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

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.

Author(s):  
Rachna Mulani ◽  
Aditi Mathur

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.


2019 ◽  
Vol 92 ◽  
pp. S50-S54
Author(s):  
Alexandrina Muntean ◽  
Meda-Romana Simu ◽  
Raluca Suhani ◽  
Anca Stefania Mesaros

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.


Author(s):  
Garima Mukesh Sharma ◽  
Jayashree Rajesh Patil ◽  
Priyanka Paul Madhu ◽  
Kumar Gaurav Chhabra ◽  
Amit Reche

Background: Pit and fissure sealants are well-known for their ability to prevent occlusal caries. Given the difficulties of maintaining complete isolation for longer periods of time when treating young patients, a streamlined sealant application process is needed. As a result, the goal of the present study is to compare the penetration and adaption of 2 types of light cure sealants. Objectives: To evaluate the adaptation and penetration of Conseal f ‘pit and fissure sealant’. To evaluate the adaptation and penetration of PF seal SE ‘pit and fissure sealant’. To evaluate comparison of adaptation and penetration between two types of light cure sealants. Methodology: This will be an in-vitro comparative study, which will consist of 2 categories - Group I (acid-etch fissure sealant, Conseal f) and Group II (self-etch fissure sealant, PF seal SE). A total of 20 extracted permanent teeth will then be classified into 2 groups of 10 teeth respectively and stereomicroscope will be used to compare the penetration and adaptation between two types of light cure pit and fissure sealants. Expected Results: The study will evaluate the penetration and adaptation of two types of light cure sealants on the tooth surface which will provide the efficacy of the sealant. Conclusion: The study will determine the sealing and penetration and adaption capacity of the sealant by the light cure method. And the sealants are beneficial and biocompatible in preventing, stopping the advancement of non-cavitated carious lesions. Additional study is needed to determine the relative advantages of the various categories of sealant material. In practice, the benefits of sealing should be examined locally, and practitioners should follow specific standards.


2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Heitor Ceolin Araujo ◽  
Isabela Copetti Faria ◽  
Brenda Zanfolin Torquato ◽  
Renan Ceolin Araujo ◽  
Rosana Leal do Prado ◽  
...  

Introdution: The occlusal surface of the molars are more susceptible to dental caries because of their anatomy, so in some cases, the sealants are indicated. Objective: The objective of this study was to evaluate the efficacy, retention, presence of caries and marginal discoloration of resinous sealants (Fluoroshield and Prevent) in first permanent molars. Methods: Ninety - one children aged 7 to 9 years were selected from a municipal institution Regente Feijó, SP, Brazil, for the application of resinous sealants to first permanent lower first molars. The application of Fluoroshield and Prevent resin sealants was performed according to the manufacturer's recommendations. The evaluation was performed after 6 and 12 months by double-blind examiners and followed the criteria: alpha (total sealant, absence of caries and absence of pigmentation) charlie (partial sealing, superficial caries and light pigmentation) charlie complete sealing, presence of cavitation and pigmentation) after 12 months of application by two previously calibrated examiners. Results: Using Fischer's exact test, no significant difference (p 0.05) was observed between the resin-based sealant groups. In the evaluated criteria, both sealants after three years were similar, and may therefore be suitable materials for sealing grooves and fissures in permanent molars.Descriptors: Pit and Fissure Sealants; Dental Caries; Dentition, Permanent; Oral Health.ReferencesPalma-Dibb RG, Chinelatti MA, Souza-Zaroni WC. Diagnóstico de lesões de cárie. In: Assed S. Odontopediatria: bases científicas para a prática clínica. São Paulo: Artes Médicas; 2005.Sheiham A, James WP. Diet and Dental Caries: The Pivotal Role of Free Sugars Reemphasized. J Dent Res. 2015;94(10):1341-47.Faleiros Chioca S, Urzúa Araya L, Rodríguez Martínez G, Cabello Ibacache R. Uso de sellantes de fosas y fisuras para La prevención de caries em población infanto-juvenil: Revisión metodológica de ensayos clínicos. Rev Clin Periodoncia Implantol Rehabil Oral. 2013;6(1):14-9.Liu BY, Lo EC, Chu CH, Lin HC. Randomized Trial on Fluorides and Sealants for Fissure Caries Prevention. J Dent Res 2012;91(8):753-58Condò R, Cioffi A, Riccio A, Totino M, Condò SG, Cerroni L. Sealants in dentistry: a systematic review of the literature. Oral Implantol (Rome). 2014;6(3):67-74. Ahovuo-Saloranta A, Forss H, Walsh T, Hiiri A, Nordblad A, Mäkelä M et al.  Sealants for preventing dental decay in the permanent teeth. Cochrane Database Syst Rev. 2013;(3):CD001830Moreira 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. 2017;21(5):1435-43.Griffin SO, Gray SK, Malvitz DM, Gooch BF. Caries Risk in Formerly Sealed Teeth. J Am Dent Assoc 2009;140(4):415-23.Splieth CH, Ekstrand KR, Alkilzy M, Clarkson J, Meyer-Lueckel H, Martignon S et al. Sealants in dentistry: outcomes of the ORCA Saturday Afternoon Symposium 2007. Caries Res. 2010;44(1):3-13Sundfeld RH, Briso ALF, Mauro SJ, de Alexandre RS, Sundfeld Neto D, Oliveira FG et al. Twenty years experience with pit and fissure sealants. Int J Clin Dent. 2010;2(4):1-12.Baldini V, Tagliaferro EPS, Ambrosano GMB, Meneghim MC, Pereira AC. Use of occlusal sealant in a community program and caries incidence in high- and low-risk children. J Appl Oral Sci. 2010;19(4):396-402.Provenzano MGA, Rios D, Fracasso MLC, Marchesi A, Honório HM. Clinical Evaluation of a Resin-Modifi ed Glass Ionomer Cement (Vitremer®) Used as Pit-And-Fissure Sealant in Primary Molars. Pesq Bras Odontoped Clin Integr.2010;10(2):233-40.Saito CM, Lima EP, Mello D, Mello FAS. Selante resinoso: tratamento preventivo e  minimamente invasivo. Rev Gest Saúde. 2014;11:10-17.Zenkner JE, Alves LS, de Oliveira RS, Bica RH, Wagner MB, Maltz M. Influence of eruption stage and biofilm accumulation on occlusal caries in permanent molars: a generalized estimating equations logistic approach. Caries Res. 2013;47(3):177-82.Delmondes FS, Imparato JCP. Selamento de primeiros molares permanentes em erupção com cimento de ionômero de vidro. J Bras Odontopediatr. Odontol Bebê. 2003;6(33):373-78.Heyduck C, Meller C, Schwahn C, Spliet CH. Effectiveness of Sealants in Adolescents with High and Low Caries Experience. Caries Res. 2006;40(5):375-81.Tagliaferro EPS, Ambrosano GMB, Meneghim MC, Pereira AC. Risk indicators and risk predictors of dental caries in schoolchildren. J Appl Oral Sci. 2008;16(6):408-13.Silva RCSP, Araujo MAM, Rego MA. Avaliação clinica de selantes de fossulas e fissuras: efeitos de materiais e tempo de analise. Rev Odontol UNESP. 1996;25(2):237-45.Beraldo DZ, Pereira KFS, Zafalon EJ, Yoshinari FMS.Análise comparativa entre selante resinoso e selante ionomérico por microscópio eletrônico de varredura. Rev Odontol UNESP. 2015;44(4):239-43.Araújo IT, Cunha MMF, Vasconcelos MG, Vasconcelos, RG. Selantes: uma técnica eficaz na prevenção da cárie. Com ciênc saúde. 2013;24(3):259-66.Moura SK, Lemos LVFM, Myszkovisk S, Provenzano MGA, Balducci I, Myaki SI. Bonding durability of dental sealants to deciduous and permanent teeth. Braz J Oral Sci. 2014; 13(3):198-202.Sundfeld RH, Mauro SJ, Briso ALF, Sundfeld  MLMM. Clinical/photographic evaluation of a single application of two sealants after eleven years. Bull Tokyo Dent Coll. 2004;45(2):67-75.Folke BD, Walton JL, Feigal RJ. Occlusal Sealant Success Over Ten Years in a Private Practice: Comparing Longevity of Sealants Placed by Dentists, Hygienists, and Assistants. Pediatr Dent. 2004;26(5):426-32.Sundfeld RH, Croll Theodore P, José MS, Briso ALF, Sversut AR, Sundefeld MLMM. Longitudinal photographic observation of the occurrence of bubbles in pit and fissure sealants. J Appl Oral Sci. 2006;14(1):27-32.Arhakis A, Damianaki S, Toumba KJ. Pit and fissure sealants: types, effectiveness, retention, and fluoride release: a literature review. Balkan J Stomatol. 2007;11(3):151-62.Garbin CAS, Garbin AJI, Santos KT, Pizzato E, Moroso TT. Retention of a pit-and-fissure sealant: comparison of three types of isolation. Pesq Bras Odontoped Clin Integr. 2008;8(2):175-78.Kühnisch J, Mansmannb U, Roswitha HW, Hickel R. Longevity of materials for   pit and fissure sealing - results from a meta-analysis. Dent Mater. 2012;28(3):298-303.


Author(s):  
Ira Liasari ◽  
Ardian Priyambodo ◽  
Munadirah Munadirah ◽  
Jumriani Jumriani ◽  
Nurhaeni Nurhaeni ◽  
...  

Background: Dental and oral diseases are progressive and accumulative diseases that can affect all age groups. Dental caries is the most common dental disease in Indonesia. One of the preventive measures is to apply pit and fissure sealants to teeth with deep pits and fissures. Objective: The purpose of this activity is to help improving the oral health of the community through preventive efforts in the form of pit and fissure sealant applications. Methods: The implementation of this community service activity was conducted through several stages, namely preparation, data collection, problem identification, and implementation of activities. Results: The average caries index of the targeted students was in the high category. There were 5 children who need pit and fissure sealant application. Conclusion: This community service activity had been conducted according to plan. The community, in this case elementary school students, got preventive services in the field of dental health, especially the application of pit and fissure sealants.


2020 ◽  
Vol 57 (3) ◽  
pp. 81-88
Author(s):  
Alexandrina Muntean ◽  
Sorina Sava ◽  
Sarosi Codruta ◽  
Marioara Moldovan ◽  
Mariana Pacurar ◽  
...  

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.


2017 ◽  
Vol 54 (2) ◽  
pp. 393-395
Author(s):  
Viorica Tarmure ◽  
Radu Septimiu Campian ◽  
Ecaterina Ionescu ◽  
Doina Prodan ◽  
Mariana Pacurar ◽  
...  

Resin-based pit and fissure sealant materials are heterogeneous materials with two principal components: the resin matrix and the filler particles. The shear bond strength test holds great importance for providing insight into the adhesion of these materials and, also, it is a screening mechanism for predicting clinical performance. The purposes of the present study are to investigate the structure of surface and the shear bond strength for two commercial pit and fissure sealants, Fissurit (VOCO) and Pit and Fissure (DMP) sealer. Seal Fissurit had the highest shear strength, and the difference was statistically significant between two tested materials.


1990 ◽  
Vol 6 (3) ◽  
pp. 378-391 ◽  
Author(s):  
Leonard D. Cohen

The dramatic decrease in dental caries among children in the United States has been well documented and widely reported. In the early 1970s, only approximately 28% of children were free of dental caries; by 1980, this figure increased to 36.6% (53). The most recent national survey results reported by the National Institute of Dental Research found approximately 50% of all school children to be free of caries (50).


Author(s):  
Sara Arastoo ◽  
Azam Behbudi ◽  
Vahid Rakhshan

Objectives: Pit and fissure sealants are recognized as an effective preventive approach in pediatric dentistry. Composite resin is the most commonly used sealant material. Adding nanoparticles to composite resin could result in production of flowable composite with higher mechanical properties and better flowability than previous sealants. This study aimed to compare the microleakage of a flowable nanocomposite and materials conventionally used as pit and fissure sealants. Materials and Methods: A total of 185 extracted mandibular third molar teeth were selected and randomly divided into 5 groups (n=36): flowable nanocomposite, flowable composite, filled sealants, nano-filled sealants, and unfilled sealants. Five teeth were reserved for examination under a scanning electron microscope (SEM). The samples were thermocycled (5-55°C, 1-minute dwell time) for 1000 cycles and immersed in 0.2% fuchsine solution for 24 hours. Teeth were sectioned buccolingually. Microleakage was assessed qualitatively and quantitatively by means of dye penetration and SEM. Data were analyzed using chi-square, Kruskal-Wallis, and Bonferroni-corrected Mann-Whitney U tests. Results: Qualitative microleakage assessment showed that flowable composite and nanofilled flowable composite had almost no microleakage (P<0.001). Regarding quantitative scores, the nanofilled flowable composite and unfilled fissure sealant showed the lowest and the highest rate of microleakage, respectively. No statistically significant difference was found between the two flowable composites (P=0.317). Filled resin-based sealant had significantly lower microleakage than unfilled resin-based sealant (P<0.001). Conclusion: Use of flowable and nanofilled flowable composites (but not unfilled resin-based fissure sealant) is recommended for sealing of pits and fissures of molars.


2021 ◽  
Vol 23 (4) ◽  
pp. 277-281
Author(s):  
Rodrigo Galo ◽  
Isabela Maluta ◽  
Marta Maria Martins Giamatei Contente ◽  
Carolina Paes Torres ◽  
Maria Cristina Borsatto

AbstractIn the routine clinical situation, the contamination by blood and/or saliva in restorative procedures can be happen in non-cooperation of the patient in dental office. The aim of the study was to assess in vitro shear bond strength of a resin sealant associated with two types of adhesives contaminated with saliva and blood. Healthy human molars were used and the specimens and the crowns were sectioned in the bucco-lingual direction, thus obtaining two segments of similar proportions (mesial and distal), totaling 60 surfaces, and the surfaces were randomly divided into 4 groups (n = 15). Group I (control) received no type of contamination and the sealant was applied. In group II, the surfaces were contaminated with 10 μl of saliva/blood and the sealant was applied. In group III, the surfaces were contaminated with 10 μl of saliva/blood and the Single Bond total-etch adhesive system was applied followed by application of sealant. In group IV, the surfaces were contaminated with 10 μl of saliva/blood and the Prime & Bond NT total-etch adhesive system was applied followed by the application of sealant. Samples were tested in the universal testing machine and the analysis of shear bond strength was performed. A difference between Group I (12.61MPa) and the other groups was found; Group II (2. 28MPa) was different than Groups III (7.07MPa) and IV (7.79MPa), but Groups III and IV were similar. The application of an adhesive system when there is contamination with saliva/blood is required prior to application of pit and fissure sealants. Keywords: Pit and Fissure Sealants. Biological Contamination. Shear Strength. ResumoNa situação clínica de rotina, a contaminação por sangue e/ou saliva em procedimentos restauradores pode ocorrer em pacientes que não colaboram no consultório odontológico. O objetivo do estudo foi avaliar a resistência ao cisalhamento in vitro de um selante de resina associado a dois tipos de adesivos contaminados com saliva e sangue. Foram utilizados molares humanos saudáveis e os espécimes e as coroas foram seccionados na direção bucal-lingual, obtendo assim dois segmentos de proporções semelhantes (mesial e distal), totalizando 60 superfícies, e as superfícies foram divididas aleatoriamente em 4 grupos (n = 15). O Grupo I (controle) não recebeu nenhum tipo de contaminação e o selante foi aplicado. No grupo II, as superfícies foram contaminadas com 10 μl de saliva / sangue e o selante foi aplicado. No grupo III, as superfícies foram contaminadas com 10 μl de saliva / sangue e o sistema adesivo Single-Bond foi aplicado seguindo a aplicação de selante. No grupo IV, as superfícies foram contaminadas com 10 μl de saliva / sangue e o sistema adesivo de ataque total Prime & Bond NT foi aplicado seguido da aplicação de vedante. As amostras foram testadas na máquina de ensaio universal e a análise da resistência à ligação ao cisalhamento foi realizada. Uma diferença entre o Grupo I (12,61MPa) e os outros grupos foi encontrada; O Grupo II (2,28 MPa) foi diferente dos Grupos III (7,07MPa) e IV (7,79 MPa), mas os Grupos III e IV foram semelhantes. A aplicação de um sistema adesivo quando existe contaminação com saliva / sangue é necessária antes da aplicação de selantes de fissura e fissura.. Palavras-chave: Selantes de Fossas e Fissuras. Contaminação Biológica. Resistência ao Cisalhamento.


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