Sealing Carious Fissures with Resin Infiltrant in Association with a Flowable Composite Reduces Immediate Microleakage?

Vanessa Brígido  da Silva; Raquel Nogueira  de Carvalho; Tamiris Gomes  Bergstrom; Thais Maria Pires  dos Santos; Ricardo Tadeu  Lopes; Aline de Almeida  Neves

Authors

Vanessa Brígido da Silva
Raquel Nogueira de Carvalho
Tamiris Gomes Bergstrom
Thais Maria Pires dos Santos
Ricardo Tadeu Lopes
Aline de Almeida Neves

Keywords:

Dental Materials, Pit and Fissure Sealants, Dental Caries, Dental Leakage

Abstract

Objective: To compare the immediate microleakage of carious fissures sealed with a caries infiltrant covered by a flowable composite or solely with a flowable composite. Material and Methods: Extracted carious molars (n=20) were selected and paired among the experimental groups according to caries progression scores. Experimental groups (n=10) were divided according to the following sealing techniques: 1) caries infiltrant (Icon) + flowable composite (Z350 flow); 2) flowable composite (Z350 flow). Specimens were immersed in 3% methylene blue and evaluated in a stereomicroscope. Microleakage scores were attributed independently by two calibrated evaluators and the mode value was considered as the mean for the specimen. Binomial tests were used to test differences between two independent sample proportions at 5% significance level. Results: In the flowable composite group, a higher prevalence of dye penetration along the full depth of the fissure was observed, compared with caries infiltrant + flowable composite (p<0.05). For specimens showing dye penetration up to half of the fissure, in caries infiltrant + flowable composite group, all specimens showed dye penetration into the sealant, but not over the infiltrant. Conclusion: Using caries infiltrant as sealing material under a flowable composite cover is effective to improve the immediate sealing ability in carious fissures compared to sealing with flowable composite.

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