The Role of Pit and Fissure Sealants in the Prevention of Dental Caries

Paglia, L; Ferrazzano, Gianmaria Fabrizio; Beretta, Matteo

doi:10.1007/978-3-319-71979-5_4

Cited by 5 publications

(5 citation statements)

References 50 publications

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“…Centipoise or MPa units are used to express viscosity. A fluid with high viscosity moves slowly (13). The penetration of sealants is also influenced by the sealant's viscosity.…”

Section: Discussionmentioning

confidence: 99%

In Vitro Analysis of Hydrophilic and Conventional sealants - A comparative study

2023

IJCD

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Background: According to the World Health Organization, filling up the pits and fissures is one of the most efficient, least invasive ways to completely protect the occlusal surface from the carious phenomena. In vitro tests are essential for quickly delivering the knowledge required about the effectiveness of more recent sealant brands. Consequently, the objective of the current study was to assess and contrast the viscosity and length of resin tags on permanent molars of conventional and hydrophilic sealants. Materials and Methods: Twenty extracted third molars were split into two groups at random, one receiving conventional sealant (Clinpro 3M ESPE), and the other receiving hydrophilic sealant (UltraSeal XT Hydro). Each tooth's occlusal surfaces underwent an acid etchant pretreatment before the appropriate sealants were applied. Afterwards thermocycling and longitudinal sectioning were applied to both groups. For the purpose of measuring the length of the resin tag, the sectioned tooth specimens were examined under a scanning electron microscope. An Anton Paar viscometer was used to measure viscosities. The difference between the mean resin tag length of Group I and Group II sealants was compared using an independent t-test. Results: The mean resin tag length of Group II (10.07+/- 1.01m) was found to be higher than Group I (7.49+/- 0.94m), and this difference was statistically significant (P = 0.001). The viscosity measurements of Groups I and II were determined to be 0.8 mega Pascal (MPa) and 0.6 MPa, respectively. Conclusion: Based on the findings of the current investigation, it can be said that Group II sealants generated resin tags of sufficient length and had lower viscosities than Group I sealants. Thus, a hydrophilic sealant outperformed a conventional sealant in terms of performance.

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“…Centipoise or MPa units are used to express viscosity. A fluid with high viscosity moves slowly (13). The penetration of sealants is also influenced by the sealant's viscosity.…”

Section: Discussionmentioning

confidence: 99%

In Vitro Analysis of Hydrophilic and Conventional sealants - A comparative study

2023

IJCD

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“…Fissure sealants are considered an important form of treatment for the prevention of occlusal caries. 1,3 In order to enhance the clinical success of sealant application, a variety of different techniques and materials have been investigated, including ozone therapy. 18 Ozone has long been known for its antibacterial activity and is used in dentistry as a prophylactic to halt the progression of early-stage caries.…”

Section: Discussionmentioning

confidence: 99%

“…In general, under clinical conditions, application of a restorative material is the preferred method of treatment for preventing food retention and bacterial adhesion in deep pits and fissures of the teeth. [1][2][3] However, the use of resin-based fissure sealants for managing pit-and-fissure caries has also been reported to have a number of drawbacks that can eventually lead to treatment failure, including marginal discoloration, adhesive failure, restoration loss, and caries formation over the long term. In order to improve the success of treatment with resin-based materials, a number of methods have been tried, including pre-treatment with ozone.…”

Section: Introductionmentioning

confidence: 99%

Better With Ozone, or Not? An in-Vivo Study of Ozone Therapy as a Pre-Treatment Before Fissure Sealant Application.

Çetinkaya

Aksoy

Öz

2020

Cumhuriyet Dental Journal

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The aim of the study was to evaluate clinical achievements of Clinpro TM sealant and Teeth mate F-1 fissure sealants with or without ozone treatment as well as retention, marginal discoloration, marginal adaptation and caries formation under in-vivo conditions. Materials and Methods:The study was carried out on 166 patients whose ages differs between 9-12 and 3 different groups were formed above them according to split-mouth technique. Group 1: Clinpro TM sealant and Teethmate F-1 were applied on a total of 104 first lower permanent molar teeth. Group 2:Clinpro TM sealant and Clinpro TM sealant following ozone treatment were applied on 112 first lower permanent molar teeth. Group 3: Teethmate F-1 and Teethmate F-1 following the ozone treatment were applied on 116 first lower permanent molar teeth. Based on the modified USPHS criteria, the impacts on general achievement, retention, marginal fit, marginal discoloration and caries formation were evaluated in 3rd,6th,12th,18th months. Chi-Square Test and Fisher's Exact Test were used for analyses of the data. Results:In Group 1; Clinpro™ sealant showed higher clinical success rates in all observation periods. Considering marginal adaptation and retention, Clinpro™ sealant group was statistically significantly different in 18th month observations. In group 2 and group 3, there was not statistically significantly difference (p>0.05) between control and experimental groups but clinical success rates of Clinpro ™ sealant and Teethmate F-1 with Ozone Treatment were higher than the same groups without ozone pretreatment for all periods.Conclusions: It was determined that, Clinpro TM sealant yielded more successful results than the Teethmate F-1 under in-vivo conditions. Although, statistically significantly difference was not detected in Group 2 and Group 3, the Ozone pretreatment method's success rates were clinically higher as Bravo, Alpha and Charlie Scores. It seems that, Ozone pretreatment is a successful method for preventing pit and fissure sealants, clinically.

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“…Considering this fact, sealants are an important preventive measure for fissure caries prevention (Bohannan 1983 ); although their documented efficacy and clinical practice guidelines are available, pit and fissure sealants (PFS) are still underused. Furthermore, its retention relies upon the ability of the resin material to thoroughly fill fissures and morphological defects, to remain completely intact and bonded to enamel surface as long as possible (Tay and Pashley 2005 ; Ahovuo-Saloranta et al 2008 ; Erbas et al 2017 ; Paglia et al 2018 ). Additionally, several factors such as operator's experience, isolation, surface treatment, application of an intermediate bonding layer, among others, could play a role in PFS retention (Erbas et al 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Using self-etch adhesive agents with pit and fissure sealants. In vitro analysis of shear bond strength, adhesive remnant index and enamel etching patterns

Mézquita-Rodrigo

Vilchis

Moyaho-Bernal

et al. 2021

Eur Arch Paediatr Dent

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Purpose The aim of this study was to evaluate in vitro, the shear bond strength (SBS) and adhesive remnant index (ARI) of pit and fissure sealants (PFS) after enamel conditioning with different new-generation self-etching (SE) agents; additionally, enamel etching patterns were assessed. Methods Healthy unerupted third molars surgically removed for therapeutic reasons ( n = 25p/g), were randomly assigned to six groups. Conventional etching (CE) or SE was applied prior to pit and fissure sealants bonding. Enamel conditioned surfaces were evaluated by SEM at × 500, × 1000, and × 2000 magnification to determine etching patterns. Subsequently, 25 PFS blocks (3 × 2 × 1.5 mm) p/g were bonded to enamel surface. Samples were stored in water at 37 °C for 24 h, previous to SBS and ARI test. One-way ANOVA and Tamhane statistic tests were used for SBS; while Mann–Whitney U and Kruskal–Wallis were employed for ARI ( p ≤ 0.05 ). Results For SBS test, CE_PFS_3M and SE1_PFS_Shofu groups showed the lowest values (8.74 ± 4.02 and 8.75 ± 3.90, respectively). The highest scores were observed in SE_PFS_Kuraray group (13.46 ± 5.83). Significant differences in SBS and ARI assessments were found. All experimental groups showed type 1 etching pattern. Conclusion The etching pattern was less pronounced in self-etching groups, which showed an equal or superior in vitro performance compared to conventional etching agents. The clinical use of self-etching agents could be recommended before pit and fissure sealants application in new dental protocols. The best in vitro performance was observed when both applied materials, self-etching agent and pit and fissure sealant have 10-methacryloyloxydecyl dihydrogen phosphate in their chemical composition.

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The Role of Pit and Fissure Sealants in the Prevention of Dental Caries

Cited by 5 publications

References 50 publications

In Vitro Analysis of Hydrophilic and Conventional sealants - A comparative study

In Vitro Analysis of Hydrophilic and Conventional sealants - A comparative study

Better With Ozone, or Not? An in-Vivo Study of Ozone Therapy as a Pre-Treatment Before Fissure Sealant Application.

Using self-etch adhesive agents with pit and fissure sealants. In vitro analysis of shear bond strength, adhesive remnant index and enamel etching patterns

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