A comparison of microleakage in self-etch fissure sealants and conventional fissure sealants with total-etch or self-etch adhesive systems

ABSTRACT

Objective: The present study was conducted to compare microleakage in self-etching fissure sealants and conventional fissure sealants with total-etch or self-etch adhesive systems. Settings and Design: This experimental in vitro study was conducted on 60 healthy third molars extracted from humans. The first group received Acid etch + Clinpro sealant, the second group received Acid etch + Single bond 2 + Clinpro sealant, the third group received Single bond universal (self-etching bonding) + Clinpro sealant, and the fourth group received prevent seal self-etching sealant. Materials and Methods: An incision was made on the teeth after they were immersed in methylene blue 5%. The samples were then examined under a stereomicroscope and the dye penetration rate was measured based on the Williams and Winter criteria. Statistical Analysis Used: The Kruskal–Wallis and Mann–Whitney tests were used for data analysis in SPSS-18 (P < 0.05). Results: Group 1 which was treated with the conventional technique (acid + fissure sealant) had the highest rate of microleakage compared to Groups 2 and 3 (P < 0.001). Conclusion: The results showed that the use of bonding results in a significant reduction in the microleakage of fissure sealants. The microleakage caused when using self-etch fissure sealant was not different from that caused by the use of the conventional method.

Key words:

Bonding - fissure sealant - microleakage

• REFERENCES

• 1 Jabbarifar SE, Ghasemi D, Barekatain M, Alizadeh F, Tahmourespoor S. In vitro comparison of microleakage of a self-etching fissure sealant with a flowable composite resin and a conventional fissure sealant. J Isfahan Dent Sch 2014; 10: 259-65
• 2 Ripa LW. Sealants revisted: An update of the effectiveness of pit-and-fissure sealants. Caries Res 1993; 27 (Suppl. 01) 77-82
• 3 Simonsen RJ. Retention and effectiveness of dental sealant after 15 years. J Am Dent Assoc 1991; 122: 34-42
• 4 Nogourani MK, Janghorbani M, Khadem P, Jadidi Z, Jalali S. A 12-month clinical evaluation of pit-and-fissure sealants placed with and without etch-and-rinse and self-etch adhesive systems in newly-erupted teeth. J Appl Oral Sci 2012; 20: 352-6
• 5 Kiremitçi A, Yalçin F, Gökalp S. Bonding to enamel and dentin using self-etching adhesive systems. Quintessence Int 2004; 35: 367-70
• 6 Grande RH, Ballester R, Singer Jda M, Santos JF. Microleakage of a universal adhesive used as a fissure sealant. Am J Dent 1998; 11: 109-13
• 7 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: 187-91
• 8 Honarmand M, Amiri N, Khazaei A, Hossini BA, Khalafinejad F. Extra-oral comparison of conventional acid-etch technique with self-etch systems in relation to microleakage of fissure sealants in permanent teeth. J Isfahan Dent Sch 2013; 2: 135-43
• 9 Yazıcı R, Yıldırım Z, Tuncer D, Berber A, Başeren M. Effects of self-etch adhesives on microleakage of fissure sealants. Clin Dent Res 2013; 37: 9-24
• 10 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: 424-30
• 11 Ram D, Mamber E, Fuks AB. Clinical performance of a non-rinse conditioning sealant in three paediatric dental practices: A retrospective study. Int J Paediatr Dent 2005; 15: 61-6
• 12 Van Meerbeek B, De Munck J, Yoshida Y, Inoue S, Vargas M, Vijay P. et al. Buonocore memorial lecture. Adhesion to enamel and dentin: Current status and future challenges. Oper Dent 2003; 28: 215-35
• 13 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: 249-51
• 14 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: 191-7
• 15 Biria M, Ghasemi A, Torabzadeh H, Shisheeian A, Baghban AA. Assessment of microshear bond strength: Self-etching sealant versus conventional sealant. J Dent (Tehran) 2014; 11: 137-42
• 16 Javadinejad S, Borojeni PM, Saleki M, Hajizadeh F. Clinical comparison of a self-etching fissure sealant with a conventional sealant: A 12-month follow-up. J Isfahan Dent Sch 2012; 8: 99-108
• 17 Biria M, Ghasemi A, Doroudgar K, Najafi AS. An Experimental Micro Leakage Study of Two Self-Etch and One Total-Etch Fissure Sealants. The Journal of Islamic Dental Association of IRAN (JIDA). 2011; 23: 182-8
• 18 Asselin ME, Fortin D, Sitbon Y, Rompré PH. Marginal microleakage of a sealant applied to permanent enamel: Evaluation of 3 application protocols. Pediatr Dent 2008; 30: 29-33
• 19 Ben-Amar A, Liberman R, Judes H, Nordenberg D. Long-term use of dentine adhesive as an interfacial sealer under class II amalgam restorations. J Oral Rehabil 1990; 17: 37-42
• 20 Pérez-Lajarín L, Cortés-Lillo O, García-Ballesta C, Cózar-Hidalgo A. Marginal microleakage of two fissure sealants: A comparative study. J Dent Child (Chic) 2003; 70: 24-8
• 21 Alani AH, Toh CG. Detection of microleakage around dental restorations: A review. Oper Dent 1997; 22: 173-85
• 22 Williams B, Price R, Winter GB. Fissure sealants. A 2-year clinical trial. Br Dent J 1978; 145: 359-64
• 23 Birkenfeld LH, Schulman A. Enhanced retention of glass-ionomer sealant by enamel etching: A microleakage and scanning electron microscopic study. Quintessence Int 1999; 30: 712-8
• 24 Hannig M, Gräfe A, Atalay S, Bott B. Microleakage and SEM evaluation of fissure sealants placed by use of self-etching priming agents. J Dent 2004; 32: 75-81
• 25 Borem LM, Feigal RJ. Reducing microleakage of sealants under salivary contamination: Digital-image analysis evaluation. Quintessence Int 1994; 25: 283-9
• 26 Mascarenhas AK, Nazar H, Al-Mutawaa S, Soparkar P. Effectiveness of primer and bond in sealant retention and caries prevention. Pediatr Dent 2008; 30: 25-8
• 27 Boksman L, McConnell RJ, Carson B, McCutcheon-Jones EF. A 2-year clinical evaluation of two pit and fissure sealants placed with and without the use of a bonding agent. Quintessence Int 1993; 24: 131-3
• 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: 436-41
• 29 Bahrololoomi Z, Soleymani A, Heydari Z. In vitro comparison of microleakage of two materials used as pit and fissure sealants. J Dent Res Dent Clin Dent Prospects 2011; 5: 83-6