A comparison of microleakage in self-etch fissure sealants and conventional fissure sealants with total-etch or self-etch adhesive systems

Azam Nahvi, Alireza Razavian, Hoorieh Abedi, Jamshid Yazdani Charati, Azam Nahvi, Alireza Razavian, Hoorieh Abedi, Jamshid Yazdani Charati

Abstract

Objective: The present study was conducted to compare microleakage in self-etching fissure sealants and conventional fissure sealants with total-etch or self-etch adhesive systems.

Settings and design: This experimental in vitro study was conducted on 60 healthy third molars extracted from humans. The first group received Acid etch + Clinpro sealant, the second group received Acid etch + Single bond 2 + Clinpro sealant, the third group received Single bond universal (self-etching bonding) + Clinpro sealant, and the fourth group received prevent seal self-etching sealant.

Materials and methods: An incision was made on the teeth after they were immersed in methylene blue 5%. The samples were then examined under a stereomicroscope and the dye penetration rate was measured based on the Williams and Winter criteria.

Statistical analysis used: The Kruskal-Wallis and Mann-Whitney tests were used for data analysis in SPSS-18 (P < 0.05).

Results: Group 1 which was treated with the conventional technique (acid + fissure sealant) had the highest rate of microleakage compared to Groups 2 and 3 (P < 0.001).

Conclusion: The results showed that the use of bonding results in a significant reduction in the microleakage of fissure sealants. The microleakage caused when using self-etch fissure sealant was not different from that caused by the use of the conventional method.

Keywords: Bonding; fissure sealant; microleakage.

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Comparative illustration of the groups as follows: Grade 0: no dye penetration between the tooth surface and the sealant, Grade 1: dye penetration into less than one-third of the entire length of the surface between the sealant and the tooth structure, Grade 2: dye penetration into one-third to two-thirds of the entire length of the surface between the sealant and the tooth structure, and Grade 3: dye penetration into more than two-thirds of the entire length of the surface between the sealant and the tooth structure

References

    1. Jabbarifar SE, Ghasemi D, Barekatain M, Alizadeh F, Tahmourespoor S. In vitro comparison of microleakage of a self-etching fissure sealant with a flowable composite resin and a conventional fissure sealant. J Isfahan Dent Sch. 2014;10:259–65.
    1. Ripa LW. Sealants revisted: An update of the effectiveness of pit-and-fissure sealants. Caries Res. 1993;27(Suppl 1):77–82.
    1. Simonsen RJ. Retention and effectiveness of dental sealant after 15 years. J Am Dent Assoc. 1991;122:34–42.
    1. 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;20:352–6.
    1. Kiremitçi A, Yalçin F, Gökalp S. Bonding to enamel and dentin using self-etching adhesive systems. Quintessence Int. 2004;35:367–70.
    1. Grande RH, Ballester R, Singer Jda M, Santos JF. Microleakage of a universal adhesive used as a fissure sealant. Am J Dent. 1998;11:109–13.
    1. Hebling J, Feigal RJ. Use of one-bottle adhesive as an intermediate bonding layer to reduce sealant microleakage on saliva-contaminated enamel. Am J Dent. 2000;13:187–91.
    1. Honarmand M, Amiri N, Khazaei A, Hossini BA, Khalafinejad F. Extra-oral comparison of conventional acid-etch technique with self-etch systems in relation to microleakage of fissure sealants in permanent teeth. J Isfahan Dent Sch. 2013;2:135–43.
    1. Yazıcı R, Yıldırım Z, Tuncer D, Berber A, Başeren M. Effects of self-etch adhesives on microleakage of fissure sealants. Clin Dent Res. 2013;37:9–24.
    1. Burbridge L, Nugent Z, Deery C. A randomized controlled trial of the effectiveness of a one-step conditioning agent in sealant placement: 6-month results. Int J Paediatr Dent. 2006;16:424–30.
    1. Ram D, Mamber E, Fuks AB. Clinical performance of a non-rinse conditioning sealant in three paediatric dental practices: A retrospective study. Int J Paediatr Dent. 2005;15:61–6.
    1. Van Meerbeek B, De Munck J, Yoshida Y, Inoue S, Vargas M, Vijay P, et al. Buonocore memorial lecture. Adhesion to enamel and dentin: Current status and future challenges. Oper Dent. 2003;28:215–35.
    1. Feigal RJ, Quelhas I. Clinical trial of a self-etching adhesive for sealant application: Success at 24 months with prompt L-pop. Am J Dent. 2003;16:249–51.
    1. Venker DJ, Kuthy RA, Qian F, Kanellis MJ. Twelve-month sealant retention in a school-based program using a self-etching primer/adhesive. J Public Health Dent. 2004;64:191–7.
    1. Biria M, Ghasemi A, Torabzadeh H, Shisheeian A, Baghban AA. Assessment of microshear bond strength: Self-etching sealant versus conventional sealant. J Dent (Tehran) 2014;11:137–42.
    1. Javadinejad S, Borojeni PM, Saleki M, Hajizadeh F. Clinical comparison of a self-etching fissure sealant with a conventional sealant: A 12-month follow-up. J Isfahan Dent Sch. 2012;8:99–108.
    1. Biria M, Ghasemi A, Doroudgar K, Najafi AS. An Experimental Micro Leakage Study of Two Self-Etch and One Total-Etch Fissure Sealants. The Journal of Islamic Dental Association of IRAN (JIDA) 2011;23:182–8.
    1. Asselin ME, Fortin D, Sitbon Y, Rompré PH. Marginal microleakage of a sealant applied to permanent enamel: Evaluation of 3 application protocols. Pediatr Dent. 2008;30:29–33.
    1. Ben-Amar A, Liberman R, Judes H, Nordenberg D. Long-term use of dentine adhesive as an interfacial sealer under class II amalgam restorations. J Oral Rehabil. 1990;17:37–42.
    1. Pérez-Lajarín L, Cortés-Lillo O, García-Ballesta C, Cózar-Hidalgo A. Marginal microleakage of two fissure sealants: A comparative study. J Dent Child (Chic) 2003;70:24–8.
    1. Alani AH, Toh CG. Detection of microleakage around dental restorations: A review. Oper Dent. 1997;22:173–85.
    1. Williams B, Price R, Winter GB. Fissure sealants. A 2-year clinical trial. Br Dent J. 1978;145:359–64.
    1. Birkenfeld LH, Schulman A. Enhanced retention of glass-ionomer sealant by enamel etching: A microleakage and scanning electron microscopic study. Quintessence Int. 1999;30:712–8.
    1. Hannig M, Gräfe A, Atalay S, Bott B. Microleakage and SEM evaluation of fissure sealants placed by use of self-etching priming agents. J Dent. 2004;32:75–81.
    1. Borem LM, Feigal RJ. Reducing microleakage of sealants under salivary contamination: Digital-image analysis evaluation. Quintessence Int. 1994;25:283–9.
    1. Mascarenhas AK, Nazar H, Al-Mutawaa S, Soparkar P. Effectiveness of primer and bond in sealant retention and caries prevention. Pediatr Dent. 2008;30:25–8.
    1. Boksman L, McConnell RJ, Carson B, McCutcheon-Jones EF. A 2-year clinical evaluation of two pit and fissure sealants placed with and without the use of a bonding agent. Quintessence Int. 1993;24:131–3.
    1. Tulunoğlu O, Bodur H, Uçtaşli M, Alaçam A. The effect of bonding agents on the microleakage and bond strength of sealant in primary teeth. J Oral Rehabil. 1999;26:436–41.
    1. Bahrololoomi Z, Soleymani A, Heydari Z. In vitro comparison of microleakage of two materials used as pit and fissure sealants. J Dent Res Dent Clin Dent Prospects. 2011;5:83–6.

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