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European Archives of Paediatric Dentistry

Erschienen in:

25.09.2023 | Original Scientific Article

Clinical performance of sealants under different humidity control conditions: a split-mouth 1-year randomized trial

verfasst von: T. V. Cortez, E. P. Godoy, V. L. Paschoini, S. A. M. Corona, M. C. Borsatto, A. E. Souza-Gabriel

Erschienen in: European Archives of Paediatric Dentistry | Ausgabe 6/2023

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Abstract

Purpose

Sealants are an effective method of prevention and treatment for early caries lesions. This study analyzed the 1-year clinical performance of resin-based and ionomeric sealants applied to permanent teeth under different humidity conditions.

Methods

The investigation was a triple-blind randomized clinical trial (RCT) with a four arms split-mouth design, divided according to the sealant protocol: (1) Resin-based sealant applied with rubber dam isolation, (2) Resin-based sealant applied with cotton rolls isolation, (3) Ionomeric sealant applied with rubber dam isolation and (4) Ionomeric sealant applied with cotton rolls isolation. Fifty-eight patients started the study (232 teeth), and 47 (188 teeth) remained until the 1-year recall. The modified USPHS criteria were used in the analyzes to investigate surface texture, retention and the presence of secondary caries lesions around the sealants; in the following periods: baseline, after 3, 6, 9, and 12 months by two calibrated examiners. Data were analyzed by the Mann–Whitney and Friedman tests.

Results

There was no difference between the types of sealants (p > 0.05). The type of humidity control influenced the superficial texture (p = 0.0012) and the retention of sealants (p = 0.0023). The sealant displacement was greater under cotton rolls isolation. Only one active caries lesion in enamel was found in the 9th month.

Conclusion

It may be concluded that sealants effectively prevented caries, even when they were partially or totally lost, regardless of the material. The rubber dam isolation with a rubber dam promoted lower surface roughness and improved the retention rates.

International Clinical Trials Registry Platform: #1111–1215-2832 (07/26/2018).

Ahovuo-Saloranta A, Forss H, Walsh T, Nordblad A, Mäkelä M, Worthington HV. Pit and fissure sealants for preventing dental decay in permanent teeth. Cochrane Database Syst Rev. 2017. https://doi.org/10.1002/14651858.CD001830.pub5.CrossRefPubMedPubMedCentral

Anauate-Netto C, Borelli LN, Amore R, Hipólito DI, V, D’Alpino PHP. Caries progression in non-cavitated fissures after infiltrant application: a 3-year follow-up of a randomized controlled clinical trial. J Appl Oral Sci. 2017;25(4):442–54. https://doi.org/10.1590/1678-7757-2016-0633.CrossRefPubMedPubMedCentral

Askarizadeh N, Heshmat H, Zangeneh N. One-year clinical success of embrace hydrophilic and helioseal-f hydrophobic sealants in permanent first molars: a clinical trial. J Dent. 2017;14(2):92–9.

Bagherian A, Shirazi AS. Flowable composite as fissure sealing material? A systematic review and meta-analysis. Br Dent J. 2018;224(2):92–7. https://doi.org/10.1038/sj.bdj.2018.40.CrossRefPubMed

Barroso JM, Torres CP, Lessa FCR, Pécora JD, Palma-Dibb RG, Borsatto MC. Shear bond strength of pit-and-fissure sealants to saliva-contaminated and noncontaminated enamel. J Dent Child (chic). 2005;72(3):95–9.PubMed

Borsatto MC, Corona SAM, Alves AG, Chimello DT, Catirse ABE, Palma-Dibb RG. Influence of salivary contamination on marginal microleakage of pit and fissure sealants. Am J Dent. 2004;17(5):365–7.PubMed

Brons-Piche E, Eckert GJ, Fontana M. Predictive validity of a caries risk assessment model at a dental school. J Dent Educ. 2019;83(2):144–50. https://doi.org/10.21815/JDE.019.017.CrossRefPubMed

Carvalho JC, Schiffner U. Dental caries in European adults and senior citizens 1996–2016: ORCA saturday afternoon symposium in Greifswald Germany—Part II. Caries Res. 2019;53(3):242–52. https://doi.org/10.1159/000492676.CrossRefPubMed

Chaitra TR, Subba Reddy VV, Devarasa GM, Ravishankar TL. Flowable resin used as a sealant in molars using conventional, enameloplasty and fissurotomy techniques: an in vitro study. J Indian Soc Pedod Prev Dent. 2010;28(3):145–50. https://doi.org/10.4103/0970-4388.73786.CrossRefPubMed

Cvikl B, Moritz A, Bekes K. Pit and fissure sealants-a comprehensive review. Dent J. 2018. https://doi.org/10.3390/dj6020018.CrossRef

da Cruz MGB, Narvai PC. Caries and fluoridated water in two Brazilian municipalities with low prevalence of the disease. Rev Saude Publica. 2018. https://doi.org/10.11606/S1518-8787.2018052016330.CrossRefPubMedPubMedCentral

de Rastelli MC, Reinke SMG, Scalabrin M, Santos dos FA. Evaluation of pit and fissure sealants applied by dental students. Rev Odontol Da UNESP. 2013;41(5):324–9. https://doi.org/10.1590/S1807-25772012000500005.CrossRef

ErbasUnverdi G, Atac SA, Cehreli ZC. Effectiveness of pit and fissure sealants bonded with different adhesive systems: a prospective randomized controlled trial. Clin Oral Investig. 2017;21(7):2235–43. https://doi.org/10.1007/s00784-016-2016-8.CrossRef

Eskandarian T, Baghi S, Alipoor A. Comparison of clinical success of applying a kind of fissure sealant on the lower permanent molar teeth in dry and wet conditions. J Dent Iran. 2015;16(3):162–8.

Fragelli CMB, de Souza JF, Bussaneli DG, Jeremias F, Dos S-P, de Cordeiro R, CL. Survival of sealants in molars affected by molar-incisor hypomineralization: 18-month follow-up. Braz Oral Res. 2017. https://doi.org/10.1590/1807-3107BOR-2017.CrossRefPubMed

Hegde RJ, Coutinho RC. Comparison of different methods of cleaning and preparing occlusal fissure surface before placement of pit and fissure sealants: an in vivo study. J Indian Soc Pedod Prev Dent. 2016;34(2):111–4. https://doi.org/10.4103/0970-4388.180403.CrossRefPubMed

Himida T, Promise U. School-based dental sealant programmes may be effective in caries prevention. Evid Based Dent. 2017;18(1):13–4. https://doi.org/10.1038/sj.ebd.6401218.CrossRefPubMed

Jafarzadeh D, Rezapour R, Abbasi T, SadeghTabrizi J, Zeinolabedini M, Khalili A, et al. The effectiveness of fluoride varnish and fissure sealant in elementary school children: a systematic review and meta-analysis. Iran J Public Health. 2022;51(2):266–77. https://doi.org/10.18502/ijph.v51i2.8680.CrossRefPubMedPubMedCentral

Lygidakis NA, Oulis KI, Christodoulidis A. Evaluation of fissure sealants retention following four different isolation and surface preparation techniques: four years clinical trial. J Clin Pediatr Dent. 1994;19(1):23–5.PubMed

Mattar RE, Sulimany AM, Binsaleh SS, Hamdan HM, Al-Majed IM. Evaluation of fissure sealant retention rates using Isolite in comparison with rubber dam and cotton roll isolation techniques: a randomized clinical trial. Int J Paediatr Dent. 2023;33(1):12–9. https://doi.org/10.1111/ipd.13008.CrossRefPubMed

Mehrabkhani M, Mazhari F, Sadeghi S, Ebrahimi M. Effects of sealant, viscosity, and bonding agents on microleakage of fissure sealants: an in vitro study. Eur J Dent. 2015;9(4):558–63. https://doi.org/10.4103/1305-7456.172631.CrossRefPubMedPubMedCentral

Meyer F, Enax J. Early childhood caries: epidemiology, aetiology, and prevention. Int J Dent. 2018;2018:1415873. https://doi.org/10.1155/2018/1415873.CrossRefPubMedPubMedCentral

Mickenautsch S, Yengopal V. Caries-preventive effect of high-viscosity glass ionomer and resin-based fissure sealants on permanent teeth: a systematic review of clinical trials. PLoS ONE. 2016;11(1):e0146512. https://doi.org/10.1371/journal.pone.0146512.CrossRefPubMedPubMedCentral

Naaman R, El-Housseiny AA, Alamoudi N. The use of pit and fissure sealants-a literature review. Dent J. 2017. https://doi.org/10.3390/dj5040034.CrossRef

Ninawe N, Ullal NA, Khandelwal V. A 1-year clinical evaluation of fissure sealants on permanent first molars. Contemp Clin Dent. 2012;3(1):54–9. https://doi.org/10.4103/0976-237X.94547.CrossRefPubMedPubMedCentral

Oba AA, Dülgergil T, Sönmez IS, Doğan S. Comparison of caries prevention with glass ionomer and composite resin fissure sealants. J Formos Med Assoc. 2009;108(11):844–8. https://doi.org/10.1016/S0929-6646(09)60415-0.CrossRefPubMed

Papageorgiou SN, Dimitraki D, Kotsanos N, Bekes K, van Waes H. Performance of pit and fissure sealants according to tooth characteristics: a systematic review and meta-analysis. J Dent England. 2017;66:8–17. https://doi.org/10.1016/j.jdent.2017.08.004.CrossRef

Pham TAV, Nguyen PA. Factors related to dental caries in 10-year-old Vietnamese schoolchildren. Int Dent J. 2019;69(3):214–22. https://doi.org/10.1111/idj.12452.CrossRefPubMed

Poggio C, Andenna G, Ceci M, Beltrami R, Colombo M, Cucca L. Fluoride release and uptake abilities of different fissure sealants. J Clin Exp Dent. 2016;8(3):e284–9. https://doi.org/10.4317/jced.52775.CrossRefPubMedPubMedCentral

Pollick H. The role of fluoride in the prevention of tooth decay. Pediatr Clin North Am. 2018;65(5):923–40. https://doi.org/10.1016/j.pcl.2018.05.014.CrossRefPubMed

Qudeimat MA, Alyahya A, Karched M, Behbehani J, Salako NO. Dental plaque microbiota profiles of children with caries-free and caries-active dentition. J Dent. 2021;104:103539. https://doi.org/10.1016/j.jdent.2020.103539.CrossRefPubMed

Rashed T, Alkhalefa N, Adam A, AlKheraif A. Pit and fissure sealant versus fluoride varnish for the prevention of dental caries in school children: a systematic review and meta-analysis. Int J Clin Pract. 2022;2022:8635254. https://doi.org/10.1155/2022/8635254.CrossRefPubMedPubMedCentral

Sabti MY, Al-Yahya H, Al-Sumait N, Akbar AA, Qudeimat MA. Dental and medical practitioners’ perception of community water fluoridation as a caries preventive measure. Eur Arch Paediatr Dent Dent. 2019;20(1):53–61. https://doi.org/10.1007/s40368-018-0385-1.CrossRef

Sundfeld D, Machado LS, Franco LM, Salomão FM, Pini N, Sundefeld M, et al. Clinical/photographic/scanning electron microscopy analysis of pit and fissure sealants after 22 years: a case series. Oper Dent. 2017;42(1):10–8. https://doi.org/10.2341/15-237-C.CrossRefPubMed

TopalogluAk A, Riza AA. Effect of saliva contamination on microleakage of three different pit and fissure sealants. Eur J Paediatr Dent. 2010;11(2):93–6.

Ulusu T, Odabaş ME, Tüzüner T, Baygin O, Sillelioğlu H, Deveci C, et al. The success rates of a glass ionomer cement and a resin-based fissure sealant placed by fifth-year undergraduate dental students. Eur Arch Paediatr Dent. 2012;13(2):94–7. https://doi.org/10.1007/BF03262852.CrossRefPubMed

Titel: Clinical performance of sealants under different humidity control conditions: a split-mouth 1-year randomized trial
verfasst von: T. V. Cortez
E. P. Godoy
V. L. Paschoini
S. A. M. Corona
M. C. Borsatto
A. E. Souza-Gabriel
Publikationsdatum: 25.09.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Paediatric Dentistry / Ausgabe 6/2023
Print ISSN: 1818-6300
Elektronische ISSN: 1996-9805
DOI: https://doi.org/10.1007/s40368-023-00843-w

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Clinical performance of sealants under different humidity control conditions: a split-mouth 1-year randomized trial