A Clinical Comparison on Success of Sealant and Preventive Resin Restoration on Caries Prevention
Abstract
The purpose of this study is to compare the clinical success between preventive resin restoration, and pit and fissure sealant in terms of retention and caries prevention on first permanent molar. Data were collected from the patients’ case records in Pediatric Dentistry clinic. Records of children who had done their sealants and preventive resin in their first permanent molar were reviewed. 61 patients had preventive resin restoration and 56 pit and fissure sealant done in permanent first molar 2 years ago were included and called for clinical review. Participants were between 6-10 years. Visual and tactile assessment was done to detect the integrity of preventive resin restoration and pit and fissure sealants under 4 categories whether the sealant or PRR is total lost, partial lost, completely present, carious. Data was analyzed using descriptive statistics. At the end of 2 years, sealants showed 64.3 % total retention, 21.4% partial retention and 10.7% complete loss when compared to PRR which showed 62.2% total retention, 14% partial retention and 4.9% complete loss. Preventive resin restoration have more tendency to have caries, while teeth with pit and fissure sealants does not (18% vs. 3.6%). As a conclusion, pit and fissure sealants have marginally higher retention compared to preventive resin restoration on permanent molars. Pit and fissure sealant is better in terms of caries prevention compared to preventive resin restoration.
References
Al-Malik, M. I., & Rehbini, Y. A. (2006). Prevalence of dental caries, severity, and pattern in age 6 to 7-year-old children in a selected community in Saudi Arabia. Journal of Contemporary Dental Practice, 7(2), 46-54.
Anson, R. A., Full, C. A., & Wei, S. H. Y. (1982). Retention of pit and fissure sealants placed in a dental school pedodontic clinic: a retrospective study. Pediatics Dentistry, 4(1), 22-6.
Antonson, S. A., Antonson, D. E., Brener, S., Crutchfield, J., Larumbe, J., Michaud, C., ... & Ocanto, R. (2012). Twenty-four month clinical evaluation of fissure sealants on partially erupted permanent first molars: glass ionomer versus resin-based sealant. Journal of the American Dental Association, 143(2), 115-122.
Beauchamp, J., Caufield, P. W., Crall, J. J., Donly, K., Feigal, R., Gooch, B., ... & Simonsen, R. (2008). Evidence-based clinical recommendations for the use of pit-and-fissure sealants: a report of the American Dental Association Council on Scientific Affairs. Journal of the American Dental Association, 139(3), 257-268.
Buonocore, M. G. (1971). Caries prevention in pits and fissures sealed with an adhesive resin polymerized by ultraviolet light: a two-year study of a single adhesive application. Journal of the American Dental Association, 82(5), 1090-1093
Demirci, M., Tuncer, S., & Yuceokur, A. A. (2010). Prevalence of caries on individual tooth surfaces and its distribution by age and gender in university clinic patients. European Journal of Dentistry, 4(3), 270-279.
Eden, G. T. (1976). Clinical evaluation of a pit and fissure sealant for young adults. Journal of Prosthetic Dentistry, 36(1), 51-57.
Feigal, R. J. (1998). Sealants and preventive restorations: review of effectiveness and clinical changes for improvement. Pediatric Dentistry, 20, 85-92.
Fernandes, K. S., Chalakkal, P., de Ataide, I. D. N., Pavaskar, R., Fernandes, P. P., & Soni, H. (2012). A comparison between three different pit and fissure sealants with regard to marginal integrity. Journal of Conservative Dentistry, 15(2), 146.
Fontana, M., Zero, D. T., Beltrán-Aguilar, E. D., & Gray, S. K. (2010). Techniques for assessing tooth surfaces in school-based sealant programs. Journal of the American Dental Association, 141(7), 854-860.
Hassall, D. C., & Mellor, A. C. (2001). Restorative dentistry: The sealant restoration: indications, success and clinical technique. British Dental Journal, 191(7), 358-362.
Hinding, J. H. & Buonocore, M. G. (1974). The effects of varying the application protocol on the retention of pit and fissure sealant: a two-year clinical study. Journal of the American Dental Association, 89(1),127-131.
Karlzén-Reuterving, G., & van Dijken, J. W. (1994). A three-year follow-up of glass ionomer cement and resin fissure sealants. ASDC Journal of Dentistry for Children, 62(2), 108-110.
Lekic, P. C., Deng, D., & Brothwell, D. (2006). Clinical evaluation of sealants and preventive resin restorations in a group of environmentally homogeneous children. Journal of Dentistry for Children, 73(1), 15-19.
Lobo, M. M., Pecharki, G. D., Tengan, C., Silva, D. D. D., Tagliaferro, E. P. D. S., & Napimoga, M. H. (2005). Fluoride-releasing capacity and cariostatic effect provided by sealants. Journal of Oral Science, 47(1), 35-41.
Manton, D. J., & Messer, L. B. (1995). Pit and fissure sealants: another major cornerstone in preventive dentistry. Australian Dental Journal, 40(1), 22-29.
McConnachie, I. (1992). The preventive resin restoration: a conservative alternative. Journal Canadian Dental Association, 58(3), 197-200.
Mertz-Fairhurst, E. J., Curtis, J. W., Ergle, J. W., Rueggeberg, F. A., & Adair, S. M. (1998). Ultraconservative and cariostatic sealed restorations: results at year 10. Journal of the American Dental Association, 129(1), 55-66.
Mertz-Fairhurst, E. J., Fairhurst, C. W., Williams, J. E., Della-Giustina, V. E., & Brooks, J. D. (1984). A comparative clinical study of two pit and fissure sealants: 7-year results in Augusta, GA. Journal of the American Dental Association, 109(2), 252-255.
Poutanen, R., Lahti, S., Tolvanen, M., & Hausen, H. (2006). Parental influence on children's oral health-related behavior. Acta Odontologica Scandinavica, 64(5), 286-292.
Subramaniam, P., Konde, S., & Mandanna, D. K. (2008). Retention of a resin-based sealant and a glass ionomer used as a fissure sealant: a comparative clinical study. Journal of Indian Society of Pedodontics and Preventive Dentistry, 26(3), 114-120.
Suominen-Taipale, A. L., Martelin, T., Koskinen, S., Holmen, J., & Johnsen, R. (2006). Gender differences in health care use among the elderly population in areas of Norway and Finland. A cross-sectional analysis based on the HUNT study and the FINRISK Senior Survey. BMC Health Services Research, 6(1), 110. doi: 10.1186/1472-6963-6-110
Ulusu, T., Odabaş, M. E., Tüzüner, T., Baygin, Ö., Sillelioğlu, H., Deveci, C., ... & Altuntaş, A. (2012). The success rates of a glass ionomer cement and a resin-based fissure sealant placed by fifth-year undergraduate dental students. European Archives of Paediatric Dentistry, 13(2), 94-97.
Vågstrand, K., Barkeling, B., Forslund, H. B., Elfhag, K., Linné, Y., Rössner, S., & Lindroos, A. K. (2007). Eating habits in relation to body fatness and gender in adolescents–results from the ‘SWEDES’study. European Journal of Clinical Nutrition, 61(4), 517-525.
Waggoner, W. F., & Siegal, M. (1996). Pit and fissure sealant application: updating the technique. Journal of the American Dental Association, 127(3), 351-361.
White, J. M., & Eakle, W. S. (2000). Rationale and treatment approach in minimally invasive dentistry. Journal of the American Dental Association, 131, 13S-19S.
