Caries-preventive effect of glass ionomer and resin-based fissure sealants on permanent teeth: An update of systematic review evidence

Mickenautsch, Steffen; Yengopal, Veerasamy

doi:10.1186/1756-0500-4-22

Cited by 58 publications

(66 citation statements)

References 44 publications

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“…However, a clinical study showed that glass ionomer sealants were slightly more efficient in preventing caries than resin-based 32) . The outcomes of our clinical trial are in agreement with the conclusions of earlier published systematic reviews and meta-analyses comparing resin-based and glass-ionomer sealants 19,20) . In terms of retention, both sealants performed better in the 6-7-year age group.…”

Section: Discussionsupporting

confidence: 80%

“…In contrast, glass ionomer cement has the advantage of being moisture tolerant and offering continuous fluoride release; however, its effect on caries prevention is questionable because of its inadequate retention rate 15,16) . Although numerous clinical studies have provided conflicting evidence regarding the retention and cariespreventive effect of glass ionomer sealants [16][17][18] , metaanalysis conducted to compare the caries-preventive effect of glass ionomer cement with resin-based fissure sealants found no evidence that either material was superior to the other in the prevention of dental caries 19,20) . Therefore, the aim of this randomized clinical trial was to compare the retention and caries-preventive effect of glass ionomer and resin-based sealants among 6-9-year-old children.…”

Section: Introductionmentioning

confidence: 99%

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Retention and caries-preventive effect of glass ionomer and resin-based sealants: An 18-month-randomized clinical trial

et al. 2017

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The objective of this study was to compare the retention and caries-preventive effect of glass ionomer (Fuji Triage) and resin-based (Clinpro) sealants among 6-9-year-old children. This split-mouth, randomized clinical trial covered 35 children/140 fully erupted permanent first molars. Evaluation was conducted by two independent examiners after 6, 12, and 18 months and the data were compared in relation to the children's caries risk and age groups. The Kaplan-Meier survival method and chi-square test were used for analysis. There were no statistically significant differences in the survival of partial and fully retained sealants or in the survival of caries-free pits and fissures between glass-ionomer and resin-based sealants. In terms of retention, both sealants performed better in the younger age group at the end of the study, and showed better caries prevention in moderate caries risk children. After 18 months, both sealants had comparable retention and caries-preventive effects in 6-9-year old children.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Retention and caries-preventive effect of glass ionomer and resin-based sealants: An 18-month-randomized clinical trial

et al. 2017

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“…6 Despite differences in their retention, systematic reviews have reported no evidence of caries-preventive superiority of either material. 3,4,7,8 In the past, low-and medium-viscosity glass-ionomers were used as sealant material but these have been replaced by high-viscosity glass-ionomers, as the latter have increased mechanical properties, which have enhanced sealant retention. 9 Retention of highviscosity glass-ionomers may further be increased through the development of new formulas in the glass-ionomer technology, such as has been reported regarding its powder composition.…”

Section: Introductionmentioning

confidence: 99%

3-year survival rates of retained composite resin and ART sealants using two assessment criteria

Hilgert

Leal

Freire³

et al. 2017

Braz. oral res.

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Abstract:The aim was to test the null-hypothesis that there is no difference in the cumulative survival rate of retained composite resin (CR) sealants and a high-viscosity glass-ionomer Atraumatic Restorative Treatment (ART) sealant in first permanent molars calculated according to the traditional and the modified retention assessment criteria over a period of 3 years. This cluster-randomized controlled clinical trial consisted of 123 schoolchildren, 6-7-years-old. At baseline, high-caries risk pits and fissures of fully erupted first permanent molars were treated with CR and ART sealants. Evaluations were performed after 0.5, 1, 2 and 3 years. Retention was scored for free-smooth surface and for each of three sections into which the occlusal surface had been divided. The modified criterion differed from the traditional in that it determined an occlusal sealant to be a failure when at least one section contained no visible sealant material. Data were analysed according to the PHREG model with frailty correction, Wald-test, ANOVA and t-test, using the Jackknife procedure. The cumulative survival rates for retained CR and ART sealants in free-smooth and occlusal surfaces for both criteria were not statistically significantly different over the 3 years. A higher percentage of retained CR sealants on occlusal surfaces was observed at longer evaluations. Cumulative survival rates were statistically significantly lower for the modified criterion in comparison to the traditional. The modified retention assessment criterion should be used in future sealant-retention studies.

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“…A definição da escolha desses materiais como selantes tem motivado uma significativa variedade de estudos comparativos entre os selantes resinosos e os ionoméricos das mais diversas procedências, tendo-se em consideração as características básicas destes produtos [9][10][11] . Devemos considerar que a utilização dos cimentos ionoméricos como materiais seladores de fóssulas e fissuras deve-se ao fato de ter sua indicação para dentes em erupção e durante a maturação do esmalte.…”

Section: Introductionunclassified

Análise comparativa entre selante resinoso e selante ionomérico por microscópio eletrônico de varredura

Beraldo

Pereira

Zafalon

et al. 2015

Rev. odontol. UNESP

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ResumoIntrodução: O selamento de superfícies oclusais como procedimento efetivo na prevenção de cárie, desde o seu reconhecimento pela ADA em 1976, vem sendo utilizado como método preventivo, seguro e eficaz. Objetivo: O presente estudo tem como objetivo a análise da capacidade vedante de produtos utilizados como selantes de cicatrículas e fissuras de dentes humanos, cujo quesito observado é a propriedade de penetração, visualizada em microscópio eletrônico de varredura (MEV). Material e método: Realizaram-se selamentos de 40 pré-molares, sendo separados em dois grupos de 20 dentes cada um. Em um dos grupos, foi utilizado selante fotopolimerizável Fluroshield  e, em outro, cimento ionomérico Vidrion R  , mantendo-se dez dentes restantes como controle. Após executados esses procedimentos, os dentes foram cortados transversalmente por serra de precisão, passaram por etapas de fixação, além da limpeza de restos residuais, sendo então observados em MEV para avaliar o selamento e possíveis falhas ou fendas decorrentes. Resultado: O selante resinoso fotopolimerizável apresentou maior penetração e vedamento em 71,5% das amostras, atingindo a região profunda do sulco, enquanto o cimento ionomérico, utilizado como selante, apresentou maior quantidade de falhas e fendas, e em nenhuma das amostras atingiu a região mais profunda do sulco. Conclusão: O selante resinoso possui melhores propriedades nos quesitos analisados, tanto no selamento quanto na penetração.Descritores: Selante; cimentos de ionômeros de vidro; selantes de fossas e fissuras. AbstractIntroduction: The sealing of occlusal surfaces as an effective procedure in the prevention of dental caries, its recognition since 1976 by ADA, has been used as a preventive, safe and effective method. Objective: This study aimed at analyzing the products used as pit and fissure sealant of human teeth, which noted concern, is the property of penetration and porosity viewed in the scanning electron microscope (SEM). Material and method: There was sealing of 40 pre-molars, previously submitted to prophylaxis with pumice stone and water and separated into two groups of twenty teeth each. In one of the groups was used sealant polymerized by light Fluroshield  and in another, glass ionomer cement Vidrion R  and ten remaining teeth as control. After those procedures are implemented, the teeth were cutted transversely by precision saw, samples were cleaned, fixed and then observed in SEM. Result: As a result, the resin sealant fotopolimerizável showed greater penetration in 71.5% of the samples, reaching the region's deep fissure, and better adherence and less porosity, while the glass ionomer cement, used as a sealant, had higher porosity and in none of the samples struck the fissure deeper region. Conclusion: The resin sealant has better properties in the questions discussed.

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Caries-preventive effect of glass ionomer and resin-based fissure sealants on permanent teeth: An update of systematic review evidence

Cited by 58 publications

References 44 publications

Retention and caries-preventive effect of glass ionomer and resin-based sealants: An 18-month-randomized clinical trial

Retention and caries-preventive effect of glass ionomer and resin-based sealants: An 18-month-randomized clinical trial

3-year survival rates of retained composite resin and ART sealants using two assessment criteria

Análise comparativa entre selante resinoso e selante ionomérico por microscópio eletrônico de varredura

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