Performance of pit and fissure sealants according to tooth characteristics: A systematic review and meta-analysis

Papageorgiou, Spyridon N.; Dimitraki, Dionysia; Kotsanos, Nikolaos; Bekes, Katrin; Waes, Hubertus van

doi:10.1016/j.jdent.2017.08.004

Cited by 47 publications

(28 citation statements)

References 77 publications

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“…The use of flat surface sealants emerged likewise as an effective measure in the prevention of WSLs during orthodontic treatment. Dental sealants have been widely used to to create a protective film on pits and fissures of various teeth, and their use has been subsequently proposed also for the protection of flat tooth surfaces during orthodontic treatment. A wide variety of such orthodontic flat surface sealants exists that either include fluoride or not and are applied either before or after bracket placement .…”

Section: Discussionmentioning

confidence: 99%

Prevention of orthodontic enamel demineralization: A systematic review with meta‐analyses

Tasios

Papageorgiou

Papadopoulos

et al. 2019

Orthod Craniofacial Res

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Aim of this systematic review was to assess the efficacy of preventive interventions against the development of white spot lesions (WSLs) during fixed appliance orthodontic treatment. Nine databases were searched without limitations in September 2018 for randomized trials. Study selection, data extraction and risk of bias assessment were done independently in duplicate. Random‐effects meta‐analyses of mean differences (MDs) or relative risks (RRs) with their 95% confidence intervals (CIs) were conducted, followed by sensitivity analyses, and the GRADE analysis of the evidence quality. A total of 24 papers (23 trials) were included, assessing preventive measures applied either around orthodontic brackets (21 trials; 1427 patients; mean age 14.4 years) or molar bands (2 trials; 46 patients; age/sex not reported). Active patient reminders were associated with reduced WSL incidence on patient level compared to no reminder (3 trials; 190 patients; RR: 0.4; 95% CI: 0.31‐0.64; Number Needed to Treat [NNT]: 3 patients), flat surface sealants were associated with reduced WSL incidence on tooth level than no sealant (5 trials; 2784 teeth; RR: 0.8; 95% CI: 0.63‐0.95; NNT: 33 teeth), and fluoride varnish was associated with reduced WSL severity on tooth level (2 trials; 1160 teeth; MD: −0.32 points; 95% CI: −0.44 to −0.21 points). However, the quality of evidence was low according to GRADE, due to risk of bias. Some evidence indicates that active patient reminders and flat surface sealants or fluoride varnish around orthodontic brackets might be associated with reduced WSL burden, but further research is needed.

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Section: Discussionmentioning

confidence: 99%

Prevention of orthodontic enamel demineralization: A systematic review with meta‐analyses

Tasios

Papageorgiou

Papadopoulos

et al. 2019

Orthod Craniofacial Res

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“…Occlusal pits and fissures are highly susceptible to caries particularly in freshly erupted teeth. Sealing of pits and fissures with sealants has been suggested as an effective strategy to decrease the occurrence of caries [1]. The preventive effects of fissure sealant therapy directly depend on the flowability of sealants, efficient filling of anatomical defects and their strong and durable bond to tooth structure [2].…”

Section: Introductionmentioning

confidence: 99%

Microleakage of a Self-Adhesive Flowable Composite, a Self-Adhesive Fissure Sealant and a Conventional Fissure Sealant in Permanent Teeth with/without Saliva Contamination

Hosseinipour¹,

Heidari²,

Shahrabi³

et al. 2019

fid

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Objectives: Application of fissure sealants is a practical method for prevention of occlusal pit and fissure caries. Microleakage is an important factor affecting the success of fissure sealant treatment. This study aimed to assess the microleakage of a self-adhesive flowable composite, a self-adhesive fissure sealant and a conventional fissure sealant in permanent teeth with/without saliva contamination. Materials and Methods: This in vitro, experimental study evaluated 108 extracted human third molars, which were randomly divided into six groups (n=18) of control, Denu-Seal conventional fissure sealant applied on etched enamel with/without saliva contamination, Vertise Flow self-adhesive flowable composite applied on rinsed and dried enamel with/without saliva contamination and Prevent Seal self-adhesive fissure sealant applied on rinsed and dried enamel with/without saliva contamination. Microleakage was assessed using the dye penetration technique and subsequent observation of samples under a stereomicroscope. Data were analyzed using the Kruskal-Wallis and Tukey’s test. Results: Microleakage of the conventional fissure sealant with/without saliva contamination was significantly lower than that of other groups (P<0.05). Conclusion: Microleakage of the conventional fissure sealant is less than that of self-adhesive fissure sealant and self-adhesive composite, irrespective of saliva contamination.

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“…According to the literature, the use of sealants (resin sealants, glass ionomer cement or resinmodified glass ionomer cement) on permanent molars is considered effective, safe and feasible for the reduction of occlusal caries in schoolchildren [10][11][12]. However, there are few reports addressing preventive methods for children at high risk of tooth decay who are susceptible to the development of occlusal caries after the eruption of the primary first and second molars [6,13,14].…”

Section: Introductionmentioning

confidence: 99%

Performance of Preventive Methods Applied to the Occlusal Surface of Primary Teeth: A Randomized Clinical Study

Fracasso¹,

Venante

Santin³

et al. 2018

Pesqui. bras. odontopediatria clín. integr.

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Objective: To evaluate the clinical performance of three preventive materials on the occlusal surfaces of primary molars over a 36-month period. Material and Methods: The study was conducted with a split-mouth design involving four experimental groups: G1 -resin-modified glass ionomer cement (Vitremer ® ); G2 -resin sealant (Alpha Seal Light ® ); G3 -silver diamine fluoride (Cariostatic ® ); and G4 -control group without material. Thirty-two children aged 36 to 60 months, attending a pediatric clinic, with a deft index ≥ 1 and four primary second molars participated in the study. The material retention was evaluated in G1 and G2, and the presence of incipient caries was evaluated in all groups. Data were submitted to the Wilcoxon test and survival test (α = 5%). Results: At three, six, 12, 24 and 36 months, G2 exhibited greater material loss (maximum loss: 44%) in comparison to G1 (maximum loss: 35%), but this difference did not achieve statistical significance (p = 0.214). The highest incidence of incipient caries occurred in G3 (20%), but no significant differences were found between groups at any evaluation time (p = 0.154). Conclusion: There were no statistically significant differences between the evaluated products regarding material retention and dental caries, although there was more material loss in teeth that received the Alpha Seal ® sealant resin, and a greater number of carious lesions in the Cariostatic® group (silver diamine fluoride).

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Performance of pit and fissure sealants according to tooth characteristics: A systematic review and meta-analysis

Abstract: Based on existing evidence, pit and fissure sealants can be effectively applied on any deciduous or permanent posterior teeth without adverse effects on their clinical performance.

Cited by 47 publications

References 77 publications

Prevention of orthodontic enamel demineralization: A systematic review with meta‐analyses

Prevention of orthodontic enamel demineralization: A systematic review with meta‐analyses

Microleakage of a Self-Adhesive Flowable Composite, a Self-Adhesive Fissure Sealant and a Conventional Fissure Sealant in Permanent Teeth with/without Saliva Contamination

Performance of Preventive Methods Applied to the Occlusal Surface of Primary Teeth: A Randomized Clinical Study

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