Dental Sealant Composition-Retention Assessment in Young Permanent Molars.

Alexandrina Muntean,Andrei Ilie Condurache,Codruta Sarosi,Ada Gabriela Delean,Sorina Sava,Marioara Moldovan

doi:10.3390/ma14071646

Abstract

Tooth decay in children and adolescents remains a public health problem, despite prophylaxis and preventive measures being largely available. The aim of our study was to evaluate the clinical behavior of four dental sealants, related to first permanent molar topography and patient age (when sealant was applied for the first time). We assessed, by means of visual inspection and palpation with a dental probe, a group of 200 children, enrolled corresponding to school age-grade (mean age of 7 years at baseline) and randomly divided according to the material used as dental sealant (Admira seal©, Embrace Wet Bond©, Fotoseal©, GC Fuji Triaje©) in 4 groups (n = 50). Sealant clinical evaluation was made at 6-, 12-, 18-month intervals for dental material retention assessment. At 6 months, the sealant detached the most from 3.6 molars, and the material used was Fotoseal© (27.6%). At 12 months, Fotoseal© (48.3%) and GC Fuji Triaje© (41.4%) from 3.6 molars express detachment. At 18 months, 4.6. molars sealed with Admira Seal© (25.7%) and Embrace Wet Bond© (28.6%) lost the sealant. We noticed less detachment in maxillary molars and if sealant was applied around 7 years of age. In conclusion, sealant application on first permanent molars must be encouraged and practitioners can choose between various materials available.

Highlights

Dental caries is a biofilm-triggered oral disease with an international pandemic distribution, affecting all age children and adolescents [1]
The numerical distribution of the first permanent molars according to the topography on the arch and the dental status 6was as of 16 follows (Figure 2)
In this study maxillary molars performed better in terms of retention when compared with mandibular molars

Summary

Introduction

Dental caries is a biofilm-triggered oral disease with an international pandemic distribution, affecting all age children and adolescents [1]. The World Health Organization reports that dental caries is the most common oral condition included in the Global Burden of Disease Study [2]. Tooth decay in children and adolescents remains a public health problem, despite prophylaxis programs and preventive measures being largely available (dental sealants, personal and professional hygiene and healthy dietary habits) principally as pits and fissures on children’s teeth; this presents a topography with deep and narrow features, making the mechanical removal of dental plaque, by brushing, very challenging [3]. Adequate pit and fissure sealant use has been demonstrated to be effective in occlusal caries prevention; incorrect application of the sealant could result in microleakage, sealant loss and decay initiation. In order to prevent these complications, regular follow-up is required to ensure long-term success of the method [9]

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Discussion

Conclusion