Clinical Evaluation of Pit and Fissure Sealants Placed by Undergraduate Dental Students in 5-15 Years-old Children in Iraq

Hassan Faleeh Farhan  Al-Sultani; Wissam Hamid  Aljanabi; Haider Ali  Hasan; Najran Mohammed Hussain  Al-Murib; Mohammad Khursheed  Alam

Authors

Hassan Faleeh Farhan Al-Sultani
Wissam Hamid Aljanabi
Haider Ali Hasan
Najran Mohammed Hussain Al-Murib
Mohammad Khursheed Alam

Keywords:

Pit and Fissure Sealants, Dental Care for Children, Students, Dental

Abstract

Objective: To clinically evaluate the retention and marginal discoloration of pit and fissure sealants applied to primary and permanent teeth. Material and Methods: The study population encompassed of 5-15 years- old children. After consenting, a light-curing sealant was applied to etched pits and fissures of occlusal surfaces of selected sound teeth. The retention rate and marginal discoloration were assessed, 3 months after application of the sealants based on the criteria proposed by Simonsen’s criteria (total retention: score 0, partial loss: score 1, and total loss: score 2). Each tooth was considered as an independent sample during analysis. Results: The achieved sample size was 43 children aged 5-15 years (mean age=10.0 years). Therefore, data of 100 teeth from 43 children were used for the final analysis. The percentage of completely retained sealants (59%) was higher than the percentage of partially retained sealants (23%) and completely missing sealants (18%) after 3 months follow up. Out of 100 sealed teeth, 60% were either had marginal discoloration or completely missing. Using the Mann-Whitney test, there was a statistically significant difference (p<0.05) between primary and permanent teeth in terms of retention. However, there was no statistical difference (p>0.05) between upper and lower teeth in terms of retention. Conclusion: The success rate of fissure sealants after 3 months follow-up was satisfactory.

References

Nogourani MK, Janghorbani M, Khadem P, Jadidi Z, Jalali S. A 12-month clinical evaluation of pit-and-fissure sealants placed with and without etch-and-rinse and self-etch adhesive systems in newly-erupted teeth. J Appl Oral Sci 2012; 20(3):352-6. https://doi.org/10.1590/s1678-77572012000300010

Dye BA, Thornton-Evans G, Li X, Iafolla TJ. Dental caries and sealant prevalence in children and adolescents in the United States, 2011-2012. NCHS Data Brief 2015; 191:1-8.

Dennison JB, Straffon LH, Smith RC. Effectiveness of sealant treatment: over five years in an insured population. J Am Dent Assoc 2000; 131(5):597-605. https://doi.org/10.14219/jada.archive.2000.0233

Carvalho JC, Dige I, Machiulskiene V, Qvist V, Bakhshandeh A, Fatturi-Parolo C, et al. Occlusal caries: biological approach for its diagnosis and management. Caries Res 2016; 50(6):527-42. https://doi.org/10.1159/000448662

Bhushan U, Goswami M. Evaluation of retention of pit and fissure sealants placed with and without air abrasion pretreatment in 6-8-year-old children – An in vivo study. J Clin Exp Dent 2017; 9(2):e211-e217. https://doi.org/10.4317/jced.53259

Wendt LK, Koch G, Birkhed D. On the retention and effectiveness of fissure sealant in permanent molars after 15–20 years: a cohort study. Community Dent Oral Epidemiol 2001; 29(4):302-7. https://doi.org/10.1034/j.1600-0528.2001.290410.x

Takeuchi M. Sealing of the pit and fissure with resin adhesive. 3. Outlines of its progress to the present time. Jpn Dent J 1967; 4:33-46.

Naaman R, El-Housseiny AA, Alamoudi N. The use of pit and fissure sealants - A literature review. Dent J 2017; 5(4):E34. https://doi.org/10.3390/dj5040034

Wright JT, Tampi MP, Graham L, Estrich C, Crall JJ, Fontana M, et al. Sealants for preventing and arresting pit- and-fissure occlusal caries in primary and permanent molars. Pediatr Dent 2016; 38(4):282-308.

Hicks M, Flaitz CM. Fissure sealants and conservative adhesive restoration: Scientific and clinical rationale. In: Pinkham JR, Casamassimo PS, Fields HW, McTique DJ, Nowak A (Eds.) Pediatric Dentistry: Infancy Through Adolescence. 4th. ed. St. Louis: WB Saunders; 2005. p. 522-576.

Bakhtiar M, Azadi N, Golkari A. A one-year evaluation of a free fissure sealant program. J Dent Biomater 2016; 3(4):306-14.

Simonsen RJ. Pit and fissure sealant: review of the literature. Pediatr Dent 2002; 24(5):393-414.

Kanellis MJ, Warren JJ, Levy SM. A comparison of sealant placement techniques and 12-month retention rates. J Public Health Dent 2000; 60(1):53-6. https://doi.org/10.1111/j.1752-7325.2000.tb03293.x

De Luca-Fraga LR, Pimenta LA. Clinical evaluation of glass ionomer/resin-based hybrid materials used as pit and fissure sealants. Quintessence Int 2001; 32(6):463-8.

Azarpazhooh A, Main PA. Pit and fissure sealants in the prevention of dental caries in children and adolescents: a systematic review. J Can Dent Assoc 2008; 74(2):171-7.

Correr GM, Caldo-Teixeira AS, Alonso RC, Puppin-Rontani RM, Sinhoreti MA, Correr-Sobrinho L. Effect of saliva contamination and re-etching time on the shear bond strength of a pit and fissure sealant. J Appl Oral Sci 2004; 12(3):200-4. https://doi.org/10.1590/s1678-77572004000300007

El-Kalla IH, Garcia-Godoy F. Effect of saliva contamination on micromorphological adaptation of single-bottle adhesives to etched enamel. J Clin Pediatr Dent 1999; 24(1):69-74.

Eminkahyagil N, Gokalp S, Korkmaz Y, Baseren M, Karabulut E. Sealant and composite bond strength to enamel with antibacterial/self-etching adhesives. Int J Paediatr Dent 2005; 15(4):274-81.

https://doi.org/10.1111/j.1365-263X.2005.00654.x

Simonsen RJ. Retention and effectiveness of dental sealant after 15 years. J Am Dent Assoc 1991; 122(10):34-42. https://doi.org/10.14219/jada.archive.1991.0289

Garrocho-Rangel A, Lozano-Vázquez C, Butron-Tellez-Giron C, Escobar-García D, Ruíz-Rodriguez S, Pozos- Guillen A. In vitro assessment of retention and microleakage in pit and fissure sealants following enamel pre-etching with sodium hypochlorite deproteinisation. Eur J Paediatr Dent 2015; 16(3):212-6.

Reddy VR, Chowdhary N, Mukunda KS, Kiran NK, Kavyarani BS, Pradeep MC. Retention of resin-based filled and unfilled pit and fissure sealants: a comparative clinical study. Contemp Clin Dent 2015; 6(Suppl 1):S18-23. https://doi.org/10.4103/0976-237X.152932

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 2008; 26(3):114-20.

Khare M, Suprabha BS, Shenoy R, Rao A. Evaluation of pit-and-fissure sealants placed with four different bonding protocols: a randomized clinical trial. Int J Paediatr Dent 2017; 27(6):444-53. https://doi.org/10.1111/ipd.12281

Pinar A, Sepet E, Aren G, Bölükbaşi N, Ulukapi H, Turan N. Clinical performance of sealants with and without a bonding agent. Quintessence Int 2005; 36(5):355-60.

Rock WP, Weatherill S, Anderson RJ. Retention of three fissure sealant resins. The effects of etching agent and curing method. Results over 3 years. Br Dent J 1990; 168(8):323-5.

Yildiz E, Dorter 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. https://doi.org/10.1111/j.1365-2842.2004.01334.x

Kumaran P. Clinical evaluation of the retention of different pit and fissure sealants: a 1-year study. Int J Clin Pediatr Dent 2013; 6(3):183-7. https://doi.org/10.5005/jp-journals-10005-1215

Morphis TL, Toumba KJ. Retention of two fluoride pit and fissure sealants in comparison to a conventional sealant. Int J Pediatr Dent 1998; 8(3):203-8.

Feigal RJ. The use of pit and fissure sealants. Pediatr Dent 2002; 24:415-22.

Doyle W, Brose J. A five-year study on the longevity of fissure sealants. ASDC J Dent Child 1978 45(2):127-9.

Burt BA, Berman DS, Gelbier S, Silverstone LM. Retention of a fissure sealant six months after application. Br Dent J 1975; 138(3):98-100.

Whitehurst V, Soni NN. Adhesive sealant clinical trial: results eighteen months after one application. J Prev Dent 1976; 3(3 Pt 2):20-2.

McCune RJ, Bojanini J, Abodeely RA. Effectiveness of a pit and fissure sealant in the prevention of caries: three-year clinical results. J Am Dent Assoc 1979; 99(4):619-23. https://doi.org/10.14219/jada.archive.1979.0344

Baca P, Bravo M, Baca AP, Jimenez A, Gonzalez-Rodríguez MP. Retention of three fissure sealants and a dentin bonding system used as fissure sealant in caries prevention: 12-month follow-up results. Med Oral Patol Oral Cir Bucal 2007; 12(6):E459-63.