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Original Research

Open Access

A Comparative Clinical Study of Three Fissure Sealants on Primary Teeth: 24-Month Results

  • Ünal M1,*,
  • Oznurhan F1
  • Kapdan A1
  • Dürer A1

1Department of Pediatric Dentistry, Faculty of Dentistry, Cumhuriyet University, Sivas, Turkey.

DOI: 10.17796/jcpd.39.2.h247471176596757 Vol.39,Issue 2,March 2015 pp.113-119

Published: 01 March 2015

*Corresponding Author(s): Ünal M E-mail: gmuratunal@hotmail.com

Abstract

The purpose of this study was to evaluate the clinical success of three fissure sealants(FSs) with different contents on primary teeth. Study design: Three FSs were used to seal 150 primary molars in 75 children aged 4–7 years. All FSs were placed on occlusal surfaces in a split-mouth and randomized clinical trial. For patients in Group1,amorphous calcium phosphate(ACP) containing resin-based sealant(RBS)(Aegis) was applied to a primary molar tooth on one side ,and non-fluoride RBS(Helioseal) FS was applied to symmetrical molar tooth. For patients in Group2, fluoride-containing RBS(Helioseal F) was applied to a primary molar tooth on one side, and Helioseal FS was applied to symmetrical molar tooth. For patients in Group3,Helioseal FS was applied to a primary molar tooth on one side, and Aegis FS was applied to symmetrical molar tooth. Clinical evaluation of FSs was carried out to assess retention, marginal discoloration, marginal adaptation,and the presence of caries in months 1,3,6,12,18 and 24 after FS application. Results: There were no significant differences for all criteria in groups 2 and 3(p>0.05). In group 1,cumulative success rates according to 24 months’ follow-up were statistically insignificant during the comparisons performed in terms of retention, marginal adaptation, and presence of caries(p>0.05). Marginal discoloration was found to be statistically significant(p<0.05). Conclusion: RBS containing ACP or fluoride may be more effective than conventional RBS for caries prevention.

Keywords

Primary teeth, fissure sealant, caries.

Cite and Share

Ünal M,Oznurhan F,Kapdan A,Dürer A. A Comparative Clinical Study of Three Fissure Sealants on Primary Teeth: 24-Month Results. Journal of Clinical Pediatric Dentistry. 2015. 39(2);113-119.

References

1. Marthaler TM. Changes in dental caries 1953-2003. Caries Res; 38: 173-181. 2004.

2. Waggoner WF, Siegal M. Pit and fissure sealant application: updating the technique. J Am Dent Assoc; 127: 351-361.1996.

3. Simonsen RJ, Neal RC. A review of the clinical application and performance of pit and fissure sealants. Aust Dent J; 56 Suppl 1: 45-58. 2011.

4. Feigal RJ, Donly KJ. The use of pit and fissure sealants. Pediatr Dent; 28: 143-150. 2006.

5. Feigal RJ, Hitt J, Splieth C. Retaining sealant on salivary contaminated enamel. J Am Dent Assoc;124:88-97. 1993.

6. Nunn JH, Murray JJ, Smallridge J. British Society of Paediatric Dentistry: a policy document on fissure sealants in paediatric dentistry. Int J Paediatr Dent; 10: 174-177. 2000.

7. Yip HK, Smales RJ. Glass ionomer cements used as fissure sealants with the atraumatic restorative treatment (ART) approach: review of literature. Int Dent J; 52: 67-70. 2002.

8. Antonson SA, Antonson DE, Brener S, Crutchfield J, Larumbe J, Michaud C, Yazici AR, Hardigan PC, Alempour S, Evans D, Ocanto R. Twenty-four month clinical evaluation of fissure sealants on partially erupted permanent first molars: glass ionomer versus resin-based sealant. J Am Dent Assoc.;143:115-22. 2012.

9. Beauchamp J, Caufield PW, Crall JJ, Donly K, Feigal R, Gooch B, Ismail A, Kohn W, Siegal M, Simonsen R. Evidence-based clinical recommendations for the use of pit-and-fissure sealants: a report of the American Dental Council on Scientific Affairs. J Am Dent Assoc.;139(3):257-268. 2008.

10. Foster JA, Berzins DW, Bradley TG. Bond strenght of an amorphous calcium phosphate-containing orthodontic adhesive. Angle Orthod; 78: 339-344. 2008.

11. Skrtic D, Antonucci JM, Eanes ED. Improved properties of amorphous calcium phosphate fillers in remineralizing resin composites. Dent Mater; 12: 295-301. 1996.

12. Skrtic D, Antonucci JM, McDonough WG, Liu DW. Effect of chemical structure and composition of the resin phase on mechanical strength and vinyl conversion of amorphous calcium phosphate-based composites. J Biomed Mater Res A; 68: 763-772. 2004.

13. Silva KG, Pedrini D, Delbem AC, Ferreira L, Cannon M. In situ evaluation of the remineralizing capacity of pit and fissure sealants containing amorphous calcium phosphate and/or fluoride. Acta Odontol Scand; 68: 11-18. 2010.

14. Selecman JB, Owens BM. Effect of preparation technique, fissure morphology and material characteristics on the in vitro margin permeability and penetrability of pit and fissure sealants. Pediatr Dent; 29: 308-314. 2007.

15. Marks D, Owens BM, Johnson WW. Effect of adhesive agent and fissure morphology on the in vitro microleakage and penetrability of pit and fissure sealants. Quınt Int; 40: 763-772. 2009.

16. Sen Tunc E, Bayrak S, Tuloglu N, Ertas E. Evaluation of microtensile bond strength of different fissure sealants to bovine enamel. Aust Dent J; 57: 79-84. 2012.

17. Poulsen S, Laurberg L, Vaeth M, Jensen U, Haubek D. A field trial of resin-based and glass-ionomer fissure sealants: clinical and radiographic assessment of caries. Community Dent Oral Epidemiol ; 34: 36-40. 2006.

18. Feigal RJ, Musherure P, Gillespie B, Levy-Polack M, Quelhas I, Hebling J. Improved sealant retention with bonding agents: a clinical study of two-bottle and single-bottle systems. J Dent Res ; 79: 1850-1856.2000.

19. Subramaniam P, Konde S, Mandanna DK. Retention of a resin-based sealant and a glass ionomer used as a fissure sealant: a comparative clinical study. J Indian Soc Pedod Prev Dent; 26: 114-120. 2008.

20. Poulsen S, Peltoniemi AL. Retention of fissure sealant in primary second molars after 6 months. Scand J Dent Res ; 87: 328-330. 1979.

21. Vrbic V. Retention of a fluoride-containing sealant on primary and permanent teeth 3 years after placement. Quint Int ; 30: 825-828. 1999.

22. Cogo E, Calura G. Clinical evaluation of two materials used as pıt and fissure sealants:2-year follow-up. International Journal of Clinical Dentistry; 2: 241-246. 2009.

23. Duggal MS, Tahmassebi JF, Toumba KJ, Mavromati C. The effect of different etching times on the retention of fissure sealants in second primary and first permanent molars. Int J Paediatr Dent ; 7: 81-86. 1997.

24. Hotuman E, Rølling I, Poulsen S. Fissure sealants in a group of 3-4-year-old children. Int J Paediatr Dent ; 8: 159-160. 1998.

25. Yildiz E, Dörter C, Efes B, Koray F. A comparative study of two fissure sealants: a 2-year clinical follow-up. J Oral Rehabil ; 31: 979-984. 2004.

26. Carlsson A, Petersson M, Twetman S. 2-year clinical performance of a fluoride-containing fissure sealant in young schoolchildren at caries risk. Am J Dent ; 10: 115-119. 1997.

27. Koch MJ, García-Godoy F, Mayer T, Staehle HJ. Clinical evaluation of Helioseal F fissure sealant. Clin Oral Investig ; 1: 199-202. 1997.

28. Yilmaz Y, Beldüz N, Eyüboglu O. A two-year evaluation of four different fissure sealants. Eur Arch Paediatr Dent ; 11: 88-92. 2010.

29. Boksman L, Carson B. Two-year retention and caries rates of UltraSeal XT and FluoroShield light-cured pit and fissure sealants. Gen Dent; 46: 184-187. 1998.

30. Choudhary P, Tandon S, Ganesh M, Mehra A. Evaluation of the remineralization potential of amorphous calcium phosphate and fluoride containing pit and fissure sealants using scanning electron microscopy. Indian J Dent Res; 23: 157-163. 2012.

31. Alsaffar A, Tantbirojn D, Versluis A, Beiraghi S. Protective effect of pit and fissure sealants on demineralization of adjacent enamel. Pediatr Dent ; 33: 491-495. 2011.

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