Effectiveness of fissure sealant retention and caries prevention with and without primer and bond. 2013

Huda Nazar, and Ana Karina Mascarenhas, and Sabiha Al-Mutwa, and Jitendra Ariga, and Pramod Soparker
National School Oral Health Program, Ministry of Health, Kuwait City, Kuwait. hudanazar@yahoo.com

OBJECTIVE This study evaluated the effectiveness of sealant retention and caries prevention with and without primer and bond below the fissure sealant among Kuwaiti schoolchildren. METHODS This clinical trial used fissure sealant that was applied to four sound first permanent molars on 78 children. All the teeth were cleaned with pumice and rubber cups, isolated with rubber dams, and etched for 20 s. In a split-mouth study design, for the test teeth (n = 156), primer and bond (3M Scotchbond Multi-Purpose Plus System primer and bond) were applied below the sealant, and for the control teeth (n = 156), only sealant (Delton Plus) was applied. The number of tooth surfaces included was 480. Due to loss to follow-up, only 60 children were evaluated at 5 years for sealant retention and caries. The evaluation criteria were: completely retained sealant, complete or partial sealant retention, and caries. RESULTS In teeth sealed with primer and bond, 47 (19.6%) tooth surfaces had completely retained sealant, 60 (9.2%) teeth had partially retained sealant, while in 51 (21.3%) caries was prevented and 120 (50%) tooth surfaces were carious or filled. In teeth sealed without primer and bond, 25% (60 tooth surfaces) had completely retained sealant, 6% (14 teeth surfaces) had partially retained sealant, 26% (54 teeth surfaces) showed caries prevention, and 49.6% (119 tooth surfaces) were carious or filled. There was no difference between teeth sealed with primer and bond (120 teeth) and teeth sealed without primer and bond (120 teeth) in completely retained sealant (p = 0.15), complete or partial sealant retention (p = 0.6), caries prevented (p = 0.37), and caries (p = 0.93). CONCLUSIONS Caries prevention was not enhanced in teeth sealed with primer and bond sealant compared with those sealed with sealant alone.

UI MeSH Term Description Entries
D007730 Kuwait A country located in the MIDDLE EAST, bordering the Persian Gulf, between IRAQ and SAUDI ARABIA. The capital is Kuwait City.
D008297 Male Males
D010895 Pit and Fissure Sealants Agents used to occlude dental enamel pits and fissures in the prevention of dental caries. Dental Sealant,Dental Sealants,Fissure Sealant,Fissure Sealants,Pit And Fissure Sealant,Pit Fissure Sealant,Sealants, Tooth,Pit Fissure Sealants,Sealants, Dental,Fissure Sealant, Pit,Fissure Sealants, Pit,Sealant, Dental,Sealant, Fissure,Sealant, Pit Fissure,Sealant, Tooth,Sealants, Fissure,Sealants, Pit Fissure,Tooth Sealant,Tooth Sealants
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003731 Dental Caries Localized destruction of the tooth surface initiated by decalcification of the enamel followed by enzymatic lysis of organic structures and leading to cavity formation. If left unchecked, the cavity may penetrate the enamel and dentin and reach the pulp. Caries, Dental,Carious Lesions,Dental Cavities,Dental Cavity,Dental Decay,Dental White Spots,Carious Dentin,Decay, Dental,Dental White Spot,White Spot, Dental,White Spots, Dental,Carious Dentins,Carious Lesion,Cavities, Dental,Cavity, Dental,Dentin, Carious,Dentins, Carious,Lesion, Carious,Lesions, Carious,Spot, Dental White,Spots, Dental White
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D016733 Rubber Dams Sheets of latex rubber punched and placed over the teeth during dental procedures to isolate the field of operation from the rest of the oral cavity (Jablonski; Illustrated Dictionary of Dentistry, 1982). Rubber dams are useful in preventing the swallowing of instruments or restorations during dental work. Rubberdam,Dam, Rubber,Dams, Rubber,Rubber Dam,Rubberdams
D017438 Bisphenol A-Glycidyl Methacrylate The reaction product of bisphenol A and glycidyl methacrylate that undergoes polymerization when exposed to ultraviolet light or mixed with a catalyst. It is used as a bond implant material and as the resin component of dental sealants and composite restorative materials. Bis-GMA,Bis-GMA Polymer,2-Propenoic acid, 2-methyl-, (1-methylethylidene)bis(4,1-phenyleneoxy(2-hydroxy-3,1-propanediyl)) ester, homopolymer,Adaptic,Bis(Phenol A-Glycidyl Methacrylate),Bis(Phenol A-Glycidyl Methacrylate), Homopolymer,Bis(Phenol A-Glycydyl Methacrylate),Bis-GMA Resin,Bisphenol A-Glycidyl Methacrylate Homopolymer,Bisphenol A-Glycidyl Methacrylate Polymer,Concise Composite Resin,Concise Enamel Bond,Concise Enamel Bond System,Concise Resin,Concise White Sealant,Conclude Composite Resin,Conclude Resin,Delton,Epoxylite-9075,Kerr Pit and Fissure Sealant,Kerr Sealer,Nuva-Seal,Panavia Opaque,Poly(Bis-GMA),Retroplast,Silux,Bis GMA,Bis GMA Polymer,Bis GMA Resin,Bis-GMA Polymers,Bis-GMA Resins,Bisphenol A Glycidyl Methacrylate,Bisphenol A Glycidyl Methacrylate Homopolymer,Bisphenol A Glycidyl Methacrylate Polymer,Bond, Concise Enamel,Composite Resin, Concise,Composite Resin, Conclude,Composite Resins, Concise,Concise Composite Resins,Concise Resins,Enamel Bond, Concise,Epoxylite 9075,Epoxylite9075,Methacrylate, Bisphenol A-Glycidyl,Nuva Seal,NuvaSeal,Opaque, Panavia,Polymer, Bis-GMA,Polymers, Bis-GMA,Resin, Bis-GMA,Resin, Concise,Resin, Concise Composite,Resin, Conclude,Resin, Conclude Composite,Resins, Bis-GMA,Resins, Concise,Resins, Concise Composite
D019279 Resin Cements Dental cements composed either of polymethyl methacrylate or dimethacrylate, produced by mixing an acrylic monomer liquid with acrylic polymers and mineral fillers. The cement is insoluble in water and is thus resistant to fluids in the mouth, but is also irritating to the dental pulp. It is used chiefly as a luting agent for fabricated and temporary restorations. (Jablonski's Dictionary of Dentistry, 1992, p159) Resin Cement,Cement, Resin,Cements, Resin

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