Clinical evaluation of a surface pre-reacted glass (S-PRG) filler-containing dental sealant placed with a self-etching primer/adhesive

Abstract

Aims

To clinically evaluate the retention rates and caries-prevention effect of a resin-based, non-etch and rinse, self-etch primed pit and fissure sealant containing Sealant Pre-reacted Glass Ionomer Cement (S-PRG) fillers, in comparison to a conventional resin-based sealant over an 18-month period.

Methods

There were 81 children, aged 6–12 years old, who were randomly assigned to one of two sealant-groups, either the self-etch primed sealant (Beautisealant, Shofu) or the conventional etch and rinse sealant (Seal it, Spident). A total of 218 sealants of both groups were placed on first permanent molars with either sound surfaces (The International Caries Detection and Assessment System [ICDAS], code 0) or incipient enamel caries lesions (ICDAS code 1) according to the manufacturers’ instructions. Each sealant restoration was independently evaluated in terms of retention and caries status at 6, 12 and 18 months. The data were statistically analysed with the Chi-squared test and z-test and the level of significance was preset at α = 0.05.

Results

The differences between the complete retention rates of the two sealant groups were statistically significant in all periods of evaluation (p < 0.01). Survival rates of each sealant-group were comparable on sound (ICDAS 0) and enamel caries lesions (ICDAS1). Caries prevention effect of the two sealant groups was similar at the end of the evaluation period.

Conclusions

The clinical performance of the S-PRG filler-containing dental sealant placed with a self-etching primer was poor regarding its retention. Its significantly higher loss did not lead to more carious occlusal surfaces at the 18-month recall.

This is a preview of subscription content, log in to check access.

Fig. 1

References

  1. Ahovuo-Saloranta A, Forss H, Walsh T, et al. Sealants for preventing dental decay in the permanent teeth. Cochrane Database Syst Rev. 2013;(3):CD001830.

  2. Aman N, Khan FR, Salim A, Farid H. A randomized control clinical trial of fissure sealant retention: self etch adhesive versus total etch adhesive. J Conserv Dent. 2015;18(1):20–4.

    Article  Google Scholar 

  3. Bader JD, Shugars DA. The evidence supporting alternative management strategies for early occlusal caries and suspected occlusal dentinal caries. J Evid Based Dent Pract. 2006;6(1):91–100.

    Article  Google Scholar 

  4. Beauchamp J, Caufield PW, Crall JJ, et al. Evidence-based clinical recommendations for the use of pit-and-fissure sealants: a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc. 2008;139(3):257–68.

    Article  Google Scholar 

  5. Bravo M, Osorio E, García-Anllo I, Llodra JC, Baca P. The influence of dft index on sealant success: a 48-month survival analysis. J Dent Res. 1996;75(2):768–74.

    Article  Google Scholar 

  6. Burbridge L, Nugent Z, Deery C. A randomized controlled trial of the effectiveness of a one-step conditioning agent in sealant placement: 6-month results. Int J Paediatr Dent. 2006;16(6):424–30.

    Article  Google Scholar 

  7. Burrow JF, Burrow MF, Makinson OF. Pits and fissures: relative space contribution in fissures from sealants, prophylaxis pastes and organic remnants. Aust Dent J. 2003;48(3):175–9.

    Article  Google Scholar 

  8. Dionysopoulos D, Sfeikos T, Tolidis K. Fluoride release and recharging ability of new dental sealants. Eur Arch Paediatr Dent. 2016;17(1):45–51.

    Article  Google Scholar 

  9. dos Santos KT, Sundfeld RH, Garbin CAS, et al. Length of resin tags in pit-and-fissure sealants: all-in-one self-etching adhesive vs phosphoric acid etching. Compend Contin Educ Dent. 2008;29(3):186–92.

    PubMed  Google Scholar 

  10. Feigal RJ, Donly KJ. The use of pit and fissure sealants. Pediatr Dent. 2006;28(2):143–50.

    PubMed  Google Scholar 

  11. Feigal RJ, Quelhas I. Clinical trial of a self-etching adhesive for sealant application: success at 24 months with Prompt L-Pop. Am J Dent. 2003;16(4):249–51.

    PubMed  Google Scholar 

  12. Griffin SO, Oong E, Kohn W, et al. The effectiveness of sealants in managing caries lesions. J Dent Res. 2008;87(2):169–74.

    Article  Google Scholar 

  13. Handelman SL, Leverett DH, Espeland M, Curzon J. Retention of sealants over carious and sound tooth surfaces. Community Dent Oral Epidemiol. 1987;15(1):1–5.

    Article  Google Scholar 

  14. Hebling J, Feigal RJ. Use of one-bottle adhesive as an intermediate bonding layer to reduce sealant microleakage on saliva-contaminated enamel. Am J Dent. 2000;13(4):187–91.

    PubMed  Google Scholar 

  15. Hitt JC, Feigal RJ. Use of a bonding agent to reduce sealant sensitivity to moisture contamination: an in vitro study. Pediatr Dent. 1992;14(1):41–6.

    PubMed  Google Scholar 

  16. Ikemura K, Tay FR, Endo T, Pashley DH. A review of chemical-approach and ultramorphological studies on the development of fluoride-releasing dental adhesives comprising new pre-reacted glass ionomer (PRG) fillers. Dent Mater J. 2008;27(3):315–39.

    Article  Google Scholar 

  17. Kaga M, Kakuda S, Ida Y, et al. Inhibition of enamel demineralization by buffering effect of S-PRG filler-containing dental sealant. Eur J Oral Sci. 2014;122(1):78–83.

    Article  Google Scholar 

  18. Kanemura N, Sano H, Tagami J. Tensile bond strength to and SEM evaluation of ground and intact enamel surfaces. J Dent. 1999;27(7):523–30.

    Article  Google Scholar 

  19. Karaman E, Yazici A, Tuncer D, et al. A 48-month clinical evaluation of fissure sealants placed with different adhesive systems. Oper Dent. 2013;38(4):369–75.

    Article  Google Scholar 

  20. Michalaki MG, Oulis CJ, Lagouvardos P. Microleakage of three different sealants on sound and questionable occlusal surfaces of permanent molars: an in vitro study. Eur Arch Paediatr Dent. 2010;11(1):26–31.

    Article  Google Scholar 

  21. Oulis CJ, Berdouses ED. Fissure sealant retention and caries development after resealing on first permanent molars of children with low, moderate and high caries risk. Eur Arch Paediatr Dent. 2009;10(4):211–7.

    Article  Google Scholar 

  22. Pashley DH, Tay FR. Aggressiveness of contemporary self-etching adhesives. Part II: etching effects on unground enamel. Dent Mater. 2001;17(5):430–44.

    Article  Google Scholar 

  23. Peutzfeldt A, Nielsen LA. Bond strength of a sealant to primary and permanent enamel: phosphoric acid versus self-etching adhesive. Pediatr Dent. 2004;26(3):240–4.

    PubMed  Google Scholar 

  24. Shimazu K, Ogata K, Karibe H. Evaluation of the ion-releasing and recharging abilities of a resin-based fissure sealant containing S-PRG filler. Dent Mater J. 2011;30(6):923–7.

    Article  Google Scholar 

  25. Shinohara MS, de Oliveira MT, Di Hipólito V, Giannini M, de Goes MF. SEM analysis of the acid-etched enamel patterns promoted by acidic monomers and phosphoric acids. J Appl Oral Sci. 2006;14(6):427–35.

    Article  Google Scholar 

  26. Soto-Rojas AE, Escoffié-Ramírez M, Pérez-Ferrera G, et al. Retention of dental sealants placed on sound teeth and incipient caries lesions as part of a service-learning programme in rural areas in Mexico. Int J Paediatr Dent. 2012;22(6):451–8.

    Article  Google Scholar 

  27. Swift EJ, Perdigão J, Heymann HO. Bonding to enamel and dentin: a brief history and state of the art, 1995. Quintessence Int. 1995;26(2):95–110.

    PubMed  Google Scholar 

  28. Tulunoğlu O, Bodur H, Uçtaşli M, Alaçam A. The effect of bonding agents on the microleakage and bond strength of sealant in primary teeth. J Oral Rehabil. 1999;26(5):436–41.

    Article  Google Scholar 

  29. Venker DJ, Kuthy RA, Qian F, Kanellis MJ. Twelve-month sealant retention in a school-based program using a self-etching primer/adhesive. J Public Health Dent. 2004;64(4):191–7.

    Article  Google Scholar 

  30. Welbury R, Raadal M, Lygidakis NA. European Academy of Paediatric Dentistry. EAPD guidelines for the use of pit and fissure sealants. Eur J Paediatr Dent. 2004;5(3):179–84.

    PubMed  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to S. Ntaoutidou.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Ntaoutidou, S., Arhakis, A., Tolidis, K. et al. Clinical evaluation of a surface pre-reacted glass (S-PRG) filler-containing dental sealant placed with a self-etching primer/adhesive. Eur Arch Paediatr Dent 19, 431–437 (2018). https://doi.org/10.1007/s40368-018-0379-z

Download citation

Keywords

  • Dental sealants
  • Resin-based
  • Pre-reacted glass fillers
  • Self-etch