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Clinical success of fluoride-releasing fissure sealant in permanent first molars: 5-year retrospective atudy

Balkan Journal of Dental MedicineOctober 21, 2022

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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

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