A survey of fissure sealants and dental caries prevalence in the first permanent molars among primary school girls in Riyadh, Saudi Arabia

ABSTRACT Objectives: To investigate the prevalence of caries and fissure sealants on the first permanent molars (FPMs) among 6–9-year-old girls in Riyadh, Saudi Arabia. Materials and Methods: The FPMs of 17,891 school girls from 120 randomly selected public primary schools were evaluated by visual and tactile examination for the carious status and the presence of fissure sealants. Chi-square test was used to analyze the data at level of 5%. Results: A total of 58,140 FPMs were assessed in the 17,891 children. Nearly 64.6% of the children were caries free. Only 1.3% of the children had at least one fissure sealant applied. At tooth level, the decayed FPMs counted for 24.6%. There was obvious underutilization of fissure sealants on the FPMs; 0.8% (n = 478). The caries prevalence in the mandibular FPMs (33%) was significantly higher than in the maxillary FPMs, 18.2% (P < 0.01). The proportion of carious FPMs increased with age of the children significantly (P < 0.01). There was no significant difference in the proportion of the presence of fissure sealants among the three different grade/age groups (P > 0.05). Conclusions: Caries prevalence in the FPMs was high and serious among this cohort of young students. This was contrasting the very low prevalence of fissure sealants.

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Distribution of Molar Incisor Hypomineralization in Malaysian Children Attending University Dental Clinic

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4628-39.3.219 ◽

2015 ◽

Vol 39 (3) ◽

pp. 219-223 ◽

Cited By ~ 6

Author(s):

AS Hussein ◽

M Faisal ◽

M Haron ◽

AM Ghanim ◽

MI Abu-Hassan

Keyword(s):

Descriptive Analysis ◽

Age Groups ◽

Dental Clinic ◽

Chi Square ◽

Permanent Molar ◽

Molar Incisor Hypomineralization ◽

Significant Difference ◽

Permanent Molars ◽

The Right ◽

First Permanent Molars

Objectives: Molar-Incisor Hypomineralization (MIH) is a condition of hypomineralized enamel of systemic origin affecting first permanent molars and frequently permanent incisors. It is considered a global problem and data from South-East Asian countries, including Malaysia are lacking. Hence the aim of this study were to investigate the distribution and severity of MIH in a group of children aged 7-12 year olds attending pediatric dental clinic at Faculty of Dentistry, Universiti Teknologi MARA (UiTM), Malaysia. Study design: Hundred and fifty four children age 7-12 year-old with mean age of 9.14 ±1.682 had their first permanent molars and permanent incisors were examined at Faculty of Dentistry, UiTM using European Academy of Paediatric Dentistry 2003 (EAPD) criteria for diagnosis of MIH. Children at least one first permanent molar affected were considered as having MIH. Data were recorded and statistically analysed using descriptive analysis and Chi square test. Results: Twenty six of the total examined children (n=154) had MIH (16.9%). There was no statistical difference between males and females in the prevalence of MIH. However, a statistical significant difference was found by age groups. The first permanent molars were more frequently affected (58%) as compared to permanent incisors. Mandibular molars were to have the highest rate of MIH (15.5%). The right and left sides were equally affected. Mild defects were the most frequent lesion type (96.6%). Conclusions: This study revealed that MIH is a common condition (16.9%). Molars were more frequently affected than incisors with mild defects were the most common lesion status. Further studies on this defect amongst Malaysian children are worthwhile.

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Resin-based sealants longevity: a clinical evaluation

ARCHIVES OF HEALTH INVESTIGATION ◽

10.21270/archi.v9i3.4684 ◽

2020 ◽

Vol 9 (3) ◽

Author(s):

Heitor Ceolin Araujo ◽

Isabela Copetti Faria ◽

Brenda Zanfolin Torquato ◽

Renan Ceolin Araujo ◽

Rosana Leal do Prado ◽

...

Keyword(s):

Dental Caries ◽

Clinical Evaluation ◽

Permanent Teeth ◽

Caries Experience ◽

Fissure Sealants ◽

Fissure Sealant ◽

Pit And Fissure Sealants ◽

Significant Difference ◽

Permanent Molars ◽

Pit And Fissure Sealant

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.

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PERBEDAAN TOPICAL FLUORIDE APPLICATION DAN FISSURE SEALANT DALAM MENCEGAH KARIES PADAGIGI MOLAR SATU

Jurnal Vokasi Kesehatan ◽

10.30602/jvk.v3i2.112 ◽

2017 ◽

Vol 3 (2) ◽

pp. 98

Author(s):

Pawarti Pawarti ◽

Fathiah Fathiah

Keyword(s):

Time Series ◽

Dental Caries ◽

Topical Application ◽

P Value ◽

Fissure Sealants ◽

Fissure Sealant ◽

Permanent Molars ◽

Topical Fluoride ◽

Pits And Fissures ◽

First Permanent Molars

Abstract: Topical Fluoride Application And Fissure Sealant To Prevent Dental Caries Permanent First Molars. Anatomy pits and fissures of teeth are caries initiation vulnerable areas of the permanent molars that grow at the age of 6 years where children can not perform oral hygiene. Caries prevention can be done by closing the pits and fissures or application of fluoride (topical fluoride application) on the surface of the teeth. The purpose of this study was to analyze the difference fissure sealants and topical application of fluoride to prevent dental caries of first permanent molars. This study was a quasi-experimental study with time series, a sample was taken by purposive 117-second grade students of SDN District of North Pontianak. Data were analyzed using t-test. The result showed that fissure sealant more effective in caries prevention of first permanent molar than topical fluoride application where there were none caries teeth after and month fissure sealant, 25% sealant partially off and 11% fully off. Teeth that have done fluoride after 6 months of 3.9% of dental caries, the eighth month of 5.4% of dental caries. There was a significant difference between the effectiveness of fissure sealants with topical application of fluoride to prevent dental caries in first permanent molars p-value < 0.05, after 6-month p-value: 0.004 and after 8-month p-value: 0.001.Abstrak: Topical Fluoride Application Dan Fissure Sealant Untuk Mencegah Karies Pada Gigi Molar Satu Permanen. Anatomi pit dan fisura gigi merupakan daerah rentan inisiasi karies gigi molar satu permanen yang tumbuh pada usia 6 tahun anak belum bisa melakukan kebersihan mulutnya. Pencegahan karies dapat dilakukan dengan cara menutup pit dan fissure atau pengolesan fluor (topical fluoride application) pada permukaan gigi. Tujuan penelitian ini untuk menganalisis perbedaan efektivitas fissure sealant dan topical fluoride application untuk mencegah karies gigi molar satu permanen anak usia 6 sampai 7 tahun .Penelitian ini merupakan experimental semu dengan studi time series , evaluasi perlakuan dilakukan setelah 3 bulan, 3 bulan dan 8 bulan, Sampel diambil secara purposive yaitu 117 siswa kelas 2 SDN Kecamatan Pontianak Utara. Analisis data menggunakan uji t tes. Hasil penelitian menunjukan fissure sealant lebih efektive mencegah karies pada molar satu permanen dibanding topical fluoride application pada tindakan fissure sealant setelah 8 bulan tidak ada gigi karies, 25 % sealant lepas sebagian dan 11% lepas seluruhnya. Gigi yang dilakukan pengolesan fluor setelah 6 bulan 3,9% gigi karies, bulan ke delapan 5,4% gigi karies, Ada perbedaan efektivitas yang signifikan antara fissure sealant dengan topical flouride application dalam mencegah karies gigi molar satu permanen dengan nilai p <0,05, yaitu pada bulan ke 6 (enam) nilai p : 0,004 dan pada bulan ke 8 (delapan) nilai p : 0,001.

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Prevalence of Dental Caries and Fissure Sealants in the First Permanent Molars among Male Children in Riyadh, Kingdom of Saudi Arabia

International Journal of Clinical Pediatric Dentistry ◽

10.5005/jp-journals-10005-1541 ◽

2018 ◽

Vol 11 (5) ◽

pp. 365-370 ◽

Cited By ~ 2

Author(s):

Sattam A Alshiha ◽

Hessa M Alwayli ◽

Mohammed A Hattan ◽

Yazeed K Alfraih ◽

Abdullah A Alamri ◽

...

Keyword(s):

Saudi Arabia ◽

Dental Caries ◽

Fissure Sealants ◽

Kingdom Of Saudi Arabia ◽

Permanent Molars ◽

First Permanent Molars

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Performance of fissure sealants on fully erupted permanent molars with incipient carious lesions: A glass-ionomer-based versus a resin-based sealant

Journal of Dental Research Dental Clinics Dental Prospects ◽

10.34172/joddd.2020.009 ◽

2020 ◽

Vol 14 (1) ◽

pp. 61-67

Author(s):

Nada Jaafar ◽

Hala Ragab ◽

Ahmed Abedrahman ◽

Essam Osman

Keyword(s):

Retention Rate ◽

Permanent Teeth ◽

Controlled Clinical Trial ◽

Glass Ionomer ◽

Fissure Sealants ◽

Fissure Sealant ◽

Carious Lesions ◽

Significant Difference ◽

Permanent Molars ◽

Caries Progression

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.

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Results after two years of non-operative treatment of occlusal surface in children with high caries prevalence

Brazilian Dental Journal ◽

10.1590/s0103-64402003000100009 ◽

2003 ◽

Vol 14 (1) ◽

pp. 48-54 ◽

Cited By ~ 34

Author(s):

Marisa Maltz ◽

Berenice Barbachan e Silva ◽

Danusa Queiroz de Carvalho ◽

Alexandre Volkweis

Keyword(s):

Test Group ◽

Basic Program ◽

Control Group ◽

Caries Prevalence ◽

Occlusal Caries ◽

Preventive Program ◽

Permanent Molars ◽

Recall System ◽

Individual Disease ◽

First Permanent Molars

The aim of this study was to describe the 2-year results of an individualized treatment program designed to control occlusal caries in erupting first permanent molars. The sample consisted of 145 five-to-six-year-old students divided into a control group (n=71) and a test group (n=74). All test children received a biannual basic preventive program and a recall system according to individual disease activity. The basic program consisted of 3 (March) and 2 (August) sessions of oral hygiene orientation and toothbrushing with fluoride gel. The analysis of the baseline and 1-2-year data showed a significant reduction in the number of active lesions in the test group. In the control group, there were initially 70 active lesions and after two years 68 surfaces remained with disease and 24 surfaces had been filled. The children in the test group had 80 surfaces with active lesions initially and after two years only 3 surfaces with disease remained. From the 15 cavitated lesions, only 5 surfaces needed to be filled. This program showed that care of erupting teeth on an individualized basis can control occlusal caries.

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COMPARATIVE PECULIARITIES OF ORAL HYGIENE INDICES IN CHILDREN OF PRIMARY SCHOOL DEPENDING ON DENTAL HEALTH

Ukrainian Dental Almanac ◽

10.31718/2409-0255.2.2018.06 ◽

2018 ◽

pp. 27-30

Author(s):

L.F. Kaskova ◽

K.M. Popyk ◽

L.P. Ulasevych

Keyword(s):

Parental Involvement ◽

Oral Cavity ◽

Primary School ◽

Oral Hygiene ◽

Dental Health ◽

Primary School Children ◽

Personal Hygiene ◽

Significant Difference ◽

Permanent Molars ◽

First Permanent Molars

A study of oral hygiene condition in primary school children based on Fedorov-Volodkina index has revealed that children do not clean their teeth properly enough and the average indicator of the studied group is unsatisfactory. The study based on children’s age indicates that the best oral hygiene condition is found in children aged 9 (satisfactory), whereas the worst – in children aged 8 (unsatisfactory). This, in our opinion, is due to the period of frontal teeth eruption and the discomfort associated with such process. Children clean the frontal area not properly. As children grow older, their personal hygiene skills improve as evidenced by the findings of comparing 6- and 9-year-olds’ indices (р<0.05). It was determined that each child’s index by Green-Vermillion and obtained results allows assessing the condition of oral cavity and cleaning skills. It has been identified significant differences in the oral hygiene condition in children who suffer from caries and in children with healthy teeth. Thus, before teeth brushing 6-year-old children without caries had unsatisfactory oral hygiene condition, children with caries –poor oral hygiene condition, 7-year old children – unsatisfactory one, 8-year-old children – unsatisfactory and poor, 9-year-old children – satisfactory and unsatisfactory respectively. The poorest oral hygiene condition was observed with 6-year-olds with caries. It has been assessed that dental tartar based on the studied indices. The study has revealed insufficient oral hygiene of the frontal and lateral jaw areas in children of primary school. This phenomenon creates cariogenic situation in the oral cavity. Having studied oral hygiene condition in children, it was offered by us to brush teeth with the toothbrush and toothpaste which they use at home. They brushed their teeth under the supervision, but without dentist’s management. Observed results were described in this paper. After brushing, oral hygiene condition has been studied again. When assessing Fedorov-Volodkina index, it was not observed any improvement of the index after teeth brushing in children without caries. In 6-, 7-, and 8-year-old children oral hygiene was unsatisfactory, whereas in 9-year-old children it was satisfactory. Oral hygiene improvement was observed in children who have caries. In 6-year-old children – from poor to unsatisfactory, in 7-, 8-, and 9-year-old children it remained at the same unsatisfactory level, but hygiene index indicators probably decreased (р<0.05). The findings indicate that children with caries do not pay attention to oral hygiene, whereas teeth brushing improve the studied index. Green-Vermillion index enables to determine oral hygiene condition in frontal and lateral jaw areas. After individual teeth brushing this hygiene index values slightly improve compared to original values, however, no significant difference in hygiene level was identified. Findings from studying various hygiene indices indicate that children with caries pay attention to brushing frontal jaw area and absolutely no attention to brushing lateral jaw areas with first permanent molars that have recently erupted, and they are not enough mineralized, and are prone to caries at this age. This encourages a study of teeth brushing skills of children of primary school using the suggested form of child oral hygiene skills followed by development of oral hygiene recommendations for the children of this age group with parental involvement.

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Evaluation of Antibacterial Effects of Fissure Sealants Containing Chitosan Nanoparticles

International Journal of Dentistry ◽

10.1155/2021/8975948 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Sedighe Sadat Hashemi kamangar ◽

Houtan Zareian ◽

Abbas Bahador ◽

Maryam Pourhajibagher ◽

Zahra Bashareh ◽

...

Keyword(s):

Antimicrobial Activity ◽

Antibacterial Effect ◽

Bacterial Species ◽

Chitosan Nanoparticles ◽

Control Group ◽

Fissure Sealants ◽

Biofilm Inhibition ◽

Biofilm Growth ◽

Fissure Sealant ◽

Significant Difference

Objectives. The present study evaluated the antimicrobial effects of fissure sealants containing chitosan nanoparticles. Materials and Methods. Antibacterial effect of Master Dent fissure sealant alone and after incorporating chitosan nanoparticles was evaluated on Streptococcus mutans, sanguis, and Lactobacillus acidophilus. Biofilm growth was evaluated by determining colony counts. Antimicrobial effect was determined on days 3, 15, and 30 by counting microbial colonies using eluted components test. One-way ANOVA, Tukey HSD tests, t test, and two-way ANOVA were used for statistical analyses (α = 0.05). Results. Biofilm inhibition test showed that fissure sealant containing 1 wt.% chitosan decreased colony counts significantly ( P < 0.05 ). Eluted components test with S. mutans and sanguis showed significant decrease in colony counts during the first 15 days in chitosan containing group; however, from day 30, antimicrobial activity decreased noticeably, with no significant difference from control group ( P > 0.05 ). Antimicrobial activity against L. acidophilus was maintained in chitosan group up to 30 days, and decrease in colony counts was significant ( P < 0.05 ). Conclusion. According to the results of this study, incorporation of 1 wt.% chitosan into fissure sealant induced an antimicrobial activity. Antibacterial effect on L. acidophilus persisted for longer time (30 days) compared to the two other bacterial species (15 days).

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Sealant Utilization and its Influence on Caries Reduction in First Permanent Molars in Saudi Female School Children

The Open Dentistry Journal ◽

10.2174/1874210602115010583 ◽

2021 ◽

Vol 15 (1) ◽

pp. 583-590

Author(s):

Fatimah Albaeejan ◽

Doaa Bakhashwain ◽

Alanoud Alsubaie ◽

Azza Tageldin ◽

Muhammad Nazir ◽

...

Keyword(s):

Public Schools ◽

Family Income ◽

Fourth Grade ◽

First Grade ◽

World Health ◽

Protective Effects ◽

Fissure Sealants ◽

Monthly Family Income ◽

Permanent Molars ◽

First Permanent Molars

Purpose: This study aimed to assess the utilization of fissure sealants and their influence on caries reduction in first permanent molars (FPMs) among 6-9 years old female schoolchildren in Dammam, Eastern Province of Saudi Arabia. Materials and Methods: First to fourth grade female children from public schools in Dammam participated in this cross-sectional study. Dental caries and fissure sealants in FPMs were examined clinically using the World Health Organization guidelines. In addition, the parents of the participants responded to a self-reported questionnaire. Results: The study analyzed the data of 449 children. Almost 44.3% of the participants had at least one FPM affected with caries. There were 8.7% of the participants who had fissure sealants in at least one FPM, and out of these, only 2.2% had four FPMs filled with sealants. A significantly greater proportion of participants with sealed FPMs had no caries than the lower proportion of participants without sealants who had caries (P=<0.05). The use of sealants increased significantly from first grade (10.3%) to second grade (30.8%), third grade (38.5%), and fourth grade (20.5%) (P=0.006). High monthly family income (P= 0.047) and having insurance (P=0.017) were significantly associated with increased sealant application. Nearly 21.9% of participants’ parents were aware of caries protective effects of dental sealants. Conclusion: The application of sealants was significantly associated with reduced caries in FPMs. Class year, monthly family income, and insurance were significantly associated with having sealants. Caries prevention programs for children should incorporate sealant application.

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Ameloplasty is counterproductive in reducing microleakage around Resin Modified Glass Ionomer and Resin based fissure sealants

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.36.3.1268 ◽

2020 ◽

Vol 36 (3) ◽

Author(s):

Tabinda Nawaz Khan ◽

Farhan Raza Khan ◽

Syed Yawar Ali Abidi

Keyword(s):

Glass Ionomer Cement ◽

Ordinal Scale ◽

P Value ◽

Glass Ionomer ◽

Fissure Sealants ◽

Human Teeth ◽

Fissure Sealant ◽

Significant Difference ◽

Resin Modified Glass Ionomer

Objective: To compare the microleakage around resin modified glass ionomer cement (RMGIC) based sealants and flowable resin based sealants placed with or without ameloplasty in extracted human teeth. Methods: This in-vitro experimental study was conducted at the Operative Dentistry Department, Dow University of Health Sciences, Karachi, Pakistan from June 2017 to December 2018. Sixty extracted human molars and premolars were assigned to four groups (n=15) each, according to the type of fissure sealant (flowable resin based sealant or resin modified glass ionomer based sealant) used and either placed with or without ameloplasty. Specimens were thermocycled and then immersed in 1% methylene blue for 24 hours. Specimens were then sectioned and examined using stereo-microscope (50X) for microleakage that was scored on an ordinal scale. Mann-Whitney U test and Ordinal regression were applied. Level of significance kept at 0.05. Results: There was a statistically significant difference (p-value <0.001) between the two sealant types for the microleakage scores. Sealants placed with ameloplasty demonstrated significantly higher microleakage values (p-value <0.001). Conclusion: Microleakage was found to be more pronounced in RMGIC based sealants compared to the resin based sealants. Ameloplasty resulted in higher leakage around the sealants irrespective of the chemistry of material. doi: https://doi.org/10.12669/pjms.36.3.1268 How to cite this:Khan TN, Khan FR, Abidi SYA. Ameloplasty is counterproductive in reducing microleakage around Resin Modified Glass Ionomer and Resin based fissure sealants. Pak J Med Sci. 2020;36(3):---------. doi: https://doi.org/10.12669/pjms.36.3.1268 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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