Kuter Bernaa, Eden Eceb, Guler Nesec
aIzmir Demokrasi University, Faculty of Dentistry, Department of Paediatric Dentistry, Izmir, Turkey
bEge University, Faculty of Dentistry, Department of Paediatric Dentistry, Izmir, Turkey
cIzmir Democracy University, Education Faculty, Measurement and Evaluation in Education, Izmir, Turkey
Summary
Background/Aim: It is important to prevent caries on permanent first molars. Fissure sealants are very effective in protecting fissures from caries. The study aimed to determine the clinical success of fluoride-releasing fissure sealants in permanent first molars in the long term. Material and Methods: 64 children with 256 healthy erupted first permanent molars and followed for 5 years, comprised the study. Children who received a fluoride-releasing fissure sealant and came regularly to controls throughout 5 years were evaluated by retention rate and development of new caries and compared with a control group. Results: The complete retention rate of fluoride-releasing fissure sealants was 48.5% and 10.7 % of the sealed teeth had caries after 5 years. 25% of the teeth without fissure sealant were decayed after five years. There was no significant difference between the rate of retention of fissure sealants and the frequency of tooth brushing after 1 year. There was no significant difference between the rate of retention of fissure sealants and oral hygiene status of children after 1 year. Conclusions: The fluoride-releasing fissure sealants were effective for the prevention of caries on pit and fissures of permanent molars and long-term clinical success was satisfying.
Keywords: fluoride releasing fissure sealants; fissure sealants; retention; fluoride; caries
Reference
Kitchens DH. The economics of pit and fissure sealants in preventive dentistry: A review. J Contemp. Dent Pract, 2005;6:95-103
Wright JT, Crall JJ, Fontana M, Gillette EJ, Nový BB, Dhar V, et al. Evidence-based clinical practice guideline for the use of pit-and-fissure sealants: A report of the American Dental Association and the American Academy of Pediatric Dentistry. JADA, 2016;147:672-682
Carvalho JC, Ekstrand KR, Thylstrup A. Dental plaque and caries on occlusal surfaces of first permanent molars in relation to stage of eruption. J Dent Res, 1989;68:773-779
Simonsen RJ. Pit and fissure sealant: Review of the literature. Pediatr Dent, 2002;24:393-414
Wendth LK, Koch Birkhed D. On the retention and effectiveness of fissure sealant in permanent molars after 15-20 years. A cohort study. Community Dent Oral Epidemiol, 2001;29:302-307
American Academy of Pediatric Dentistry and American Dental Association. Sealants for preventing and arresting pit-and-fissure occlusal caries in primary and permanent molars A systematic review of randomized controlled trials-a report of the American Dental Association and the American Academy of Pediatric Dentistry. Pediatr Dent, 2016;38:263-279
Chestnutt IG, Playle R, Hutchings S, Morgan-Trimmer S, Fitzsimmons D, Aawar N, et al. Fissure Seal or Fluoride Varnish? A Randomized Trial of Relative Effectiveness. J Dent Res, 2017;96:754-761
Muller-Bolla M, Courson F, Lupi-Pégurier L, Tardieu C, Mohit S, Pascal Staccini P, et al. Effectiveness of ResinBased Sealants with and without Fluoride Placed in a High Caries Risk Population: Multicentric 2-Year Randomized Clinical Trial. Caries Res, 2018;52:312-322
Welbury R, Raadal M, Lygıdakis NA. EAPD guidelines for the use of pit and fissure sealants. European J Paediatric Dent, 2004;3:179-184
Simonsen RJ. Retention and effectiveness of fissure sealant after 15 years. J Am Dent Assoc, 1991;122:34-42
Azarpazhooh A, Main PA. Is there a risk of harm or toxicity in the placement of pit and fissure sealant materials? A systematic review. J Can Dent Assoc, 2008;74:179-183
Bhatia MR, Patel AR, Shirol DD. Evaluation of two resinbased fissure sealants: a comparative clinical study. J Indian Soc Pedod Prev Dent, 2012;30:227-230
Morphis TL, Toumba KJ, Lygidakis NA. Fluoride pit and fissure sealants: a review. Int J Paediatric Dent, 2000;10:90-98
Mickenautsch, S, Yengopal, V. Retention loss of resinbased fissure sealants. A valid predictor for clinical outcome? Open Dent J, 2013;7:102-108
Muller-Bolla, M, Lupi-Pégurier, L, Tardieu, C, Velly AM, Antomarchi C. Antomarchi, C. Retention of resin-based pit and fissure sealants: A systematic review. Community Dent Oral Epidemiol, 2006;34:321-336
Kobayashi TY, Rios D, Machado MAAM, Oliveira TM, Da Silva SMB. A Two-Year Clinical Evaluation of Fluoride and Non-Fluoride Resin-Based Pit-and-Fissure Sealants. Braz Dent J, 2015;26:678-684
Heifetz SB, Yaari A, Proskin HM. Retention of a fluoridereleasing sealant compared with its non-fluoride analogue: interim results of a clinical study after an average of eight months. J Clin Dent, 2004;5:1-5
Colombo S, Ferrazzano GF. Dental sealants Part 2: Who should get dental sealants and when. European J of Paediatric Dent, 2018;19:165-166
Ismail AI, Gagnon P. A longitudinal evaluation of fissure sealants applied in dental practices. J Dent Res, 1995;74:1583-1590
Colombo S, Beretta M. Dental Sealants Part:3 Which material? Efficiency and effectiveness. Eur J Paediatr Dent, 2018;19:247-249
Kühnisch, J, Mansmann, U, Heinrich-Weltzien R, Hickel R. Longevity of materials for pit and fissure sealing. Results from a meta-analysis. Dent Mater, 2012;28:298-303
Riley JL 3rd, Gordan VV, Rindal DB, Fellows JL, Ajmo CA, Craig Amundson C,et al. Dental PBRN collaborative group. Preferences for caries prevention agents in adult patients: findings from the dental practice-based research network. Community Dent Oral Epidemiol, 2010;38:360-370
Liu W, Xiong L, Li J, Guo C, Fan W, Huang S. The anticaries effects of pit and fissure sealant in the first permanent molars of school-age children from Guangzhou: a population-based cohort study. BMC Oral Health, 2019;19:156
Naaman R, El-Housseiny A, Alamoudi N. The Use of Pit and Fissure Sealants-A Literature Review. Dent J (Basel), 2017;5:34
Ahovuo-Saloranta A, Forss H, Walsh T, Hiiri A, Nordblad A, Mäkelä M, et al. Sealants for preventing dental decay in the permanent teeth. Cochrane Database Sys Rev, 2013;28:CD001830
American Academy of Pediatric Dentistry. Caries-risk assessment and management for infants, children, and adolescents. Pediatr Dent, 2013;35:157-164
Toumba KJ, Twetman S, Splieth C, Parnell C, van Loveren C, Lygidakis NA. Guidelines on the use of fluoride for caries prevention in children: an updated EAPD policy document. Eur Arch Paediatr Dent, 2019;20:507-516
Zin T, Shimada Y, Nakashima S, Romero MJRH, Yasunori Sumi Y, Tagami J. Comparison of resin-based and glass ionomer sealants with regard to fluoride-release and antidemineralization efficacy on adjacent unsealed enamel. Dent Mater J, 2018;37:104-112
Elkhadem A, Wanees S. Fluoride releasing sealants may possess minimal cariostatic effect on adjacent surfaces. Evid Based Dent, 2015;16:12
Balkan Journal of Dental Medicine, Online First