A randomized control clinical trial of fissure sealant retention: Self etch adhesive versus total etch adhesive

Abstract

Context:There are limited studies on comparison of Total etch (TE) and Self etch (SE) adhesive for placement of sealants.Aims:The aim of the study was to compare the retention of fissure sealants placed using TE adhesive to those sealants placed using SE (seventh generation) adhesive.Settings and Design:The study was conducted in the dental section, Aga Khan University Hospital. This study was a randomized single blinded trial with a split mouth design.Materials and Methods:The study included 37 patients, 101 teeth were included in both study groups. The intervention arm was treated with SE Adhesive (Adper Easy One, 3M ESPE, US). Control arm received TE adhesive (Adper Single Bond 2, 3M ESPE, US) before sealant application. The patients were followed after 6 months for assessment of sealant retention.Statistical analysis used:Interexaminer agreement for outcome assessment was assessed by Kappa Statistics and outcome in intervention group was assessed by McNemar's test.Results:Ninety-one pairs of molar (90%) were reevaluated for sealant retention. Complete retention was 56% in TE arm and 28% in SE arm with an odds ratio (OR) of 3.7.Conclusions:Sealants applied with TE adhesives show higher rate of complete sealant retention than SE adhesive.

Are self‐etch adhesive systems effective in the retention of occlusal sealants? A systematic review and meta‐analysis

“…The main characteristics of the papers included in the meta‐analysis are summarized in Table . Each of the five studies was carried out in different countries: United States, Scotland, Turkey, Egypt, and Pakistan. One study took place in a hospital and in a community dental service, three at universities, and one in a dental section of a hospital.…”

“…The shorter follow‐up period was 6 months, and the longest was 48 months. Two studies followed patients for 12 months and one for 24 months.…”

“…Even in ClinicalTrials.gov was found a record performed in 2009, but it was documented as ‘unknown’, that is not available updated data. Nevertheless, the full text was recovered by MEDLINE via PubMed. So, it is suggested that for this systematic review, a search performed only in MEDLINE via PubMed database could have been enough to assess the included studies, at last the Scopus of this database covers a wide range of scientific journals.…”

“…High variation was also noted on number and professional qualifications, and some studies did not report this information. Besides, despite had been pooled the follow‐up more similar among studies, 3 assessed 12 months, one 6 months, and another 24 months. All these differences may have influenced for a high heterogeneity.…”

Aplicação dos sistemas adesivos nos últimos cinco anos

“…Aman et al 40 em 2015 realizaram um estudo que verificou a retenção dos selantes em sistemas adesivos autocondicionantes e convencionais. Como conclusão desse estudo verificou-se que os selantes empregados com sistemas adesivos convencionais apresentaram um alto índice de sucesso quando comparado com os autocondicionantes.…”