Journal of the Formosan Medical Association
Volume 108, Issue 11 , Pages 844-848, November 2009

Comparison of Caries Prevention With Glass Ionomer and Composite Resin Fissure Sealants

  • Aylin Akbay Oba

      Affiliations

    • Department of Pediatric Dentistry, University of Kırıkkale, Turkey
    • ,
  • Türksel Dülgergil

      Affiliations

    • Department of Operative Dentistry, School of Dentistry, University of Kırıkkale, Turkey
    • ,
  • Işıl Şaroğlu Sönmez

      Affiliations

    • Department of Pediatric Dentistry, University of Kırıkkale, Turkey
    • Corresponding Author InformationCorrespondence to: Dr Işıl Şaroğlu Sönmez, Kırıkkale Üniversitesi, Diş Hekimliği Fakültesi, Pedodonti ABD, Kırıkkale, Turkey
    • ,
  • Salih Doğan

      Affiliations

    • Department of Pediatric Dentistry, School of Dentistry, University of Ankara, Turkey

Received 19 January 2008; received in revised form 17 March 2009; accepted 9 April 2009.

Article Outline

Background/Purpose

Atraumatic restorative treatment (ART) was developed primarily for use in under-served areas of the world. This study was designed to compare caries prevention with high-viscosity glass ionomer cement (GIC) sealants placed according to the ART procedure and light-cured composite resin sealants after 3 years.

Methods

The study was conducted in a boarding school in the city of Kırıkkale. Four experienced dentists placed a total of 207 sealants (91 GIC and 116 composite resin), without chair-side assistance, on the school premises.

Results

A total of 137 sealants were available after 3 years. 55.3% of the GIC and 93.8% of the composite resin sealants were lost completely, and the difference between the two groups was statistically significant. Only six of 56 teeth in the GIC group and eight of 81 in the composite resin group showed caries.

Conclusion

Under field conditions in which moisture control was not effective, a high-viscosity and less technique-sensitive glass ionomer material can be used as an effective sealant material, rather than resin.

Key Words:  atraumatic restorative treatment , composite resins , dental caries , fissure sealants , glass ionomer cement

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Petersson GH , Bratthall D . The caries decline: a review of reviews . Eur J Oral Sci . 1996;104:436–443
  2. Kaste LM , Selwitz RH , Oldakowski RJ , et al.   Coronal caries in the primary and permanent dentition of children and adolescents 1–17 years of age: United States, 1988–1991 . J Dent Res . 1996;75:631–641
  3. Simonsen RJ . Pit and fissure sealant: review of the literature . Pediatr Dent . 2002;24:393–414
  4. Smith AJE , Chimiba PD , Kalf-Scholte S , et al.   Clinical pilot study on new dental filling material and preparation procedures in developing countries . Community Dent Oral Epidemiol . 1990;18:309–312
  5. World Health Organization. Revolutionary new procedure for treating dental caries. Press release WHO/28, April 7, 1994.
  6. Yip HK , Smales RJ . Glass ionomer cements used as fissure sealants with the atraumatic restorative treatment (ART) approach: review of literature . Int Dent J . 2002;52:67–70
  7. Holmgren CJ , Lo ECM , Hu DY , et al.   ART restorations and sealants placed in Chinese school children: results after three years . Community Dent Oral Epidemiol . 2000;28:314–320
  8. Frencken JE , Makoni F , Sithole WD . ART restorations and glass-ionomer sealants in Zimbabwe: survival after 3 years . Community Dent Oral Epidemiol . 1998;26:372–381
  9. Karlzen-Reuterving G , van Dijken JWV . A 3-year follow-up of glass ionomer cement and resin fissure sealants . J Dent Child . 1995;62:108–110
  10. Mejàre I , Mjör IA . Glass ionomer and resin based fissure sealants: a clinical study . Scand J Dent Res . 1990;98:345–350
  11. Forss H , Halme E . Retention of a glass ionomer cement and a resin-based fissure sealant and effect on carious outcome after 7 years . Community Dent Oral Epidemiol . 1998;26:21–25
  12. Bohannan HM . Caries distribution and the case for sealants . J Public Health Dent . 1983;43:200–204
  13. Ripa LW . Occlusal sealing: rationale of the technique and historical review . J Am Soc Prev Dent . 1973;3:32–39
  14. Ganss C , Klinek J , Gleim A . One year clinical evaluation of the retention and quality of two fluoride releasing sealants . Clin Oral Invest . 1999;3:188–193
  15. Wendt LK , Koch G . Fissure sealant in permanent first molars after 10 years . Swed Dent J . 1988;12:181–185
  16. Adair SM . The role of sealants in caries prevention programs . J Calif Dent Assoc . 2003;31:221–227
  17. Irmisch B . Kariesprophylaxe mittels Fissurenversiegelung . Dtsch Zahnärztl Z . 1992;47:790–793 [In German]
  18. Heinrich-Weltzien R , Kühnisch J . Zur Haltbarkeit von Fissurenversiegelungen; qualitätsmanagement und mögliche Verarbeitungsfehler . Prophylaxedialog . 2003;8:8–9 [In German]
  19. Simonsen RJ . Retention and effectiveness of dental sealant after 15 years . J Am Dent Assoc . 1991;122:34–41
  20. Wagner M , Lutz F , Menghini GD , et al.   Erfahrungsbericht über Fissurenversiegelungen in der Privatpraxis mit einer Liegedauer von bis zu 10 Jahren . Schweiz Monatsschr Zahnmed . 1994;104:156–159 [In German]
  21. Ferrazzini G . Systematische Fissurenversiegelung der ersten bleibenden Molaren . Acta Med Dent Helv . 1996;13:1–12 [In German]
  22. Rajic Z , Gvozdanovic Z , Rjic-Mestrovic S , et al.   Preventive sealing of dental fissures with Heliosil: a two-year follow-up . Coll Antropol . 2000;24:151–155
  23. Vrbic V . Retention of fissure sealant and caries reduction . Quintessence Int . 1983;14:421–425
  24. Vrbic V . Five-year experience with fissure sealing . Quintessence Int . 1986;17:371–377
  25. Reuterving GK , van Dijken JWV . A three-year follow-up of glass ionomer cement and resin fissure sealants . J Dent Child . 1995;89:108–110
  26. McLean J , Wilson A . Fissure sealing and filling with an adhesive glass ionomer cement . Br Dent J . 1974;136:269–274
  27. Ho TFT , Smales RJ , Fang DKS . A 2-year clinical study of two glass ionomer cements used in the atraumatic restorative treatment (ART) technique . Community Dent Oral Epidemiol . 1999;27:195–201
  28. Poulsen S , Beiruti N , Sadat N . A comparison of retention and the effect on caries of fissure sealing with a glassionomer and a resin-based sealant . Community Dent Oral Epidemiol . 2001;29:298–301
  29. Kervanto-Seppälä S , Lavonius E , Pietilä I , et al.   Comparing the caries-preventive effect of two fissure sealing modalities in public health care: a single application of glass ionomer and a routine resin-based sealant programme. A randomized split-mouth clinical trial . Int J Paediatr Dent . 2008;18:56–61
  30. Beiruti N , Frencken JE , van't Hof MA , et al.   Cariespreventive effect of a one-time application of composite resin and glass ionomer sealants after 5 years . Caries Res . 2006;40:52–59
  31. Beiruti N , Frencken JE , van't Hof MA , et al.   Cariespreventive effect of resin-based and glass ionomer sealants over time: a systematic review . Community Dent Oral Epidemiol . 2006;34:403–409
  32. Pardi V , Pereira AC , Ambrosano GM , et al.   Clinical evaluation of three different materials used as pit and fissure sealant: 24-months results . J Clin Pediatr Dent . 2005;29:133–137
  33. Forss H , Saarni UM , Seppä L . Comparison of glassionomer and resin-based fissure sealants: a 2-year clinical trial . Community Dent Oral Epidemiol . 1994;22:21–24

PII: S0929-6646(09)60415-0

doi:10.1016/S0929-6646(09)60415-0

Journal of the Formosan Medical Association
Volume 108, Issue 11 , Pages 844-848, November 2009

Article Tools