Longevity of materials for pit and fissure sealing—Results from a meta-analysis

Kühnisch, Jan; Mansmann, Ulrich; Heinrich‐Weltzien, Roswitha; Hickel, Reinhard

doi:10.1016/j.dental.2011.11.002

Cited by 113 publications

(116 citation statements)

References 24 publications

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“…A reason for this situation might be the use of a potentially mechanically stronger high-viscosity glass-ionomer, the different application procedure that pushes the glass-ionomer into the pits and fissures with a finger (ART) and the fact that the generally accepted difference in retention rates between the two sealant materials has been derived from comparing results from studies that were not comparable and that had applied different retention assessment criteria. 6 However, if a high-viscosity glass-ionomer ART sealant is compared to a CR sealant in one and the same study over time, using the same retention assessment criteria and performed in children of similar age, then a true comparison between the two types of sealant is possible. Comparing the results of such studies gives the following outcome: no significant difference at all 1-to 5-year interval periods (mean age: 7.8 years); 20 higher retention survival rate for CR sealants (81%) than for ART sealants (56%) after 4 years (mean age: 8 years); 12 and higher retention survival rate for CR sealants (73%) than for ART sealants (50%) after 2 years (mean age: 7.8 years).…”

Section: Outcomes Cumulative Survival Of Retained Sealantsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…5,6 Resin-based sealants usually present higher retention rates than glass-ionomer (GIC) based sealants. 6 Despite differences in their retention, systematic reviews have reported no evidence of caries-preventive superiority of either material. 3,4,7,8 In the past, low-and medium-viscosity glass-ionomers were used as sealant material but these have been replaced by high-viscosity glass-ionomers, as the latter have increased mechanical properties, which have enhanced sealant retention.…”

Section: Introductionmentioning

confidence: 99%

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3-year survival rates of retained composite resin and ART sealants using two assessment criteria

Hilgert

Leal

Freire³

et al. 2017

Braz. oral res.

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Abstract:The aim was to test the null-hypothesis that there is no difference in the cumulative survival rate of retained composite resin (CR) sealants and a high-viscosity glass-ionomer Atraumatic Restorative Treatment (ART) sealant in first permanent molars calculated according to the traditional and the modified retention assessment criteria over a period of 3 years. This cluster-randomized controlled clinical trial consisted of 123 schoolchildren, 6-7-years-old. At baseline, high-caries risk pits and fissures of fully erupted first permanent molars were treated with CR and ART sealants. Evaluations were performed after 0.5, 1, 2 and 3 years. Retention was scored for free-smooth surface and for each of three sections into which the occlusal surface had been divided. The modified criterion differed from the traditional in that it determined an occlusal sealant to be a failure when at least one section contained no visible sealant material. Data were analysed according to the PHREG model with frailty correction, Wald-test, ANOVA and t-test, using the Jackknife procedure. The cumulative survival rates for retained CR and ART sealants in free-smooth and occlusal surfaces for both criteria were not statistically significantly different over the 3 years. A higher percentage of retained CR sealants on occlusal surfaces was observed at longer evaluations. Cumulative survival rates were statistically significantly lower for the modified criterion in comparison to the traditional. The modified retention assessment criterion should be used in future sealant-retention studies.

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Section: Outcomes Cumulative Survival Of Retained Sealantsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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3-year survival rates of retained composite resin and ART sealants using two assessment criteria

Hilgert

Leal

Freire³

et al. 2017

Braz. oral res.

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“…Glass-ionomer is regarded by many as unsuitable material for sealing pits and fissures (Frencken and Wolke 2010). A meta-analysis has shown that resin composite sealants have longer retention times than any other dental material (Kühnisch et al 2012). Clinical trials involving glass-ionomercement-based sealants demonstrated retention rates of only 15.6% after an observation time of two years.…”

Section: Discussionmentioning

confidence: 99%

Atraumatic restorative treatment - glass ionomer sealants survival after a postgraduate training program in Ecuador: 2-year follow-up

Rios

Diniz

Ruiz

et al. 2015

Braz. arch. biol. technol.

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This study aimed to evaluate the survival of atraumatic restorative treatment high-viscosity glass ionomer sealants (ART-hvGIS) and its relationship with carious lesions incidence in underserved communities of Ecuador. A total of 483 first permanent molars with ART-hvGIS were included after treatment, in which fifteen students of the First Preventive Dentistry Post Graduate Program of Universidad Central del

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“…The properties required of an ideal pit and fissure sealant include anticariogenicity, biocompatibility, good marginal integrity and retention rate. 2 Among those properties, the longevity of the sealant material plays an important role in the clinical setting, 3 as it can guide the clinician with regard to the choice of different materials available. Additionally, a satisfactory goal for the clinicians might be to seal the pits and fissures with the material that presents higher retention rates, protecting the sealed teeth for the first few years after eruption when the risk of caries can be higher.…”

mentioning

confidence: 99%

Answer to the letter “Complete clinical retention of sealant materials should not be contemplated as cut-off for clinical success”. Braz Oral Res. 2016;30:e32. doi: 10.1590/1807-3107BOR-2016.vol30.0032

et al. 2016

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Dear Prof. Mickenautsch, Thank you very much for reading and analyzing our paper very carefully. We actually agree with you that retention of sealant materials cannot be contemplated as any cut-off for clinical success regarding caries prevention; therefore we would like to apologize for our mistake as we erroneously state, "the complete clinical retention of sealant materials should be contemplated as the cutoff for clinical success" and cite your paper as reference to support it. 1 Although we acknowledge that the prevention/arrestment of caries is the most important clinical outcome, other parameters should also be considered when selecting a dental material. The properties required of an ideal pit and fissure sealant include anticariogenicity, biocompatibility, good marginal integrity and retention rate. 2 Among those properties, the longevity of the sealant material plays an important role in the clinical setting, 3 as it can guide the clinician with regard to the choice of different materials available. Additionally, a satisfactory goal for the clinicians might be to seal the pits and fissures with the material that presents higher retention rates, protecting the sealed teeth for the first few years after eruption when the risk of caries can be higher. 4,5 Therefore, we considered only fully retained sealants as successful in this trial, as our aim was to investigate the clinical retention of a lowcost glass ionomer cement (GIC) Maxxion R (FGM) after a short period of time (12 months). This GIC costs less than 25% of the price of Fuji IX (GC corp) or Ketac Molar Easymix (3M ESPE), factor that could enable the use of this GIC for public healthcare in deprived areas. However, there were no preview reports on the survival rate of this material as pit and fissure sealant. Our results showed that the high-cost GIC brand (Fuji IX) presented a 2-fold-more-likely-to-survive than the lowcost brand after the first year of evaluation. 6 So, the information of retention rate of this material can assist the clinician when selecting dental materials on a daily basis. We kept following these molars, not only evaluating the retention but also the caries incidence, data that will be published soon.

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Longevity of materials for pit and fissure sealing—Results from a meta-analysis

Cited by 113 publications

References 24 publications

3-year survival rates of retained composite resin and ART sealants using two assessment criteria

3-year survival rates of retained composite resin and ART sealants using two assessment criteria

Atraumatic restorative treatment - glass ionomer sealants survival after a postgraduate training program in Ecuador: 2-year follow-up

Answer to the letter “Complete clinical retention of sealant materials should not be contemplated as cut-off for clinical success”. Braz Oral Res. 2016;30:e32. doi: 10.1590/1807-3107BOR-2016.vol30.0032

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