Clinical success rate of fissure sealants: One-year follow-up

Abstract

Purpose: The aim of this study is to evaluate clinical success rate of resin-based fissure sealants applied at Istanbul University, Department of Pediatric Dentistry after 1 year of application. Materials and methods: Children with at least one pair of caries-free permanent first molars with deep pits and fissures were included in the study. The ages of children ranged from 7-13 (mean age:9.2±1.22). Resin-based fissure sealant was applied to the 322 fissures of the first permanent molars in 100 children. 12 months after the application, children were recalled for examination. Recall examinations were carried out by the same dentist. Fissure sealants were evaluated at 12th month by using Ryge criteria: Retention (R), precence of caries (PC), marginal adaptation (MA), marginal discoloration (MD) and cracking (C). Results: 12 months after the application, all of the children were recalled and fissure sealants were examinated. Our findigs are: R: Alpha 95 (29.5%), Bravo: 143 (44.4%), Charlie: 84 (26%); PC: Alpha 274, Bravo 48 (14.9%); MD: Alpha 322; MA: Alpha 279, Bravo 43 (13.3%); C: Alpha 321, Bravo 1 (0.3%). Conclusion: The preventive effects of the sealant are only maintained as long as it remains completely intact and bonded in place. After applying fissure sealants, patients must be recalled and sealants must be checked to provide retention and marginal adaptation.

Keywords

• Fissure sealant
• ryge criteria
• marginal adaptation
• retention

References

1. 1. Brown LJ, Kaste LM, Selwitz RH, Furman LJ. Dental Caries and Sealant Usage In U.S.Children. 1988–1991:selected findings from the Third National Health and Nutrition Examination Survey. J Am Dent Assoc 1996;127(3):335-343.
2. 2. Kaste L, Selwitz R, Oldakowski R, Brunelle J, Winn D, Brown L. Coronal caries in the primary and permanent dentition of children and adolescents 1– 17 years of age. United States. 1988–1991. J Dent Res 1996;75:631-641.
3. 3. Dennison JB, Straffon LH, Smith RC. Effectiveness of sealant treatment over five years in an insured population. JADA 2000;131(5):597-605.
4. 4. Mcdonald R. E; Avery D. R; Dentistry for the Child and Adolescence, 5. Ed, Mosby/ St Louis 1988;226-227.
5. 5. Welbury R, Raadal M, Lygıdakıs NA. EAPD guidelines for the use of pit and fissure sealants. Eur J Pediatr Dent 2004;5:179-184.
6. 6. Bodreau GE, Jerge CR. The efficacy of sealant treatment in the prevention of pit and fissure dental caries. J Am Dent Assoc 1976;92(2):383-387.
7. 7. Symons AL, Chu CY, Meyers IA. The effect of fissure morphology and pretreatment of the enamel surface on penetration and adhesion of fissure sealants. J Oral Rehabil. 1996;23:791798.
8. 8. Hicks MJ, Flaitz CM. Occlusal Caries Formation in-vitro: Comparison on resin mod GIC with Flouride-Releasing Sealant. J Clin Pediatr Dent 2000;24(4):309-314.

9. 9. Cekemoğlu B: Ankara İlinde Daimi Birinci Büyük Azı Dişlerinin Oklüzal Yüzeylerinin Sağlık Durumunu Yansıtan Bulguların Sürme Düzeyi, Plak Miktarı ve Fissür Morfolojisi ile İlişkisinin Değerlendirilmesi. Doctorate Thesis Ankara University, Ankara 2007.
10. 10. Benham AW, Campbell PM, Buschang PH. Effectiveness of pit and fissure sealants in reducing white spot lesions during orthodontic treatment. Angle Orthod. 2009;79(2):338-345.
11. 11. Oong EM, Griffin SO, Kohn WG, Gooch BF, Caufield PW: The effect of denatl sealants on bacteria levels in caries lesions: a review of the evidence. J Am Dent Assoc. 2008;139:271278.
12. 12. Yazici AR, Karaman E, Baseren M, Tuncer D, Yazici E, Unluer S. Clinical evaluation of a nanofilled fissure sealant placed with different adhesive systems: 24-month results. Oper Dent 2009;34:642-647.
13. 13. Morphis TL, Toumba KJ. Retention of two fluoride pit and fissure sealants in comparison to a conventional sealant. Int J Paediatr Dent 1998;8(3):203-208.
14. 14. Poulsen S, Beiruti N, Sadat N. A comparison of retention and the effect on caries of fissure sealing with a glassionomer and a resin-based sealant. Community Dent Oral Epidemiol 2001;29:298-301.
15. 15. Horowitz HS, Heifetz SP, Poulson S. Retention and effectiveness of a single application of an adhesive sealant in preventing occlusal caries: Final report after five years of study in Kalispell, Montana. J Am Dent Assoc 1977;95(6):1133-1139.
16. 16. Mertz-Fairhurst EJ, Fairhurst CW, Williams JE, Della- Giustina VE, Brooks JD: A comparative clinical study of two pit and fissure sealants: 7-year results in Augusta, Georgia. J Am Dent Assoc 1984;109:252-255.
17. 17. Conry JP, Pintado MR, Douglas WH. Quantitative changes in fissure sealant six months after placement. Pediatr Dent. 1990;12(3):162-167.
18. 18. Simonsen RJ. Pit and fissure sealant: Review of the literature. Pediatr Dent 2002;24(5):393-414.
19. 19. Dennison JB, Straffon LH, More FG. Evaluating tooth eruption on sealant efficacy. J Am Dent Assoc. 1990;121(5):610-614.
20. 20. Mejare I, Mjör IA. Glass ionomer and resin-based fissure sealants; a clinical study. Scand J Dent Res. 1990;98:345-350.
21. 21. Elbay M, Şener Y, Tosun G. Yedi farklı fissür örtücünün retansiyon süreleri: Bir yıllık klinik takip SÜ Dişhek Fak Derg, 2009;18:259-264.
22. 22. Odabaş M. E. The succes rates of a glass ionomer cement and a resin-based fissure sealant placed by fifth-year undergraduate dental students. Eur Arc Paedi Dent 2012;13:94-97.
23. 23. Burrow MF, Makinson OF. Pits and fissures: remnant organic debris after acid-etching. ASDC J Dent Child 1990;57(5):348-351.
24. 24. Moshonov J, Stabholz A, Zyskind D, Sharlin E, Peretz B. Acid etched and erbiumyttrium aluminium garnet laser-treated enamel for fissure sealants: a comparison of microleakage. Int J Paediatr Dent 2005;15:205-209.
25. 25. Bendinskaite R, Peciuliene, Brukiene V. A five years clinical evaluation of sealed occlusal surfaces of molars. Stomatologija 2010;12(3):87-92.
26. 26. Duggal MS, Tahmassebi JF, Toumba KJ, Mavromati C. The effect of different etching times on the retention of fissure sealants in second primary and first permanent molars. Int J Paediatr Dent. 1997;7(2): 81-86.
27. 27. Irinoda Y, Matsumura Y, Kito H, Nakano T, Toyama T, Nakagaki H, Tsuchiya T. Effect of sealant viscosity on the penetration of resin into etched human enamel. Oper Dent. 2000;25(4):274-282.
28. 28. Barnes DM, Kihn P, von Fraunhofer JA, Elsabach A. Flow characteristics and sealing ability of fissure sealants. Oper Dent. 2000;25(4):306-310.