Role of Sealants in the Prevention of Pit and Fissure Caries in Permanent Molars

Aim: To assess the efficacy of resin based fissure sealant and the Glass Ionomer Cement (GIC) in the pit and fissures of newly erupted mandibular and maxillary permanent molars. Method: The clinical trial study was performed at de’Montmorency College of Dentistry, Lahore/Punjab Dental Hospital, Lahore from 1 January 2018 to 30 June 2018. Total number of 72 patients were examined and selected according to the inclusion criteria to be treated with fissure sealants. 31 patients received the resin based fissure sealants and 42 patients got glass ionomer as fissure sealant. All the patients had the age between 6-7 years. Restoration success was scored according the Ryge’s criteria. The data analyzed under the chi square statistic tool in order to test the hypothesis. Results: The Chi square statistic value obtained with degree of freedom 1 (df) is 0.0762. The result is not significant at p<0.05. So the null hypothesis is not rejected. Conclusion: There is no significant difference in restoration success between the resin based fissure sealant and the glass ionomer sealer applied in molars of the younger patients.

[1]  J. Gurenlian,et al.  An evaluation of a school‐based dental sealant programme , 2018, International journal of dental hygiene.

[2]  A. Rao,et al.  Evaluation of pit‐and‐fissure sealants placed with four different bonding protocols: a randomized clinical trial , 2017, International journal of paediatric dentistry.

[3]  H. Worthington,et al.  Pit and fissure sealants for preventing dental decay in permanent teeth. , 2017, The Cochrane database of systematic reviews.

[4]  A. T. Ulusoy,et al.  Clinical performance of a glass ionomer sealant protected with two different resin-based agents over a 2-year follow-up period. , 2017, European journal of paediatric dentistry.

[5]  A. Mentes,et al.  A 48-month randomized controlled trial of caries prevention effect of a one-time application of glass ionomer sealant versus resin sealant. , 2016, Dental materials journal.

[6]  S. Savaş,et al.  Evaluation of shear bond strength, penetration ability, microleakage and remineralisation capacity of glass ionomer-based fissure sealants. , 2016, European journal of paediatric dentistry.

[7]  S. Mickenautsch,et al.  Caries-Preventive Effect of High-Viscosity Glass Ionomer and Resin-Based Fissure Sealants on Permanent Teeth: A Systematic Review of Clinical Trials , 2016, PloS one.

[8]  N. Chowdhary,et al.  Retention of resin-based filled and unfilled pit and fissure sealants: A comparative clinical study , 2015, Contemporary clinical dentistry.

[9]  J. Frencken The state-of-the-art of ART sealants. , 2014, Dental update.

[10]  Y. Yilmaz,et al.  A two-year clinical evaluation of glass ionomer and ormocer based fissure sealants. , 2013, The Journal of clinical pediatric dentistry.

[11]  R M Love,et al.  A Micro CT study of the mesiobuccal root canal morphology of the maxillary first molar tooth. , 2011, International endodontic journal.

[12]  Stephen Bayne,et al.  Recommendations for conducting controlled clinical studies of dental restorative materials. Science Committee Project 2/98--FDI World Dental Federation study design (Part I) and criteria for evaluation (Part II) of direct and indirect restorations including onlays and partial crowns. , 2007, The journal of adhesive dentistry.

[13]  N. Pitts,et al.  Dental caries , 2007, The Lancet.

[14]  F. Mialhe,et al.  A 5-year evaluation of two glass-ionomer cements used as fissure sealants. , 2003, Community dentistry and oral epidemiology.

[15]  J. Nicholson,et al.  Glass ionomer cements in pediatric dentistry: review of the literature. , 2002, Pediatric dentistry.

[16]  J. Ramacciato,et al.  Evaluation of non-invasive treatment applied to occlusal surfaces. , 2001, ASDC journal of dentistry for children.

[17]  H Forss,et al.  Retention of a glass ionomer cement and a resin-based fissure sealant and effect on carious outcome after 7 years. , 1998, Community dentistry and oral epidemiology.

[18]  Y. Songpaisan,et al.  Effects of glass ionomer cement, resin-based pit and fissure sealant and HF applications on occlusal caries in a developing country field trial. , 1995, Community dentistry and oral epidemiology.