Retention of resin-based filled and unfilled pit and fissure sealants: A comparative clinical study

V Rajashekar Reddy, Nagalakshmi Chowdhary, K S Mukunda, N K Kiran, B S Kavyarani, M C Pradeep, V Rajashekar Reddy, Nagalakshmi Chowdhary, K S Mukunda, N K Kiran, B S Kavyarani, M C Pradeep

Abstract

Background and objectives: The most caries-susceptible period of a permanent first molar tooth is the eruption phase, during which the enamel is not fully matured and it is usually difficult for the child to clean the erupting tooth surfaces. Sealing occlusal pits and fissures with resin-based pit and fissure sealants is a proven method to prevent occlusal caries. The difference in the viscosity of the sealants differs in the penetration into pit and fissures and abrasive wear resistance property due to the addition of filler particles. The present study was conducted to evaluate and compare the retention of the resin-based filled (Helioseal F, Ivoclar Vivadent) and unfilled (Clinpro, 3M ESPE) pit and fissure sealants, which is important for their effectiveness.

Materials and methods: Fifty-six children between the age group of 6 and 9 years, with all four newly erupted permanent first molars were selected. Sealants were applied randomly using split mouth design technique on permanent first molars. Evaluation of sealant retention was performed at regular intervals over 12 months, using Simonsen's criteria at 2(nd), 4(th), 6(th), 8(th), 10(th) and 12(th) month. The results were subjected to statistical analysis.

Results: At the end of our study period (12(th) month), 53.57% showed complete retention, 37.50% showed partial retention, and 8.83% showed complete missing of resin-based filled (Helioseal F) pit and fissure sealant. And, 64.29% showed complete retention, 32.14% showed partial retention, and 3.57% showed complete missing of resin-based unfilled (Clinpro) pit and fissure sealant. This difference in retention rates between filled and unfilled pit and fissure sealants was not statistically significant.

Conclusion: The difference in retention rates between Helioseal F and Clinpro was not statistically significant, but Clinpro (unfilled) sealant showed slightly higher retention rates and clinically better performance than Helioseal F (filled).

Keywords: Filled; pit and fissure; retention; sealant; unfilled.

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Comparison of the retention of resin-based filled (Helioseal F) and resin-based unfilled (Clinpro) sealant

References

    1. Taylor CL, Gwinnett AJ. A study of the penetration of sealants into pits and fissures. J Am Dent Assoc. 1973;87:1181–8.
    1. Ripa LW. Occlusal sealants: Rationale and review of clinical trials. Int Dent J. 1980;30:127–39.
    1. Simonsen RJ. Pit and fissure sealant: Review of the literature. Pediatr Dent. 2002;24:393–414.
    1. Waggoner WF, Siegal M. Pit and fissure sealant application: Updating the technique. J Am Dent Assoc. 1996;127:351–61.
    1. Droz D, Schiele MJ, Panighi MM. Penetration and microleakage of dental sealants in artificial fissures. J Dent Child (Chic) 2004;71:41–4.
    1. Eliades A, Birpou E, Eliades T, Eliades G. Self-adhesive restoratives as pit and fissure sealants: A comparative laboratory study. Dent Mater. 2013;29:752–62.
    1. Koch MJ, García-Godoy F, Mayer T, Staehle HJ. Clinical evaluation of Helioseal F fissure sealant. Clin Oral Investig. 1997;1:199–202.
    1. Simonsen RJ. Retention and effectiveness of dental sealant after 15 years. J Am Dent Assoc. 1991;122:34–42.
    1. 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;29:302–7.
    1. Garcia-Godoy F, Gwinnett AJ. An SEM study of fissure surfaces conditioned with a scraping technique. Clin Prev Dent. 1987;9:9–13.
    1. Subramaniam P, Babu KL, Naveen HK. Effect of tooth preparation on sealant success – An in vitro study. J Clin Pediatr Dent. 2009;33:325–31.
    1. Irinoda Y, Matsumura Y, Kito H, Nakano T, Toyama T, Nakagaki H, et al. Effect of sealant viscosity on the penetration of resin into etched human enamel. Oper Dent. 2000;25:274–82.
    1. 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;26:114–20.
    1. Charbeneau GT, Dennison JB, Ryge G. A filled pit and fissure sealant: 18-month results. J Am Dent Assoc. 1977;95:299–306.
    1. Ganss C, Klimek J, Gleim A. One year clinical evaluation of the retention and quality of two fluoride releasing sealants. Clin Oral Investig. 1999;3:188–93.
    1. Wendt LK, Koch G. Fissure sealant in permanent first molars after 10 years. Swed Dent J. 1988;12:181–5.
    1. McCourt JW, Eick JD. Penetration of fissure sealants into contraction gaps of bulk packed auto-cured composite resin. J Pedod. 1988;12:167–75.
    1. 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;168:323–5.
    1. Sveen OB, Jensen OE. Two-year clinical evaluation of Delton and Prisma-Shield. Clin Prev Dent. 1986;8:9–11.
    1. Garcia-Godoy F, Gwinnett AJ. Penetration of acid solution and gel in occlusal fissures. J Am Dent Assoc. 1987;114:809–10.
    1. Bargale S, Raju OS. The retention of glass ionomer and light cure resin pit and fissure sealant using replica technique – An in vivo study. Internet J Dent Sci. 2011;9:37–41.
    1. Dhar V, Chen H. Evaluation of resin based and glass ionomer based sealants placed with or without tooth preparation – A two year clinical trial. Pediatr Dent. 2012;34:46–50.
    1. Simonsen RJ. The clinical effectiveness of a colored pit and fissure sealant at 36 months. J Am Dent Assoc. 1981;102:323–7.
    1. Erdemir U, Sancakli HS, Yaman BC, Ozel S, Yucel T, Yildiz E. Clinical comparison of a flowable composite and fissure sealant: A 24-month split-mouth, randomized, and controlled study. J Dent. 2014;42:149–57.
    1. Ninawe N, Ullal NA, Khandelwal V. A 1-year clinical evaluation of fissure sealants on permanent first molars. Contemp Clin Dent. 2012;3:54–9.
    1. Li F, Li F, Wu D, Ma S, Gao J, Li Y, et al. The effect of an antibacterial monomer on the antibacterial activity and mechanical properties of a pit-and-fissure sealant. J Am Dent Assoc. 2011;142:184–93.
    1. Feigal RJ. Sealants and preventive restorations: Review of effectiveness and clinical changes for improvement. Pediatr Dent. 1998;20:85–92.

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