Pit-and-Fissure Sealants Are More Effective Than Fluoride Varnish in Caries Prevention on Occlusal Surfaces

2012 ◽  
Vol 12 (2) ◽  
pp. 74-76 ◽  
Author(s):  
Steven M. Levy
Keyword(s):  
Caries Prevention ◽  
Fluoride Varnish ◽  
Fissure Sealants ◽  
Pit And Fissure Sealants ◽  
Occlusal Surfaces

scholarly journals Fluoride Varnishes for Preventing Occlusal Dental Caries: A Review

2021 ◽  
Vol 9 (6) ◽  
pp. 64
Author(s):  
Alaa Baik ◽  
Najlaa Alamoudi ◽  
Azza El-Housseiny ◽  
Amani Altuwirqi
Keyword(s):  
High Risk ◽  
Dental Caries ◽  
Caries Prevention ◽  
Fluoride Varnish ◽  
Fissure Sealants ◽  
Occlusal Caries ◽  
Vast Number ◽  
Occlusal Surfaces ◽  
Permanent Molars ◽  
First Permanent Molars

Dental caries are most likely to occur on occlusal surfaces from the early eruptive stages of the tooth. In children, about 80% to 90% of dental caries are occlusal caries. Different preventive modalities are used to prevent occlusal caries. One of the methods used for occlusal caries prevention is fluoride varnish. A vast number of clinical trials have evaluated several types of sealant material and fluoride varnish to assess their ability to prevent occlusal caries in both primary and permanent dentition. The purpose of the current study was to provide an updated overview of the development, composition, mechanism of action, application, and safety of fluoride varnish, as well as its effect on occlusal caries prevention. This review of recently published studies on fluoride varnish and its effect on occlusal caries prevention shows that in children at moderate to high risk of caries, fluoride varnishes prevent occlusal caries. Both resin-based fissure sealants and fluoride varnish are effective for occlusal caries prevention for first-permanent molars. However, it was not possible to identify which one has the best effect. It is recommend that fluoride varnish is applied for children at high risk of caries two to four times per year.

Comparative Evaluation of the Marginal Sealing Ability of Fuji VII® and Concise® as Pit and Fissure Sealants

2007 ◽  
Vol 8 (4) ◽  
pp. 10-18 ◽  
Author(s):  
Mahadevan Ganesh ◽  
Tandon Shobha
Keyword(s):  
Comparative Evaluation ◽  
Caries Prevention ◽  
Control Group ◽  
Glass Ionomer ◽  
Fissure Sealants ◽  
Pit And Fissure Sealants ◽  
Sealing Ability ◽  
Occlusal Surfaces ◽  
Significant Difference ◽  
Pits And Fissures

Abstract Aim The anatomical pits and fissures of the teeth have long been recognized as susceptible areas for the initiation of dental caries. The extreme vulnerability to decay of these pits and fissures on the occlusal surfaces has prompted dental scientists to seek methods of caries prevention. Motivated by the role of pit and fissure sealants in caries prevention, the aim of this study was to compare the efficacy of Fuji VII® glass ionomer sealant and Concise® resin-based sealant. Methods and Materials An in vitro study was undertaken using forty premolars extracted for orthodontic reasons. The teeth were divided into two groups and sealants were applied. One was an experimental group using Fuji VII® as a pit and fissure sealant and the other a control group using Concise®. The teeth were kept in gentian violet dye for 24 hours, the sectioned samples were observed for the extent of dye penetration, and scores were based on established scoring criteria. Results The comparison of the performance of the two groups showed a statistically significant difference. Conclusion The Concise® resin-based sealant performed better in terms of sealing ability than did the Fuji VII® glass ionomer sealant. Citation Ganesh M, Shobha T. Comparative Evaluation of the Marginal Sealing Ability of Fuji VII® and Concise® as Pit and Fissure Sealants. J Contemp Dent Pract 2007 May;(8)4:010-018.

scholarly journals Clinical evaluation of hydrophobic and hydrophilic pit and fissure sealants among 7-10 year old school children: a split mouth study design

2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Indra Priyadharshini ◽  
Kiran Iyer ◽  
Madankumar Parangimalai Diwakar
Keyword(s):  
Surface Roughness ◽  
School Children ◽  
Marginal Adaptation ◽  
Fissure Sealants ◽  
Fissure Sealant ◽  
Pit And Fissure Sealants ◽  
Group I ◽  
Occlusal Surfaces ◽  
Colour Match ◽  
Pit And Fissure Sealant

Introduction: The study was done to compare the effectiveness of hydrophobic and hydrophilic pit and fissure sealant retention among 7-10 year old school children. Material and Methods: The present split mouth randomized trial was conducted on the occlusal surfaces of permanent first mandibular molars to compare and assess the retention along with other outcome variables like colour match, marginal discolouration, marginal adaptation, anatomic form, postoperative sensitivity, caries formation and surface roughness properties of Hydrophobic and Hydrophilic pit and fissure sealants at 3rd and 6th month. The data was compiled and analyzed using SPSS software and results were generated. Results: In the present study among the 50 restorations in the hydrophobic pit and fissure sealants (Group I), 48 (96%) restorations were retained at the end of third month and 45(90%) were retained at the end of sixth month. Among the 50 restorations in the hydrophilic pit and fissure sealants (Group II), 49(98%) restorations were retained at the end of third month, and 46(92%) at the end of sixth month were retained. There was no significant difference in the number of completely retained restorations at the end of six months (p = 1.00) among both the groups. The assessment of all the other outcome variables between both the interventions showed that the difference was not statistically significant. Conclusion: The study concluded that the hydrophilic pit and fissure sealant was similar to the hydrophobic pit and fissure sealant in terms of retention, colour match, marginal discolouration, marginal adaptation, anatomic form and surface roughness properties with.   Keywords Pit and fissure sealants; Moisture tolerant; 7-10 years; School children; Mandibular teeth.

scholarly journals Longitudinal photographic observation of the occurrence of bubbles in pit and fissure sealants

2006 ◽  
Vol 14 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Renato Herman Sundfeld ◽  
Theodore P. Croll ◽  
Silvio José Mauro ◽  
André Luiz Fraga Briso ◽  
Rodrigo Sversut de Alexandre ◽  
...  
Keyword(s):  
Separate Analysis ◽  
Fissure Sealants ◽  
Pit And Fissure Sealants ◽  
Longitudinal Investigation ◽  
Sealing Material ◽  
Occlusal Surfaces ◽  
Significant Difference ◽  
Clinical Purpose ◽  
Pits And Fissures ◽  
Sealing Materials

The purpose of this study was to employ photographic evaluation to observe the presence or absence of bubbles in pit and fissure sealants Concise and Prisma Shield, at 7 days, 18 months, 36 months and 11 years after accomplishment of treatment. METHODS: A hematoxylin-based staining solution was applied to the occlusal surface at the study periods, which allowed assessment of the sealing material on the surface. All occlusal surfaces were photographed and the photographs corresponding to each period were subjected to photographic evaluation. RESULTS: There was statistically significant difference only at 18 months, with a significantly higher number of specimens with bubbles for the Prisma Shield sealant compared to the Concise, whereas the groups were similar at all other study periods. On the other hand, separate analysis of subsequent periods of the sealants did not reveal any significant difference. CONCLUSIONS: According to the results of the present longitudinal investigation, it may be concluded that the sealing materials showed that bubbles came into and went out with time. However, this fact did not interfere with its clinical purpose, provided the remaining material covers the expected region of pits and fissures.

scholarly journals An In vitro Comparative Evaluation of Microleakage of ACP Containing Pit and Fissure Sealant and Moisture Tolerant Pit and Fissure Sealant

2021 ◽  
pp. 274-280
Author(s):  
Rachna Mulani ◽  
Aditi Mathur
Keyword(s):  
In Vitro Study ◽  
Vitro Study ◽  
In Vivo Studies ◽  
Blue Dye ◽  
Fissure Sealants ◽  
Fissure Sealant ◽  
Pit And Fissure Sealants ◽  
Occlusal Surfaces ◽  
Pit And Fissure Sealant

Background: Pits and fissure sealants are widely used to prevent caries in children. Microleakage is one of the most crucial factors resulting in sealant compromise. Factors pertaining to microleakage like, pre-treatment of occlusal surfaces, moisture control, bonding systems, and flowability of the sealant, will determine the longevity of the treatment. In vitro microleakage studies are useful in predicting the marginal sealing ability of pit and fissure sealants. Aim: This in vitro study was undertaken to evaluate and compare the microleakage of ACP (Aegis®) containing pit and fissure sealant and moisture tolerant pit and fissure sealant (EmbraceTM WetbondTM). Study Design: In vitro study. Place and Duration of Study: Department of Pedodontics and Preventive Dentistry, Dr. D.Y. Patil Dental College and Hospital, Pune. between June 2020 and February 2021. Methodology: 26 permanent non- carious premolars extracted for orthodontic treatment were used. The sealants used for the analysis of microleakage were Aegis® and EmbraceTM WetbondTM pit and fissure sealants. The premolars were divided into two groups of 13 each. After sealant application, they were immersed in methylene blue dye. The teeth were subjected to thermocycling for 24 hours, after which The teeth were sectioned buccolingually and dye penetration was studied under a stereomicroscope (magnification 10X). Results: Both the groups were studied and statistically evaluated using Mann- Whitney U test. Aegis® showed higher microleakage in (46.2%) than Embrace (38%), though the results were not statistically significant. Conclusion: Both the materials showed microleakage, more In-vivo studies with longer follow- up periods are needed to evaluate and compare the clinical success of these pit & fissure sealants.

Pit and Fissure Sealants: An Unused Caries Prevention Tool

2010 ◽  
Vol 4 (1) ◽  
pp. 1-6 ◽  
Author(s):  
CM Marya ◽  
Hind Pal Bhatia ◽  
P Gupta ◽  
S Dhingra ◽  
S Kataria ◽  
...  
Keyword(s):  
Material Selection ◽  
Risk Groups ◽  
Permanent Teeth ◽  
Caries Risk ◽  
Fissure Sealants ◽  
Retention Capacity ◽  
Pit And Fissure Sealants ◽  
High Caries Risk ◽  
Occlusal Surfaces ◽  
History Of

ABSTRACT Pit and fissure sealants along with fluoridation and good oral hygiene is an important tool for the prevention of dental caries in children and adolescents. RECOMMENDATIONS The following recommendations are based on the evidence gathered: 1. Sealants should be placed on all permanent teeth without cavitation (i.e., teeth that are free of caries, teeth that have deep pit and fissure morphology, teeth with “sticky” fissures or teeth with stained grooves) as soon after eruption as isolation can be achieved. 2. Sealants should not be placed on partially erupted teeth or teeth with cavitation or caries of the dentin. 3. Sealants should be placed on the primary molars of children who are susceptible to caries (i.e., those with a history of caries). 4. Sealants should be placed on first and second molars within 4 years after eruption. 5. Resin-based sealants should be preferred, until such time as glass ionomer cements with better retention capacity are developed. 6. Sealants should be placed as part of an overall prevention strategy based on assessment of caries risk. Sealing is a recommended procedure to prevent caries of the occlusal surfaces of permanent molars. Though the effectiveness of sealants is obvious at high caries risk groups there is still some degree of latitudein operators preference for sealant placementand material selection.

scholarly journals Pit and fissure sealants penetration capacity and their correlation with fissure morphology

2019 ◽  
Vol 92 ◽  
pp. S50-S54
Author(s):  
Alexandrina Muntean ◽  
Meda-Romana Simu ◽  
Raluca Suhani ◽  
Anca Stefania Mesaros
Keyword(s):  
In Vitro Study ◽  
Glass Ionomer ◽  
Fissure Sealants ◽  
Depth Of Penetration ◽  
Fissure Sealant ◽  
Pit And Fissure Sealants ◽  
Group I ◽  
Occlusal Surfaces ◽  
Resin Modified Glass Ionomer

Background and aims. Pit and fissure sealant placement corresponds to an effective approach of the prevention of caries on occlusal surfaces. Fissure morphology and dental material characteristics are the key factors for sealant effectiveness. The aim of this in vitro study was to compare the penetration ability of two commercially available pit and fissure sealants. Methods. Twenty sound human premolars extracted for orthodontic purpose have been sealed according to manufacturer’s instructions as follows: Group I (n=10), light-cured unfilled resin-based sealant, Admira Seal® (Voco GmbH); Group II (n=10), resin modified glass ionomer sealant without varnish, GC Fuji Triage® (GC Corporation). The teeth have been sectioned buccal-lingually in the middle of the occlusal surface, and the sections were examined at 40x with an inverted microscope. Results. Penetration of the sealants was found to be greater in U-type fissure pattern (91.69%) followed by V-type (75.42%), IK-type (71.24%) and then in I-type (63.98%). The depth of penetration of GC Fuji Triage® (82.85%) demonstrated to be superior to Admira Seal® (76.28%). Conclusion. U fissure design was more common than other fissure patterns and showed significantly higher penetration for the two type of sealants evaluated. Resin modified glass ionomer sealant used in the present study perform comparably with the filled resin sealant.

scholarly journals Assessment of Water Sorption, Solubility and Interface Properties for Two Different Pit and Fissure Sealants

2020 ◽  
Vol 57 (3) ◽  
pp. 81-88
Author(s):  
Alexandrina Muntean ◽  
Sorina Sava ◽  
Sarosi Codruta ◽  
Marioara Moldovan ◽  
Mariana Pacurar ◽  
...  
Keyword(s):  
Water Solubility ◽  
Material Selection ◽  
In Vitro Study ◽  
Inorganic Filler ◽  
Fissure Sealants ◽  
Fissure Sealant ◽  
Pit And Fissure Sealants ◽  
Sealing Capacity ◽  
Occlusal Surfaces

The purpose of modern dental medicine is to prevent dental caries and promote minimally invasive techniques at the expense of invasive methods. Dental sealants are largely recommended for occlusal surfaces protection, but concerns are related about microleakage at material-enamel interface. This in vitro study aimed to investigate the association between chemical structure, sealing capacity and marginal infiltration for 2 fluoride F containing commercially available resin-based sealants: Pit&Fissure� Sealant (DMP) and Fissurit FX� (Voco) in order to achieve a better description and ensure adequate material selection in every day practice. An optimal resin-based sealant should mimic the structural, physical and mechanical characteristics of enamel. The main difference between the sealing materials tested is based on the amounts of inorganic filler and on the various shapes of the particles in the filler. Pit&Fisure� Sealant express less attachment at enamel interface, higher sorption and greater water solubility, when compared to Fissurit FX�. The better sealing capacity of Fissurit FX� can be described by the homogeneity of the material and the very small size of the inorganic fillers. Dental materials properties used as pit and fissure sealants are sensitive to mechanical, thermic and chemical stress from oral cavity. Regular dental check-up can detect the presence and integrity of sealant and ensure preventive effect in time.

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