Pit and Fissure Sealants with Different Materials: Resin Based x Glass Ionomer Cement – Results after Six Months

Priscilla Santana Pinto Gonçalves, Tatiana Yuriko Kobayashi, Thais Marchini de Oliveira, Heitor Marques Honório, Daniela Rios, Salete Moura Bonifácio da Silva

Abstract


Objective: To compare the retention and superficial characteristics between a new resin-modified glass ionomer sealant and resin sealant. In addition, the teeth sealed were compared to partially erupted first molars (control group) without sealing in relation to the incidence of dental caries. Material and Methods: Initially, 31 children aged 6-8 years participated in this study. The study children showed caries history, but had at least two healthy first molars. A total of 114 teeth were randomly divided into three groups: Clinpro (n=36), Fluroshield (n=38), and control (n=40). The two sealants were applied under relative isolation after previous prophylaxis and enamel etching with phosphoric acid 35% (15s). Clinical evaluation was performed by two calibrated examiners. They evaluated the retention and surface characteristics of the occlusal surface. Results: Fluroshield® showed significantly greater retention than ClinproTM Varnish® XT (p=0.002). However, the performance analysis of the success and failure of retention presented no significant difference between the materials (p=0.141). Concerning to the surface characteristics, Fluroshield performed better than Clinpro after analyzing the marginal deterioration, marginal discoloration, and superficial discoloration (p<0.05). The surface texture of the materials under study was similar (p=0.071). Sealed groups (Clinpro=Fluroshield) showed similar performance in the prevention of dental caries, which was significantly lower than that of control group (p=0.001). Conclusion: Both sealants, Fluroshield® and Clinpro TM Varnish® XT were effective in preventing caries lesion within 6 months, although Fluroshield sealant showed better clinical retention.


Full Text:

PDF

References


Rohr M, Makinson OF, Burrow MF. Pits and fissures: morphology. ASDC J Dent Child 1991; 58(2):97-103.

Carvalho JC, Ekstrand KR, Thylstrup A. Dental plaque and caries on occlusal surfaces of first permanent molars in relation to stage of eruption. J Dent Res 1989; 68(5):773-9.

Splieth CH, Ekstrand KR, Alkilzy M, Clarkson J, Meyer-Lueckel H, Martignon S, Paris S, Pitts NB, Ricketts DN, van Loveren C. Sealants in dentistry: outcomes of the ORCA Saturday Afternoon Symposium 2007. Caries Res 2010; 44(1):3-13.

Ahovuo-Saloranta A, Hiiri A, Nordblad A, Mäkelä M, Worthington HV. Pit and fissure sealants for preventing dental decay in the permanent teeth of children and adolescents. Cochrane Database Syst Rev 2008; (4):CD001830.

Ahovuo-Saloranta A, Forss H, Walsh T, Hiiri A, Nordblad A, Mäkelä M, Worthington HV. Sealants for preventing dental decay in the permanent teeth. Cochrane Database Syst Rev 2013; 3:CD001830.

Adair SM. The role of sealants in caries prevention programs. J Calif Dent Assoc 2003; 31(3):221-7.

McLean JW, Wilson AD. Fissure sealing and filling with an adhesive glass-ionomer cement. Br Dent J 1974; 136(7):269-76.

Beiruti N, Frencken JE, van’t Hof MA, van Palenstein Helderman WH. Caries-preventive effect of resin-based and glass ionomer sealants over time: a systematic review. Community Dent Oral Epidemiol 2006; 34(6):403-9.

Yengopal V, Mickenautsch S, Bezerra AC, Leal SC. Caries-preventive effect of glass ionomer and resin-based fissure sealants on permanent teeth: a meta analysis. J Oral Sci 2009; 51(3):373-82.

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 2012; 143(2):115-22.

Baseggio W, Naufel FS, Davidoff DCO, Nahsan FPS, Flury S, Rodrigues JA. Caries-preventive efficacy and retention of a resin-modified glass ionomer cement and a resin-based fissure sealant: a 3-year split-mouth randomised clinical trial. Oral Health Prev Dent 2010; 8(3):261-8.

Chen X, Du M, Fan M, Mulder J, Huysmans MC, Frencken JE. Effectiveness of two new types of sealants: retention after 2 years. Clin Oral Investig 2012; 16(5):1443-50.

Kühnisch J, Mansmann U, Heinrich-Weltzien R, Hickel R. Longevity of materials for pit and fissure sealing--results from a meta-analysis. Dent Mater 2012; 28(3):298-303.

Marković D, Petrović B, Perić T, Blagojević D. Microleakage, adaptation ability and clinical efficacy of two fluoride releasing fissure sealants. Vojnosanit Pregl 2012; 69(4):320-5.

Ninawe N, Ullal NA, Khandelwal V. A 1-year clinical evaluation of fissure sealants on permanent first molars. Contemp Clin Dent 2012; 3(1):54-9.

Ulusu T, Odabaş ME, Tüzüner T, Baygin Ö, Sillelioğlu H, Deveci C, Gökdoğan FG, Altuntaş A. The success rates of a glass ionomer cement and a resin-based fissure sealant placed by fifth-year undergraduate dental students. Eur Arch Paediatr Dent 2012; 13(2):94-7.

Seppä L, Forss H. Resistance of occlusal fissures to demineralization after loss of glass ionomer sealants in vitro. Pediatr Dent 1991; 13(1):39-42.

Oliveira FS, da Silva SM, Machado MAAM, Bijella MF, Lima JE, Abdo RC. Resin-modified glass ionomer cement and a resin-based material as occlusal sealants: a longitudinal clinical performance. J Dent Child (Chic). 2008; 75(2):134-43.

Niederman R. Glass ionomer and resin-based fissure sealants - equally effective? Evid Based Dent 2010; 11(1):10.

Seth S. Glass ionomer cement and resin-based fissure sealants are equally effective in caries prevention. J Am Dent Assoc 2011; 142(5):551-2.

Yengopal V, Mickenautsch S. Resin-modified glass-ionomer cements versus resin-based materials as fissure sealants: a meta-analysis of clinical trials. Eur Arch Paediatr Dent 2010; 11(1):18-25.

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.

Ryge G, Snyder M. Evaluating the clinical quality of restorations. J Am Dent Assoc 1973; 87(2):369-77.

Simonsen RJ. Retention and effectiveness of dental sealant after 15 years. J Am Dent Assoc 1991; 122(10):34-42.

Yildiz E, Dörter C, Efes B, Koray F. A comparative study of two fissure sealants: a 2-year clinical follow-up. J Oral Rehabil 2004; 31(10):979-84.

Phillips. Materiais dentários. 10. ed. Rio de Janeiro: Guanabara Koogan; 1998.

Croll TP, Killian CM. Glass-ionomer-resin restoration of primary molars with adjacent class II carious lesions. Quintessence Int 1993; 24(10):723-7.

Gunjal S, Nagesh L, Raju HG. Comparative evaluation of marginal integrity of glass ionomer and resin based fissure sealants using invasive and non-invasive techniques: an in vitro study. Indian J Dent Res 2012; 23(3):320-5.

Nascimento CCB, Morita MC. [Glass ionomer cement as pit and fissure sealant]. Rev ABO Nac 2004; 11(6):355-8.




PBOCI IS A MEMBER OF CROSSREF AND ALL THE CONTENT OF ITS JOURNALS ARE LINKED BY DOIS THROUGH CROSSREF.