Evaluation of pit-and-fissure sealants placed with four different bonding protocols

a randomized clinical trial

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: Application of adhesive after acid etching may increase the retention of pit-and-fissure sealants and improve clinical effectiveness. Aims: To clinically evaluate the retention, marginal discoloration and caries incidence of pit-and-fissure sealants applied using four bonding protocols: conventional acid etching, etch-and-rinse adhesive, multimode universal adhesive and self-etch adhesive used after acid etching. Design: In this split-mouth design study, the four adhesive protocols were randomly assigned to the four erupted, non-carious first permanent molars and involved 52 patients between 6 and 10 years of age. The sealants were evaluated at 3-, 6- and 12-month intervals. Statistical analysis was carried out using Friedman test and Kruskal–Wallis test. Results: At 12 months, the retention rate was maximum in etch-and-rinse and universal adhesive groups (77.1%) followed by self-etch adhesive (58.3%) and conventional acid etching group (45.8%). Dental caries was observed only in one tooth, and marginal discoloration was found to be the highest in conventional group and least in etch-and-rinse group. Conclusions: Use of adhesives during pit-and-fissure sealant application does not significantly enhance sealant retention nor decrease marginal discoloration. Etch-and-rinse adhesive is advantageous only at short term.

Original languageEnglish
Pages (from-to)444-453
Number of pages10
JournalInternational Journal of Paediatric Dentistry
Volume27
Issue number6
DOIs
Publication statusPublished - 01-11-2017

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Pit and Fissure Sealants
Adhesives
Randomized Controlled Trials
Acids
Tooth Discoloration
Dental Caries
Mouth

All Science Journal Classification (ASJC) codes

  • Dentistry(all)

Cite this

@article{44bf8f38459549e59bafec65795cf08b,
title = "Evaluation of pit-and-fissure sealants placed with four different bonding protocols: a randomized clinical trial",
abstract = "Background: Application of adhesive after acid etching may increase the retention of pit-and-fissure sealants and improve clinical effectiveness. Aims: To clinically evaluate the retention, marginal discoloration and caries incidence of pit-and-fissure sealants applied using four bonding protocols: conventional acid etching, etch-and-rinse adhesive, multimode universal adhesive and self-etch adhesive used after acid etching. Design: In this split-mouth design study, the four adhesive protocols were randomly assigned to the four erupted, non-carious first permanent molars and involved 52 patients between 6 and 10 years of age. The sealants were evaluated at 3-, 6- and 12-month intervals. Statistical analysis was carried out using Friedman test and Kruskal–Wallis test. Results: At 12 months, the retention rate was maximum in etch-and-rinse and universal adhesive groups (77.1{\%}) followed by self-etch adhesive (58.3{\%}) and conventional acid etching group (45.8{\%}). Dental caries was observed only in one tooth, and marginal discoloration was found to be the highest in conventional group and least in etch-and-rinse group. Conclusions: Use of adhesives during pit-and-fissure sealant application does not significantly enhance sealant retention nor decrease marginal discoloration. Etch-and-rinse adhesive is advantageous only at short term.",
author = "Manasi Khare and Suprabha, {Baranya Shrikrishna} and Ramya Shenoy and Arathi Rao",
year = "2017",
month = "11",
day = "1",
doi = "10.1111/ipd.12281",
language = "English",
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pages = "444--453",
journal = "International Journal of Paediatric Dentistry",
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T1 - Evaluation of pit-and-fissure sealants placed with four different bonding protocols

T2 - a randomized clinical trial

AU - Khare, Manasi

AU - Suprabha, Baranya Shrikrishna

AU - Shenoy, Ramya

AU - Rao, Arathi

PY - 2017/11/1

Y1 - 2017/11/1

N2 - Background: Application of adhesive after acid etching may increase the retention of pit-and-fissure sealants and improve clinical effectiveness. Aims: To clinically evaluate the retention, marginal discoloration and caries incidence of pit-and-fissure sealants applied using four bonding protocols: conventional acid etching, etch-and-rinse adhesive, multimode universal adhesive and self-etch adhesive used after acid etching. Design: In this split-mouth design study, the four adhesive protocols were randomly assigned to the four erupted, non-carious first permanent molars and involved 52 patients between 6 and 10 years of age. The sealants were evaluated at 3-, 6- and 12-month intervals. Statistical analysis was carried out using Friedman test and Kruskal–Wallis test. Results: At 12 months, the retention rate was maximum in etch-and-rinse and universal adhesive groups (77.1%) followed by self-etch adhesive (58.3%) and conventional acid etching group (45.8%). Dental caries was observed only in one tooth, and marginal discoloration was found to be the highest in conventional group and least in etch-and-rinse group. Conclusions: Use of adhesives during pit-and-fissure sealant application does not significantly enhance sealant retention nor decrease marginal discoloration. Etch-and-rinse adhesive is advantageous only at short term.

AB - Background: Application of adhesive after acid etching may increase the retention of pit-and-fissure sealants and improve clinical effectiveness. Aims: To clinically evaluate the retention, marginal discoloration and caries incidence of pit-and-fissure sealants applied using four bonding protocols: conventional acid etching, etch-and-rinse adhesive, multimode universal adhesive and self-etch adhesive used after acid etching. Design: In this split-mouth design study, the four adhesive protocols were randomly assigned to the four erupted, non-carious first permanent molars and involved 52 patients between 6 and 10 years of age. The sealants were evaluated at 3-, 6- and 12-month intervals. Statistical analysis was carried out using Friedman test and Kruskal–Wallis test. Results: At 12 months, the retention rate was maximum in etch-and-rinse and universal adhesive groups (77.1%) followed by self-etch adhesive (58.3%) and conventional acid etching group (45.8%). Dental caries was observed only in one tooth, and marginal discoloration was found to be the highest in conventional group and least in etch-and-rinse group. Conclusions: Use of adhesives during pit-and-fissure sealant application does not significantly enhance sealant retention nor decrease marginal discoloration. Etch-and-rinse adhesive is advantageous only at short term.

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