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International Journal of Clinical... 2022This study aims to evaluate and compare the effect of different varnishes: 3M ESPE Clinpro and Voco Profluorid and fissure sealants- 3M ESPE ClinPro and Ivoclar Vivadent...
AIM
This study aims to evaluate and compare the effect of different varnishes: 3M ESPE Clinpro and Voco Profluorid and fissure sealants- 3M ESPE ClinPro and Ivoclar Vivadent Helioseal-F on the count in the saliva of children.
MATERIALS AND METHODS
Eighty children of 6-12 years of age with no incidence of caries were selected and saliva samples were collected by drooling method after oral prophylaxis. The children were divided randomly into four groups and materials were applied accordingly. Saliva samples were obtained immediately after the procedure as well as 1-month, 3-months and 6-months posttreatment. Saliva samples were inoculated on Mitis salivarius agar and colony counts of were obtained.
RESULTS
This study showed that both the varnishes and pit and fissure sealants were equally effective in reducing the salivary count in children in a time period of 6-months however pit and fissure sealants were more effective in preventing caries.
CONCLUSION
Both varnishes and pit and fissure sealants are equally effective in reducing count in saliva.
HOW TO CITE THIS ARTICLE
Sharma R, Ghambir N, Gupta N, Comparative Evaluation of Different Varnishes and Pit and Fissure Sealants on Count in Saliva of Children. Int J Clin Pediatr Dent 2022;15(3):362-365.
PubMed: 35991797
DOI: 10.5005/jp-journals-10005-2385 -
International Journal of Environmental... Feb 2022Dental sealants are an excellent means to prevent pits and fissure decay. Currently, there are multiple commercially available sealant materials. The purpose of this...
UNLABELLED
Dental sealants are an excellent means to prevent pits and fissure decay. Currently, there are multiple commercially available sealant materials. The purpose of this study was to assess the retention of glass carbomer fissure sealant and the incidence of secondary caries over a period of 24 months in comparison with a resin-based sealant.
MATERIALS AND METHODS
We included 32 children in the study, with ages between six and eight years and an average age of 6.8 years old. For each child, we sealed four permanent molars (totaling 128 teeth). The study group was divided into sub-groups. Sub-group A was represented by 64 first permanent molars which underwent dental sealing procedures with composite resin-based fissure sealant, Helioseal F™, and sub-group B was represented by 64 first permanent molars which underwent dental sealing procedures with glass carbomer cement, GCP Glass Seal™. The sealants were assessed clinically at 6, 12, 18, and 24 months.
RESULTS
The 6-month follow-up evaluation showed no statistically significant differences between the two materials neither regarding sealant retention nor new carious lesions formation ( > 0.05). At the 12-month recall, 57 molars had good retention (89.06%) from sub-group A and 44 molars (68.75%) from sub-group B; there was a statistically significant difference ( = 0.0187) between the two treatment choices only regarding material retention. At the last recall after 2 years, sub-group A had a higher number of molars with perfect sealing (47-73.43%) and 8 molars (12.5%) with new caries lesions and sub-group B had 23 (35.93%) molars with perfect sealing and 15 molars (23.44%) with new caries lesions; there was a statistically significant difference ( < 0.0001) between the two treatment choices only regarding material retention.
CONCLUSIONS
The glass carbomer retention is very inferior to the resin-based material. The glass carbomer sealant was effective in preventing new caries development, comparable with the conventional resin-based sealant.
Topics: Acrylic Resins; Apatites; Child; Dental Caries; Glass Ionomer Cements; Humans; Pit and Fissure Sealants
PubMed: 35206153
DOI: 10.3390/ijerph19041966 -
Nederlands Tijdschrift Voor... Jan 2016The objective of Atraumatic Restorative Treatment is to prevent carious lesion development and to stop its progression. This can be achieved, among other ways, by... (Review)
Review
The objective of Atraumatic Restorative Treatment is to prevent carious lesion development and to stop its progression. This can be achieved, among other ways, by placing high-viscosity glass-ionomer cement sealants in pits and fissures in the enamel. A second area of utilisation is the treatment of dentine carious lesions. The weakened demineralised dentine can effectively be removed using hand instruments only. An accurately placed sealant-restoration prevents remaining cariogenic bacteria from reigniting the process of decay and allows the residual carious dentine to remineralise. To achieve good results using Atraumatic Restorative Treatment, an oral healthcare provider should complete a programme of instruction and have command of sufficient knowledge of cariology, the principles of treatment and the available restorative materials. High-viscosity glass-ionomer cement is the material of first choice for the prevention of enamel caries and the treatment of dentine carious lesions, but there is a constant search for improvements to this material and for a qualitatively better alternative.
Topics: Dental Atraumatic Restorative Treatment; Dental Bonding; Dental Caries; Glass Ionomer Cements; Humans; Pit and Fissure Sealants; Resin Cements
PubMed: 26780335
DOI: 10.5177/ntvt.2016.01.15122 -
Journal of Applied Oral Science :... 2010Confusion exists amongst dentists and scientists about the correct use of the caries management approach termed atraumatic restorative treatment (ART). Inconsistent use... (Review)
Review
Confusion exists amongst dentists and scientists about the correct use of the caries management approach termed atraumatic restorative treatment (ART). Inconsistent use of the original definition of ART and suggested modifications (mART) have led to misunderstanding, misconception and miscommunication in the dental literature over the last decade. The aim of this paper is to contribute to a uniform understanding and use of the term ART. Adherence to its original description is suggested and two major aspects were addressed: the use of hand instruments only and the use of adhesive materials and systems.
Topics: Dental Atraumatic Restorative Treatment; Dental Caries; Dental Materials; Humans; Pit and Fissure Sealants
PubMed: 20379674
DOI: 10.1590/s1678-77572010000100002 -
Materials (Basel, Switzerland) Feb 2022Sealing occlusal pits and fissures is an effective preventive measure against dental caries. Pit and fissure sealants (PFS) should be strongly bonded to the teeth to...
BACKGROUND
Sealing occlusal pits and fissures is an effective preventive measure against dental caries. Pit and fissure sealants (PFS) should be strongly bonded to the teeth to prevent partial or complete loss of the sealant, which may limit its preventive effect.
OBJECTIVE
The objective of the study was to compare the microtensile bond strength (μTBS) of bioactive resin-based sealants (Bio-RBS) and resin-based sealants (RBS), with and without the use of a bonding agent, to the enamel of primary and permanent teeth.
METHODS
One hundred and twenty caries-free primary molar specimens and 120 permanent molar specimens were divided to eight groups (30 specimens per group), both primary and permanent teeth were sealed with a Bio-RBS BioCoat (Premier, Plymouth Meeting, PA, USA) or with a RBS Clinpro (3M ESPE, Saint Paul, MN, USA), with or without the use of a bonding agent (Prime & Bond NT; Dentsply, Inc., Charlotte, NC, USA). Half the specimens were aged with 5000 thermal cycles, and all specimens were tested for the μTBS and failure mode.
RESULTS
The mean μTBS of aged Bio-RBS was higher in permanent teeth than primary teeth, and the aging process reduced the μTBS of RBS more than that of Bio-RBS. Moreover, the addition of a bonding agent improved the μTBS of aged RBS in permanent teeth.
CONCLUSION
We concluded that Bio-RBS exhibit superior μTBS than RBS when applied to permanent teeth.
PubMed: 35207906
DOI: 10.3390/ma15041369 -
Journal of Oral Science Oct 2023To evaluate the marginal integrity of various pit and fissure sealants subjected to different application methods.
PURPOSE
To evaluate the marginal integrity of various pit and fissure sealants subjected to different application methods.
METHODS
A total of 253 non-carious human third molars extracted and randomly divided into two groups according to the preparation method employed: invasive or non-invasive. Eight fissure sealant materials were tested: nano-filled flowable composite (Filtek Ultimate Flow), nanohybrid flowable composite (GrandioSo Flow), micro-hybrid flowable composite (Majesty Flow), resin-based unfilled fissure sealant (ClinPro Sealant), resin-based filled fissure sealant (Fissurit FX), resin-based highly filled fissure sealant (GrandioSeal), giomer-based fissure sealant (BeautiSealant), and glass ionomer-based fissure sealant (Fuji Triage). Samples were subjected to two-year cyclic thermo-mechanical and brushing simulations. Two observers quantitatively evaluated the restoration margins and classified them as either "permanent restoration edge", or if a gap larger than 250 μm was evident, "gapping at the restoration edge". The extent of the gap was recorded as a percentage relative to the total length of the restoration edge.
RESULTS
The baseline marginal adaptation had no significant effect on the marginal adaptation (P > 0.05). However, the preparation method and type of fissure sealant material had a significant impact on the marginal adaptation (P < 0.05).
CONCLUSION
On the basis of quantitative analysis, the highest marginal integrity was observed for flowable composites, whereas the lowest was observed for glass ionomer-based fissure sealant.
Topics: Humans; Pit and Fissure Sealants; Dental Caries; Acrylic Resins; Silicon Dioxide
PubMed: 37518766
DOI: 10.2334/josnusd.23-0126 -
BMC Oral Health Dec 2022Incorporation of bioactive agent into pit and fissure sealant would halt demineralization and promote further remineralization. The aim was to assess the effect of...
BACKGROUND
Incorporation of bioactive agent into pit and fissure sealant would halt demineralization and promote further remineralization. The aim was to assess the effect of bioactive and fluoride fissure sealants on calcium and phosphate content and surface topography of artificially demineralized enamel in young permanent teeth.
METHODS
30 sound extracted premolars free from cracks or any developmental anomalies were used. They were divided into group I bioactive fissure sealant, group II fluoride fissure sealant and group III no material applied. Each tooth was divided into halves in a buccolingual direction and evaluated by energy dispersive X-ray spectrometer (EDX) at baseline, demineralization and after applying the material. Another set of 7 sound extracted premolars was evaluated by scanning electron microscopy (SEM) at the same phases.
RESULTS
EDX showed that regaining calcium to demineralized enamel was significantly higher with bioactive sealant than either fluoride or the control group. SEM revealed minerals deposits with formation of distinct white zone at tooth/sealant interface for both pit and fissure sealant groups. Whereas no white zone formation was detected in control group.
CONCLUSIONS
Incorporating bioactive material into pit and fissure sealant through microcapsules provided better results than incorporating fluoride by enhancing the biological process of remineralization.
CLINICAL RELEVANCE
The more use of bioactive pit and fissure sealant would maintain the occlusal surfaces as sound structures and decrease the need for operative procedures to restore teeth cavitation.
Topics: Humans; Pit and Fissure Sealants; Fluorides; Calcium; Dental Enamel; Tooth Demineralization
PubMed: 36463155
DOI: 10.1186/s12903-022-02617-0 -
The Journal of Clinical Pediatric... 2017The objective of this study was to evaluate the effects of pit and fissure sealant mixed with silver nanoparticles on dental caries, by means of monthly measurement of... (Randomized Controlled Trial)
Randomized Controlled Trial
OBJECTIVE
The objective of this study was to evaluate the effects of pit and fissure sealant mixed with silver nanoparticles on dental caries, by means of monthly measurement of fluorescence with DIAGNOdent over six months.
STUDY DESIGN
This study was divided in two phases: experimental and clinical. In the experimental phase, the adhesion and microleakage of the pit and fissure sealant experiment were evaluated. Two groups of 10 teeth, without serious carious lesions, were included. Conventional (group A) and silver nanoparticles (group B) were added to the pit and fissure sealant. For the clinical phase, a split-mouth study was performed on 40 children aged 6-10 years old with healthy, erupted permanent first molars. A conventional pit and fissure sealant or a silver nanoparticle-mixed sealant was randomly placed. Repeated measures analysis was performed.
RESULTS
Conventional sealant presented an average microleakage of 30.6%, and the silver nanoparticle-mixed sealant showed 33.6% (P=NS). A three times greater reduction in fluorescence was found in the silver nanoparticles group compared to the conventional group (P<0.05). No sex- or age-based associations were found.
CONCLUSIONS
The silver nanoparticle-mixed sealant reduced tooth demineralization significantly and likely increased remineralization, compared to the conventional sealant.
Topics: Child; Dental Caries; Double-Blind Method; Humans; Metal Nanoparticles; Pit and Fissure Sealants; Silver
PubMed: 28052214
DOI: 10.17796/1053-4628-41.1.48 -
International Journal of Environmental... Oct 2020Various approaches are available for pit and fissure sealing, including: the use of sealants, with or without mechanical preparation; the use of etching, with or...
Various approaches are available for pit and fissure sealing, including: the use of sealants, with or without mechanical preparation; the use of etching, with or without bonding; and the use of lasers as an alternative to mechanical preparation. The objective of this study is to evaluate pit and fissure sealing by comparing the retention and microleakage of sealants, between mechanical and Er:Yag laser enamel preparation. Sixty extracted sound third molars are classified into six groups: A, bur mechanical preparation and sealant application; B, bur mechanical preparation, etching and sealant; C, bur mechanical preparation, etching, bonding and sealant; D, laser mechanical preparation and sealant; E, laser mechanical preparation, etching and sealant application; F, laser mechanical preparation, etching, bonding, and sealant. Statistical analysis methods include Fisher's exact test, a general linear model for one-way analysis of variance (ANOVA) of multiple comparisons, and Bonferroni multiple comparison tests. All the groups showed dye microleakage beneath the sealants. Less microleakage was observed for those that used bur rather than laser, 41 versus 44 specimens, respectively. The number of specimens without microleakage decreased as follows: group E (24), group A (18), groups B and F (17), group C (14), and group D (5). Retention was 100% in all groups except group D. Conclusion: Mechanical preparation increases retention of sealants, especially when etching material is used; additionally, bonding can help the retention. The best technique is mechanical preparation via laser and subsequent use of etching, without bonding prior to application of the dental sealant.
Topics: Acid Etching, Dental; Lasers; Pit and Fissure Sealants; Tooth Preparation
PubMed: 33114507
DOI: 10.3390/ijerph17217813 -
Journal of Clinical Medicine Jun 2022The aim of this 3-year, randomized clinical trial (RCT) in split-mouth design was to explore the clinical survival of a Bis-GMA-free pit and fissure sealant (Helioseal F...
The aim of this 3-year, randomized clinical trial (RCT) in split-mouth design was to explore the clinical survival of a Bis-GMA-free pit and fissure sealant (Helioseal F Plus) in comparison to a control material (Helioseal F). The initial population consisted of 92 adolescents. Follow-ups took place after one year (N = 85), two years (N = 82) and three years (N = 76) after application. At each examination, sealant retention and the presence of caries were recorded. The statistical analysis included the calculation of Kaplan-Meier survival curves, log-rank tests and a Cox proportional hazard regression model. No adverse events were documented. The proportion of completely intact sealants and those with minimal loss was almost identical in both groups, at 84.3% (Helioseal F; 113/134) and 81.7% (Helioseal F Plus; 107/131) after three years of observation. The regression analysis revealed an operator dependency, but no significant differences were found between the materials, the study centers, the chosen isolation technique, patient age or sex. After 3 years, 91.7% and 100.0% of all molars were free of non-cavitated carious lesions or carious cavities, respectively. It can be concluded that the new fissure sealing material can be considered as at least equivalent in terms of survival and retention behavior compared to the predecessor material.
PubMed: 35807023
DOI: 10.3390/jcm11133741