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J Dent Res Dent Clin Dent Prospects. 2020;14(1): 61-67.
doi: 10.34172/joddd.2020.009
PMID: 32454960
PMCID: PMC7235696
  Abstract View: 349
  PDF Download: 401

Clinical Dentistry

Original Article

Performance of fissure sealants on fully erupted permanent molars with incipient carious lesions: A glass-ionomer-based versus a resin-based sealant

Nada Jaafar 1* ORCID logo, Hala Ragab 2 ORCID logo, Ahmed Abedrahman 3 ORCID logo, Essam Osman 4

1 Department of Pediatric Dentistry, Faculty of Dentistry, Beirut Arab University, Lebanon
2 Department of Operative and Esthetic Dentistry, Faculty of Dentistry, Beirut Arab University, Lebanon
3 Department of Pediatric Dentistry and Dental Public Health, Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Egypt
4 Department of Dental Materials, Faculty of Dentistry, Beirut Arab University, Lebanon
*Corresponding Author; E-mail: iman_jaafar@hotmail.com

Abstract

Background. The effectiveness of fissure sealants in caries prevention depends on their long-term retention and ability to stop caries progression. This randomized controlled clinical trial compared the retention rate and cariostatic properties of a contemporary glass-ionomer-based sealant (GIS) versus a resin-based sealant (RS) placed on fully erupted permanent molars in a split-mouth design.

Methods. The sealants were placed on fully erupted permanent teeth (8‒12 years of age) in 45 children. The evaluation was conducted after one week and three and six months.

Results. There was a statistically significant difference in the retention rate and caries transition between the two groups over a six-month clinical evaluation period. The resin-based sealant group showed a better retention rate than the GIS group (75.56% and 48.88%, respectively). The resin-based sealant was superior to GIS in preventing caries progression.

Conclusion. Resin-based fissure sealant with fluoride releasing properties might be preferable in preventing caries progression of incipient non-cavitated carious lesions in fully-erupted teeth.

Keywords: Fissure sealant, glass-ionomer, non-cavitated occlusal caries, sealants
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Submitted: 11 Sep 2019
Accepted: 27 Jan 2020
ePublished: 18 Mar 2020
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