Pit and Fissure Sealant Application: Updating the Technique

Waggoner, William F; Siegal, Mark D.

doi:10.14219/jada.archive.1996.0205

Cited by 91 publications

(89 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The success of sealants relies mostly on their effect on caries prevention and retention 23) . Typically, resinbased sealants are the most frequently used sealant material 24) .…”

Section: Discussionmentioning

confidence: 99%

“…In terms of retention, both sealants performed better in the 6-7-year age group. This could be because immature enamel is porous, and this could assist in sealant retention 23,39) . It has been reported that the best time for sealant application is as soon as the tooth erupts 40) ; nevertheless, sealants placed shortly following tooth eruption have a high risk of failure because oral fluids are likely to contaminate the surface.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

et al. 2017

View full text Add to dashboard Cite

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.

show abstract

“…The success of sealants relies mostly on their effect on caries prevention and retention 23) . Typically, resinbased sealants are the most frequently used sealant material 24) .…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

et al. 2017

View full text Add to dashboard Cite

show abstract

“…Sealant placement is a painless and non-invasive technique that does not require unnecessary preparation of the tooth structure. 16,17 Dental materials in the oral cavity are steadily exposed to heat and functional stress. 18 Therefore, in the present study we evaluated the microleakage after mechanical loading and thermocycling as the aging methods.…”

Section: Discussionmentioning

confidence: 99%

Fissür örtücünün altına uygulanan adezivlerin makaslama bağlanma kuvveti ve mikrosızıntıya etkisi

Botsalı¹,

Küçükyılmaz²,

Tosun³

et al. 2015

Acta Odontol Turc

View full text Add to dashboard Cite

OBJECTIVE: The aim of this study was to examine the effect of bonding agents under fissure sealants on bond strength and microleakage. MATERIALS AND METHOD: A total of 210 freshly extracted noncarious human third molar teeth were used (105 teeth for shear bond strength and 105 teeth for microleakage assessment). The teeth were randomly assigned to 14 groups, with 15 teeth in each group. Fissurit FX was applied to the etched enamel in the control groups. In the experimental groups, the self-etch adhesives: Clearfil SE Bond, G Bond, Clearfil DC Bond and the total-etch adhesives: Prelude, Adper Single Bond and Optibond S were applied and light-cured followed by the subsequent application and light-curing of Fissurit FX. Shear bond strength was tested to failure in a universal testing machine with a 1 mm/min crosshead speed. The shear bond strength data was analyzed by using One Way ANOVA and Tukey HSD tests. Microleakage was evaluated by using a dye penetration method after mechanical loading and thermocycling. The microleakage data was analyzed by using the Kruskal-Wallis and Tamhane tests. RESULTS:The microleakage of the Adper Single Bond Plus group was significantly less than that of the control group (p<0.05). However, the shear bond strength value of the Adper Single Bond Plus group was significantly less than that of the control group, again. The shear bond strength value of Clearfil SE Bond was significantly greater than that of the control group (p<0.05). CONCLUSION: Clearfil SE

show abstract

“…The properties required of an ideal pit and fissure sealant include anticariogenicity, biocompatibility, good marginal integrity and retention rate. 2 Among those properties, the longevity of the sealant material plays an important role in the clinical setting, 3 as it can guide the clinician with regard to the choice of different materials available. Additionally, a satisfactory goal for the clinicians might be to seal the pits and fissures with the material that presents higher retention rates, protecting the sealed teeth for the first few years after eruption when the risk of caries can be higher.…”

mentioning

confidence: 99%

Answer to the letter “Complete clinical retention of sealant materials should not be contemplated as cut-off for clinical success”. Braz Oral Res. 2016;30:e32. doi: 10.1590/1807-3107BOR-2016.vol30.0032

et al. 2016

View full text Add to dashboard Cite

Dear Prof. Mickenautsch, Thank you very much for reading and analyzing our paper very carefully. We actually agree with you that retention of sealant materials cannot be contemplated as any cut-off for clinical success regarding caries prevention; therefore we would like to apologize for our mistake as we erroneously state, "the complete clinical retention of sealant materials should be contemplated as the cutoff for clinical success" and cite your paper as reference to support it. 1 Although we acknowledge that the prevention/arrestment of caries is the most important clinical outcome, other parameters should also be considered when selecting a dental material. The properties required of an ideal pit and fissure sealant include anticariogenicity, biocompatibility, good marginal integrity and retention rate. 2 Among those properties, the longevity of the sealant material plays an important role in the clinical setting, 3 as it can guide the clinician with regard to the choice of different materials available. Additionally, a satisfactory goal for the clinicians might be to seal the pits and fissures with the material that presents higher retention rates, protecting the sealed teeth for the first few years after eruption when the risk of caries can be higher. 4,5 Therefore, we considered only fully retained sealants as successful in this trial, as our aim was to investigate the clinical retention of a lowcost glass ionomer cement (GIC) Maxxion R (FGM) after a short period of time (12 months). This GIC costs less than 25% of the price of Fuji IX (GC corp) or Ketac Molar Easymix (3M ESPE), factor that could enable the use of this GIC for public healthcare in deprived areas. However, there were no preview reports on the survival rate of this material as pit and fissure sealant. Our results showed that the high-cost GIC brand (Fuji IX) presented a 2-fold-more-likely-to-survive than the lowcost brand after the first year of evaluation. 6 So, the information of retention rate of this material can assist the clinician when selecting dental materials on a daily basis. We kept following these molars, not only evaluating the retention but also the caries incidence, data that will be published soon.

show abstract

Pit and Fissure Sealant Application: Updating the Technique

Cited by 91 publications

References 21 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

Fissür örtücünün altına uygulanan adezivlerin makaslama bağlanma kuvveti ve mikrosızıntıya etkisi

Answer to the letter “Complete clinical retention of sealant materials should not be contemplated as cut-off for clinical success”. Braz Oral Res. 2016;30:e32. doi: 10.1590/1807-3107BOR-2016.vol30.0032

Contact Info

Product

Resources

About