFS, Pascon FM, Puppin-Rontani RM. Impact of the intermediary layer on sealant retention: a randomized 24-month clinical trial. Clin Oral Investig 2016; 21:1435-1443. [PMID: 27392611 DOI: 10.1007/s00784-016-1890-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2015] [Accepted: 06/15/2016] [Indexed: 10/21/2022]
Abstract
OBJECTIVES The aims of this study were to assess long-term impact of tooth eruption stages (ES) on sealant retention on occlusal surfaces previously coated with intermediary bonding layer and to determine caries prevention. MATERIALS AND METHODS Sixty-five school children were selected (aged 6-10 years), with four non-carious permanent first molar in different ES (OP (operculum present), ME (marginal edge), CE (completely erupted)). Split-mouth and single-blind study design was used. The teeth (260) were randomly selected according to treatment (sealant/technique): F (Fluroshield), H (Helioseal Clear Chroma), SF (Single Bond + F), EH (Excite + H). Sealant retention, marginal integrity, discoloration, and caries prevention were assessed after 6, 12, 18, and 24 months by calibrated examiner (Spearman = 0.91) using visual inspection. Data were submitted to the Cox proportional hazard model (survival analysis) and Likelihood ratio χ 2 test (correlation), p ≤ 0.05. RESULTS At baseline, ES was 20 % in OP, 54 % in ME, and 26 % in CE. There was no significant difference on sealant retention between the treatments (p = 0.2774). However, significant differences were found regarding the ES on sealant retention (p = 0.0041). The CE stage showed the highest retention survival rate during the 24 months. The overall sealant prevention average was found to be about 99.4 % and showed no difference between the groups. CONCLUSIONS Eruption stages affect sealant retention irregardless of the intermediate layer and type of sealant. However, there was caries prevention on tooth occlusal surfaces after 24 months, regardless of treatment. CLINICAL RELEVANCE Sealing is recommended to prevent occlusal caries of newly erupted teeth in high-caries-risk patients. However, its application is critical on moisture limited control surfaces independently of sealer material and technique.
Collapse
Affiliation(s)
- Kelly Maria Silva Moreira
- Department of Pediatric Dentistry, Piracicaba Dental School, State University of Campinas, Av. Limeira, 901, Piracicaba, São Paulo, 13414-900, Brazil
| | - Kamila Rosamilia Kantovitz
- Department of Pediatric Dentistry, Piracicaba Dental School, State University of Campinas, Av. Limeira, 901, Piracicaba, São Paulo, 13414-900, Brazil.,São Leopoldo Mandic Institute and Dental Research Center, Campinas, São Paulo, Brazil
| | - Juliana Pedrini Dias Aguiar
- Department of Pediatric Dentistry, Piracicaba Dental School, State University of Campinas, Av. Limeira, 901, Piracicaba, São Paulo, 13414-900, Brazil
| | - Ana Flávia Sanches Borges
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Al. Octávio Pinheiro Brisola, 9-75, Vila Universitária, Bauru, SP, 17012-901, Brazil
| | - Fernanda Miori Pascon
- Department of Pediatric Dentistry, Piracicaba Dental School, State University of Campinas, Av. Limeira, 901, Piracicaba, São Paulo, 13414-900, Brazil
| | - Regina Maria Puppin-Rontani
- Department of Pediatric Dentistry, Piracicaba Dental School, State University of Campinas, Av. Limeira, 901, Piracicaba, São Paulo, 13414-900, Brazil.
| |
Collapse
|
21
|
Güçlü ZA, Dönmez N, Tüzüner T, Odabaş ME, Hurt AP, Coleman NJ. The impact of Er:YAG laser enamel conditioning on the microleakage of a new hydrophilic sealant--UltraSeal XT hydro. Lasers Med Sci 2016; 31:705-11. [PMID: 26964797 PMCID: PMC4851705 DOI: 10.1007/s10103-016-1878-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2015] [Accepted: 01/14/2016] [Indexed: 11/26/2022]
Abstract
UltraSeal XT® hydro™ is a new hydrophilic, light-cured, methacrylate-based pit and fissure sealant which has been developed by Ultradent Products, USA. The sealant is highly filled with a 53 wt.% mixture of inorganic particles which confer both thixotropy and radiopacity. The principal purpose of this study was to investigate the microleakage of UltraSeal XT® hydro™ as a function of different enamel etching techniques. The occlusal surfaces of sound, extracted human molars were either acid etched, Er:YAG laser irradiated or successively laser irradiated and acid etched. UltraSeal XT® hydro™ was applied to each group of teeth (n = 10) which were subjected to a thermocycling process consisting of 2500 cycles between 5 and 50 °C with a dwell time of 30 s. Microleakage assessments were then carried out using 0.5 % fuchsin dye and optical microscopy. The microleakage score data were analysed using the Kruskal-Wallis, Mann–Whitney U test with Bonferroni adjustment. No significant differences in microleakage were noted between the individually acid etched and laser-irradiated groups (p > 0.05); however, teeth treated with a combination of laser irradiation and acid etching demonstrated significantly lower microleakage scores (p < 0.001). Electron microscopy with energy-dispersive X-ray analysis revealed that the mineral filler component of UltraSeal XT® hydro™ essentially comprises micrometre-sized particles of inorganic silicon-, aluminium- and barium-bearing phases. Laser etching increases the roughness of the enamel surface which causes a concentrated zoning of the filler particles at the enamel-sealant interface.
Collapse
Affiliation(s)
- Z A Güçlü
- Diş Hekimliği Fakültesi Pedodonti, Erciyes Üniversitesi, ABD 38039, Melikgazi, Kayseri, Turkey
| | - N Dönmez
- Bezmialem Vakıf Üniversitesi, Diş Hastalıkları ve Tedavisi, ABD Adnan Menderes Bulvarı Vatan Caddesi, 34093, Fatih, İstanbul, Turkey
| | - T Tüzüner
- Diş Hekimliği Fakültesi Pedodonti, Karadeniz Teknik Üniversitesi, ABD Kanuni Kampüsü, 61080, Trabzon, Turkey
| | - M E Odabaş
- Diş Hekimliği Fakültesi Dekanlık, Gazi Üniversitesi, Bişkek Caddesi 82 Sokak No:4 06510 Emek, Ankara, Turkey
| | - A P Hurt
- Faculty of Science and Engineering, University of Greenwich, Chatham Maritime, Kent, ME4 4TB, UK
| | - N J Coleman
- Faculty of Science and Engineering, University of Greenwich, Chatham Maritime, Kent, ME4 4TB, UK.
| |
Collapse
|
22
|
Kobayashi TY, Rios D, Machado MADAM, Oliveira TM, Da Silva SMB. A Two-Year Clinical Evaluation of Fluoride and Non-Fluoride Resin-Based Pit-and-Fissure Sealants. Braz Dent J 2016; 26:678-84. [PMID: 26963216 DOI: 10.1590/0103-6440201300051] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2014] [Accepted: 09/28/2015] [Indexed: 11/21/2022] Open
Abstract
The aim of this study was to evaluate and compare for 24 months, the retention and surface characteristics of two pit-and-fissure sealants: Helioseal Clear and Helioseal F (Ivoclar Vivadent). The correlation between the different stages of eruption and sealant retention was also verified. Fifty children aged 6 to 8 years participated in the study, totalizing 153 teeth divided into two groups: HC (Helioseal Clear) and HF (Helioseal F). After 6, 12, 18 and 24 months, a clinical examination was performed by previously calibrated examiners. The surface characteristics and the retention of the sealants (modified RYGE & SNYDER criteria) were assessed. Analyzing the occlusal surface, HC exhibited a statistically significant higher retention at 12 (p=0.0345) and 24 months (p=0.0076). Concerning the surface characteristics, only the superficial discoloration of HC was smaller than HF, during the entire studied period. For all the other characteristics, the results of the Mann-Whitney test were highly significant at different periods (p=0.0000 to 0.0421). The frequency of air bubbles within the sealant surfaces, determined by Chi-square test, was significantly higher in HF (p=0.000:12 and 18 months to p=0.002: 6 and 24 months). HC sealant material exhibited the best performance regarding the retention and surface characteristics on the occlusal surface.
Collapse
Affiliation(s)
- Tatiana Yuriko Kobayashi
- Pediatric Dentistry Sector, Hospital for Rehabilitation of Craniofacial Anomalies, USP - Universidade de São Paulo, Bauru, SP, Brazil
| | - Daniela Rios
- Department of Pediatric Dentistry, Orthodontics and Public Health, Dental School of Bauru, USP - Universidade de São Paulo, Bauru, SP, Brazil
| | | | - Thais Marchini Oliveira
- Department of Pediatric Dentistry, Orthodontics and Public Health, Dental School of Bauru, USP - Universidade de São Paulo, Bauru, SP, Brazil
| | - Salete Moura Bonifácio Da Silva
- Department of Pediatric Dentistry, Orthodontics and Public Health, Dental School of Bauru, USP - Universidade de São Paulo, Bauru, SP, Brazil
| |
Collapse
|
23
|
HESSE D, BONIFÁCIO CC, GUGLIELMI CDAB, FANCA CD, MENDES FM, RAGGIO DP. Answer to the letter “Complete clinical retention of sealant materials should not be contemplated as cut-off for clinical success”. Braz Oral Res. 2016;30:e32. doi: 10.1590/1807-3107BOR-2016.vol30.0032. Braz Oral Res 2016. [DOI: 10.1590/1807-3107bor-2016.vol30.0057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
|
24
|
HAZNEDAROĞLU E, GÜNER Ş, DUMAN C, MENTEŞ A. A 48-month randomized controlled trial of caries prevention effect of a one-time application of glass ionomer sealant versus resin sealant. Dent Mater J 2016; 35:532-8. [DOI: 10.4012/dmj.2016-084] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Eda HAZNEDAROĞLU
- Department of Pediatric Dentistry, Faculty of Dentistry, Marmara University, Basibuyuk Campus
| | - Şirin GÜNER
- Department of Pediatric Dentistry, Faculty of Dentistry, Trakya University, Balkan Campus
| | - Canan DUMAN
- Department of Pediatric Dentistry, Faculty of Dentistry, Marmara University, Basibuyuk Campus
| | - Ali MENTEŞ
- Department of Pediatric Dentistry, Faculty of Dentistry, Marmara University, Basibuyuk Campus
| |
Collapse
|
25
|
Reddy VR, Chowdhary N, Mukunda KS, Kiran NK, Kavyarani BS, Pradeep MC. Retention of resin-based filled and unfilled pit and fissure sealants: A comparative clinical study. Contemp Clin Dent 2015; 6:S18-23. [PMID: 25821368 PMCID: PMC4374312 DOI: 10.4103/0976-237x.152932] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Background and Objectives: The most caries-susceptible period of a permanent first molar tooth is the eruption phase, during which the enamel is not fully matured and it is usually difficult for the child to clean the erupting tooth surfaces. Sealing occlusal pits and fissures with resin-based pit and fissure sealants is a proven method to prevent occlusal caries. The difference in the viscosity of the sealants differs in the penetration into pit and fissures and abrasive wear resistance property due to the addition of filler particles. The present study was conducted to evaluate and compare the retention of the resin-based filled (Helioseal F, Ivoclar Vivadent) and unfilled (Clinpro, 3M ESPE) pit and fissure sealants, which is important for their effectiveness. Materials and Methods: Fifty-six children between the age group of 6 and 9 years, with all four newly erupted permanent first molars were selected. Sealants were applied randomly using split mouth design technique on permanent first molars. Evaluation of sealant retention was performed at regular intervals over 12 months, using Simonsen's criteria at 2nd, 4th, 6th, 8th, 10th and 12th month. The results were subjected to statistical analysis. Results: At the end of our study period (12th month), 53.57% showed complete retention, 37.50% showed partial retention, and 8.83% showed complete missing of resin-based filled (Helioseal F) pit and fissure sealant. And, 64.29% showed complete retention, 32.14% showed partial retention, and 3.57% showed complete missing of resin-based unfilled (Clinpro) pit and fissure sealant. This difference in retention rates between filled and unfilled pit and fissure sealants was not statistically significant. Conclusion: The difference in retention rates between Helioseal F and Clinpro was not statistically significant, but Clinpro (unfilled) sealant showed slightly higher retention rates and clinically better performance than Helioseal F (filled).
Collapse
Affiliation(s)
- V Rajashekar Reddy
- Department of Pedodontics and Preventive Dentistry, Sharavathi Dental College and Hospital, Alkola, Shimoga, India
| | - Nagalakshmi Chowdhary
- Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Agalakote, Tumkur, Karnataka, India
| | - K S Mukunda
- Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Agalakote, Tumkur, Karnataka, India
| | - N K Kiran
- Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Agalakote, Tumkur, Karnataka, India
| | - B S Kavyarani
- Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College and Hospital, Agalakote, Tumkur, Karnataka, India
| | - M C Pradeep
- Department of Pedodontics and Preventive Dentistry, Sharavathi Dental College and Hospital, Alkola, Shimoga, India
| |
Collapse
|
26
|
Morales-Chávez MC, Nualart-Grollmus ZC. Retention of a resin-based sealant and a glass ionomer used as a fissure sealant in children with special needs. J Clin Exp Dent 2015; 6:e551-5. [PMID: 25674325 PMCID: PMC4312685 DOI: 10.4317/jced.51688] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2014] [Accepted: 11/04/2014] [Indexed: 11/28/2022] Open
Abstract
Objectives: The aim of this research is to evaluate the retention of sealants of resin and resin-modified ionomeric glass pits and fissures, on first permanent molars of special patients.
Material and Methods: The sample was comprised by 32 children. The ages were between 7 and 18 years. The sealing procedure was made with the relative isolation of the molars to be sealed, through the use of cotton rolls. Two molars were sealed with Clinpro Sealant 3M Dental and the others with Vitremer. Checking of the sealants was made after 3 and 6 months of their placement, evaluating with 3 values: TR: Totally Restrained; PR: Partially Restrained; and CL: Completely Lost.
Results: 67.18% of the resinous sealants, and 70.31% of the glass ionomer sealants were successful after three months. After six months, 57.81% of the resin-based sealants and 51.56% of the glass ionomer sealants were successful. When performing the Chi-square statistical analysis (P<0.05) no statistical significance was observed after 6 months.
Conclusions: The retention of the resin sealant was similar to that of the glass ionomer cement at the end of six months and the retention of sealants on maxillary teeth was higher than on mandibular teeth.
Key words:Sealant, glass ionomer, retention, caries, special needs.
Collapse
Affiliation(s)
- Mariana C Morales-Chávez
- Pediatric Dentist. Magister in Special Care Dentistry. Aggregate Professor and Director of the Dental Research Center. Santa Maria University. Caracas, Venezuela
| | | |
Collapse
|
27
|
Chen XX, Liu XG. Clinical comparison of Fuji VII and a resin sealant in children at high and low risk of caries. Dent Mater J 2014; 32:512-8. [PMID: 23719016 DOI: 10.4012/dmj.2012-300] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The purpose was to compare the retention and caries preventive effect of Fuji VII and a resin-based sealant in children at high risk (HR) and low risk (LR) of caries. Fifty-seven schoolchildren (150 teeth) with completely erupted bilateral permanent first molars were included. The study was a split-mouth, randomized trial. Sealant retention and caries were evaluated after 6 months, 1 year and 2 years. After 2 years, there was no statistically significant difference in the incidence of caries between Fuji VII and Concise in the HR and LR groups. With Concise, LR children were less likely to have dental caries than HR. With Fuji VII, there was no difference in caries incidence between LR and HR. Retention of Concise was superior to that of Fuji VII. Our results suggest that Fuji VII and Concise sealants had similar caries preventive effects in children at high and low risk of caries.
Collapse
Affiliation(s)
- Xiao xian Chen
- Department of Pediatric Dentistry, First Dental Center, Peking University School and Hospital of Stomatology, Jia No. 37 Xishiku Street, Xicheng District, Beijing, 100034, People's Republic of China
| | | |
Collapse
|
28
|
Borrie FR, Bearn DR. Interceptive orthodontics – current evidence-based best practice. ACTA ACUST UNITED AC 2013; 40:442-4, 446-8, 450. [DOI: 10.12968/denu.2013.40.6.442] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Felicity R Borrie
- Clinical Lecturer in Orthodontics, Dundee Dental Hospital and School, Park Place, Dundee, UK
| | - David R Bearn
- Professor of Orthodontics, Dundee Dental Hospital and School, Park Place, Dundee, UK
| |
Collapse
|
29
|
Karaman E, Yazici AR, Tuncer D, Firat E, Unluer S, Baseren M. A 48-month Clinical Evaluation of Fissure Sealants Placed With Different Adhesive Systems. Oper Dent 2013; 38:369-75. [DOI: 10.2341/12-181-c] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARYAimTo compare the retention rates of a nanofilled occlusal fissure sealant placed with the use of an etch-and-rinse or a self-etch adhesive over 48 months.Materials and MethodsThe authors enrolled 244 teeth, each with no restoration or sealant and no detectable caries, from 16 patients. The sealants were placed with Solobond M two-step etch-and-rinse adhesive or Futurabond NR one-step self-etch adhesive by four previously calibrated dentists using a table of random numbers. After completion of the adhesive application, a nanofilled sealant, Grandio Seal, was applied and light-cured. Two other calibrated examiners, who were unaware of which adhesive had been used, independently evaluated the sealants at baseline and at 12-, 24-, 36-, and 48-month recalls. Each sealant was evaluated in terms of caries formation being present or absent and retention using the following criteria: 1 = completely retained, 2 = partial loss, and 3 = total loss. The Pearson χ2 test was used to evaluate differences in retention rates among the sealants used with different adhesives for each evaluation period.ResultsThe retention rates for sealants in the Solobond M group were significantly higher than those in the Futurabond NR group in all periods of evaluation (p<0.05). No statistically significant difference between the retention rates for premolars and molars was found at each evaluation period (p>0.05). There was no new caries formation throughout the 48-month recall period.ConclusionFissure sealants placed with etch-and-rinse adhesive showed better retention rates than those placed with self-etch adhesive.
Collapse
Affiliation(s)
- E Karaman
- Emel Karaman, DDS, PhD, Faculty of Dentistry, Department of Restorative Dentistry, Ondokuz Mayıs University, Kurupelit, Samsun, Turkey
| | - AR Yazici
- A. Rüya Yazici, DDS, PhD, Faculty of Dentistry, Department of Restorative Dentistry, Hacettepe University, Sihhiye, Ankara, Turkey
| | - D Tuncer
- Duygu Tuncer, DDS, PhD, Faculty of Dentistry, Department of Restorative Dentistry, Başkent University, Bahçelievler, Ankara, Turkey
| | | | - S Unluer
- Sengul Unluer, DDS, PhD, Oral and Tooth Health Center, Gaziantep, Turkey
| | - M Baseren
- Meserret Baseren, DDS, PhD,Hacettepe University, Faculty of Dentistry, Department of Restorative Dentistry, Sihhiye, Ankara, Turkey
| |
Collapse
|
30
|
de Oliveira DC, Cunha RF. Comparison of the caries-preventive effect of a glass ionomer sealant and fluoride varnish on newly erupted first permanent molars of children with and without dental caries experience. Acta Odontol Scand 2013; 71:972-7. [PMID: 23153006 DOI: 10.3109/00016357.2012.741695] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PURPOSE This longitudinal clinic study evaluated the effect of a glass ionomer sealant (GIS) and a fluoride varnish (FV) in the prevention of dental decay on newly erupted permanent molars of children with and without caries experience. MATERIALS AND METHODS Eighty children, aged 6-8 years, with all four newly erupted first permanent molars, were divided into two groups. Group 1 consisted of 53 children without caries experience and group 2 consisted of 27 children with dental caries experience. Permanent molars of the right side were sealed with GIS and the fluoride varnish was applied on the other two permanent first molars. Evaluation of GIS retention and the effectiveness of both materials in the prevention of dental caries were performed after 6, 12 and 18 months. RESULTS After 18 months, of the 299 teeth, 271 (91%) showed no caries lesions and 28 presented caries lesions (9%). Teeth sealed with GIS had more carious lesions (15) than teeth with fluoride varnish (13). Most of the teeth (70%) that presented carious lesions were in group 2. Of the 138 sealed teeth, only one showed GIS to be totally present, 95 were partially present and 42 teeth were absent. CONCLUSION The caries-preventive effect was very similar between both treatments. The presence of dental caries prevailed in the children with caries experience.
Collapse
Affiliation(s)
- Daniela Cristina de Oliveira
- Department of Social and Pediatric Dentistry, School of Dentistry at Araçatuba, UNESP, Univ Estadual Paulista, São Paulo, Brazil
| | | |
Collapse
|
31
|
Rastelli MCDS, Reinke SMG, Scalabrin M, Santos FAD. Avaliação dos selantes de fossas e fissuras aplicados por estudantes de Odontologia. REVISTA DE ODONTOLOGIA DA UNESP 2012. [DOI: 10.1590/s1807-25772012000500005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
INTRODUÇÃO: Selantes de fossas e fissuras são indicados para prevenir lesão de cárie em superfícies oclusais. OBJETIVO: O objetivo deste estudo foi avaliar os selantes de fossas e fissuras aplicados por estudantes do Curso de Graduação em Odontologia da Universidade Regional de Blumenau (FURB), Santa Catarina. MATERIAL E MÉTODO: O estudo descritivo retrospectivo desenvolveu-se em três etapas: na primeira, procedeu-se à análise dos prontuários do Setor de Triagem, tendo como critério de inclusão a existência de radiografias dos dentes selados. Na segunda etapa, analisaram-se as radiografias dos prontuários selecionados e a história clínica da criança. A terceira etapa foi realizada por meio de exames clínicos e radiográficos, pelos quais eram verificadas as condições dos selantes de fossas e fissuras. RESULTADO: Foram analisados 800 prontuários, sendo selecionados 131 (16,37%) para a segunda etapa, quando se observou que 321 selantes de fossas e fissuras foram aplicados. Compareceram à consulta de controle 119 (90,84%) crianças, ocasião em que se confirmou a aplicação de 160 (49,85%) selantes resinosos, 126 (39,25%) com cimento de ionômero de vidro e 35 (10,90%) com resina flow. Foram observados 296 (92,21%) selantes em dentes permanentes. Ao exame clínico, verificou-se que 114 (35,51%) selantes haviam sido perdidos totalmente em diferentes períodos de tempo. Nenhuma lesão de cárie foi observada em 294 (91,59%) dentes selados. CONCLUSÃO: Verificou-se que os selantes de fossas e fissuras, aplicados por estudantes do Curso de Odontologia da FURB, foram eficazes na manutenção da maioria das superfícies dentárias livres de lesão de cárie, mesmo quando foram perdidos parcial ou totalmente.
Collapse
|
32
|
Twenty-four month clinical evaluation of fissure sealants on partially erupted permanent first molars: glass ionomer versus resin-based sealant. J Am Dent Assoc 2012; 143:115-22. [PMID: 22298552 DOI: 10.14219/jada.archive.2012.0121] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
BACKGROUND Glass ionomer sealants are an alternative to resin-based sealants, especially for use in partially erupted permanent molars. The authors conducted a study to compare the retention, marginal staining and cariostatic properties of a glass ionomer sealant with those of a resin-based sealant during a 24-month period. METHODS We included in this study 39 patients aged 5 through 9 years who had bilateral partially erupted first permanent molars. One of us (S.B.) placed a resin-based sealant (Delton Plus FS+, Dentsply Professional, York, Pa.) (group D) on a partially erupted first molar in one quadrant of the maxilla or mandible and a glass ionomer sealant (GC Fuji Triage White, GC America, Alsip, Ill.) (group T) in the other quadrant. Two masked and calibrated investigators (S.A.A., J.C.) evaluated the sealants for retention, marginal staining and carious lesions at three, six, 12 and 24 months. The authors used a multinomial regression for statistical analysis (P < .05). RESULTS The recall rate was 69.2 percent at 24 months. Two sealants from group D and three from group T were lost completely. Complete retention rates at 24 months were 40.7 and 44.4 percent for groups D and T, respectively. The authors found no statistically significant difference in retention rates between groups at each recall examination (P > .05). For marginal staining, sealants in the resin-based group exhibited statistically higher marginal staining than did sealants in the glass ionomer group (P < .05). Although the authors detected no caries in teeth in group T, teeth in group D in which the sealant was lost completely experienced demineralization. CONCLUSIONS Resin-based and glass ionomer sealants exhibited similar retention rates at 24 months. However, marginal staining was lower in the glass ionomer group, and the authors found no caries in teeth in this group. Consequently, glass ionomer sealants may be a better choice when salivary contamination is expected. CLINICAL IMPLICATIONS Sealing during tooth eruption presents a particular challenge owing to difficulty in isolating the tooth. Glass ionomers may be a better material for sealing partially erupted molars.
Collapse
|
33
|
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. [DOI: 10.1111/j.1834-7819.2010.01295.x] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
34
|
The effect of different enamel surface treatments on the microleakage of fissure sealants. Lasers Med Sci 2011; 27:153-60. [PMID: 21476043 DOI: 10.1007/s10103-011-0918-x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2010] [Accepted: 03/17/2011] [Indexed: 10/18/2022]
|
35
|
Mickenautsch S, Yengopal V. Caries-preventive effect of glass ionomer and resin-based fissure sealants on permanent teeth: An update of systematic review evidence. BMC Res Notes 2011; 4:22. [PMID: 21276215 PMCID: PMC3041989 DOI: 10.1186/1756-0500-4-22] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2010] [Accepted: 01/28/2011] [Indexed: 01/10/2023] Open
Abstract
Background This article constitutes a partial update of the original systematic review evidence by Yengopal et al. from 15 January 2008 (published in the Journal of Oral Science in 2009) with primary focus on research quality in regard to bias risk in trials. Its aim is to update the existing systematic review evidence from the English literature as to whether caries occurrence on pits and fissures of teeth sealed with either GIC or resin is the same. Methods In addition to the 12 trials included during the original systematic review, 5 new trials were identified during the database search (up to 26 August 2010) and 2 further trials were included from a hand search and reference check. Of these, 3 trials were excluded and 16 were accepted for data extraction and quality assessment. The quality of accepted trials was assessed, using updated quality criteria, and the risk of bias was investigated in more depth than previously reported. In addition, the focus of quantitative synthesis was shifted to single datasets that were extracted from the accepted trials. Results Twenty-six dichotomous and 4 continuous datasets were extracted. Meta-analysis and cumulative meta-analysis were used in combining clinically homogenous datasets. The overall outcome of the computed datasets suggest no difference between the caries-preventive effects of GIC- and resin-based fissure sealants. Conclusions This overall outcome is in agreement with the conclusions of the original systematic review. Although the findings of the trials identified in this update may be considered to be less affected by attrition- and publication bias, their risk of selection- and detection-/performance bias is high. Thus, verification of the currently available results requires further high quality randomised control trials.
Collapse
Affiliation(s)
- Steffen Mickenautsch
- Division of Public Oral Health, Faculty of Health Sciences, University of the Witwatersrand - 7 York Rd,, Parktown/Johannesburg 2193, South Africa.
| | | |
Collapse
|
36
|
SHIMAZU K, OGATA K, KARIBE H. Evaluation of the ion-releasing and recharging abilities of a resin-based fissure sealant containing S-PRG filler. Dent Mater J 2011; 30:923-7. [DOI: 10.4012/dmj.2011-124] [Citation(s) in RCA: 65] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
|