One-year Clinical Evaluation of Retention Ability and Anticaries Effect of a Glass Ionomer-based and a Resin-based Fissure Sealant on Permanent First Molars: An In Vivo Study

JOURNAL TITLE: International Journal of Clinical Pediatric Dentistry

1. Jeeva Puthiyapurayil
2. Sheeja R Mathew
3. Kannan Vadekkepurayil
4. Retna K Narayanan
Publishing Year
Author Affiliations
1. com.mps.common.model.Contributor@1efb59d ,
2. com.mps.common.model.Contributor@45c85a3e ,
3. com.mps.common.model.Contributor@2c4cb4c8 ,
4. com.mps.common.model.Contributor@734f3b14
Article keywords
Anticaries effect, Fissure sealant, Marginal discoloration, Retention


Aim: To evaluate and compare the retention ability, anticaries effect and marginal discoloration when sealed with a glass ionomer-based sealant (Fusion i-seal) and a resin-based fissure sealant (Helioseal-F) on permanent first molars. Materials and methods: Caries free, fully erupted permanent first molars of 50 children between 6 years and 8 years were sealed with pit and fissure sealants under rubber dam isolation. Glass ionomer-based sealant was applied on a permanent first molar and the contralateral molar with resin-based sealant. The sealants were evaluated at regular intervals for a period of 1 year. Statistical analysis was done by Chi-square test. Results: Higher retention rates were noted for resin-based sealant (88%) compared to glass ionomer-based sealant (78%). None of the teeth sealed with resin sealant developed caries whereas 2% of teeth sealed with glass ionomer sealant developed caries. Marginal discoloration was not noted in teeth sealed with glass ionomer sealant whereas slight marginal discoloration was noted for 6% of teeth sealed with resin sealant. Conclusion: Clinically a difference was noted in the retention rate, anticaries effect and marginal discoloration whereas statistically no significant difference was noted for the two sealants after 1 year. Clinical significance: Pit and fissure sealants are highly effective and economical in preventing occlusal caries in young permanent tooth with low failure rate.

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