Original Article

Microleakage of a Self-Adhesive Flowable Composite, a Self-Adhesive Fissure Sealant and a Conventional Fissure Sealant in Permanent Teeth with/without Saliva Contamination

Abstract

Objectives: Application of fissure sealants is a practical method for prevention of occlusal pit and fissure caries. Microleakage is an important factor affecting the success of fissure sealant treatment. This study aimed to assess the microleakage of a self-adhesive flowable composite, a self-adhesive fissure sealant and a conventional fissure sealant in permanent teeth with/without saliva contamination.
Materials and Methods: This in vitro, experimental study evaluated 108 extracted human third molars, which were randomly divided into six groups (n=18) of control, Denu-Seal conventional fissure sealant applied on etched enamel with/without saliva contamination, Vertise Flow self-adhesive flowable composite applied on rinsed and dried enamel with/without saliva contamination and Prevent Seal self-adhesive fissure sealant applied on rinsed and dried enamel with/without saliva contamination. Microleakage was assessed using the dye penetration technique and subsequent observation of samples under a stereomicroscope. Data were analyzed using the Kruskal-Wallis and Tukey’s test.
Results: Microleakage of the conventional fissure sealant with/without saliva contamination was significantly lower than that of other groups (P<0.05).
Conclusion: Microleakage of the conventional fissure sealant is less than that of self-adhesive fissure sealant and self-adhesive composite, irrespective of saliva contamination.

References

Shaw L. Modern thoughts on fissure sealants. Dental update. 2000;27(8):370-4.

Dennison JB, STRAFFON LH, SMITH RC. Effectiveness of sealant treatment: over five years in an insured population. The Journal of the American Dental Association. 2000;131(5):597-605.

Feigal RJ, Hitt J, Splieth C. Retaining sealant on salivary contaminated enamel. The Journal of the American Dental Association. 1993;124(3):90.

Simonsen RJ. Pit and fissure sealant: review of the literature. Pediatric dentistry. 2002;24(5):393-414.

Feigal RJ. The use of pit and fissure sealants. Pediatric dentistry. 2002;24(5):415-22.

Hormati AA, Fuller JL, Denehy GE. Effects of contamination and mechanical disturbance on the quality of acid-etched enamel. The Journal of the American Dental Association. 1980;100(1):34-8.

Feigal R, Musherure P, Gillespie B, Levy-Polack M, Quelhas I, Hebling J. Improved sealant retention with bonding agents: a clinical study of two-bottle and single-bottle systems. Journal of Dental Research. 2000;79(11):1850-6.

Feigal R, Quelhas I. Clinical trial of a self-etching adhesive for sealant application: success at 24 months with Prompt L-Pop. American journal of dentistry. 2003;16(4):249-51.

Torres CP, Balbo P, Gomes-Silva JM, Ramos RP, Palma-Dibb RG, Borsatto MC. Effect of individual or simultaneous curing on sealant bond strength. Journal of dentistry for children. 2005;72(1):31-5.

Borsatto MC, Corona SAM, Alves A, Chimello D, Catirse A, Palma-Dibb R. Influence of salivary contamination on marginal microleakage of pit and fissure sealants. American journal of dentistry. 2004;17:365-7.

Donly K. Sealants: where we have been; where we are going. General dentistry. 2002;50(5):438-40.

Corona S, Borsatto M, Garcia L, Ramos R, PALMA‐DIBB R. Randomized, controlled trial comparing the retention of a flowable restorative system with a conventional resin sealant: one‐year follow up. International journal of paediatric dentistry. 2005;15(1):44-50.

Prager M. Using flowable composites in direct posterior restorations. Dentistry today. 1997;16(7):62, 4, 6.

Autio-Gold J. Clinical evaluation of a medium-filled flowable restorative material as a pit and fissure sealant. Operative dentistry. 2002;27(4):325-9.

Tuloglu N, Tunc ES, Ozer S, Bayrak S. Shear bond strength of self-adhering flowable composite on dentin with and without application of an adhesive system. Journal of applied biomaterials & functional materials. 2014;12(2).

Vichi A, Margvelashvili M, Goracci C, Papacchini F, Ferrari M. Bonding and sealing ability of a new self-adhering flowable composite resin in class I restorations. Clinical oral investigations. 2013;17(6):1497-506.

Ganesh M, Shobha T. Comparative evaluation of the marginal sealing ability of Fuji VII and Concise as pit and fissure sealants. J Contemp Dent Pract. 2007;8(4):10-8.

Gomes-Silva JM, Torres CP, Contente MMMG, Oliveira MAHdM, Palma-Dibb RG, Borsatto MC. Bond strength of a pit-and-fissure sealant associated to etch-and-rinse and self-etching adhesive systems to saliva-contaminated enamel: individual vs. simultaneous light curing. Brazilian dental journal. 2008;19(4):341-7.

Alani AH, Toh CG. Detection of microleakage around dental restorations: a review. Oper Dent. 1997;22(4):173-85.

Hansen SR, Montgomery S. Effect of restoration thickness on the sealing ability of TERM. Journal of endodontics. 1993;19(9):448-52.

Pérez-Lajarín L, Cortes-Lillo O, García-Ballesta C, Cózar-Hidalgo A. Marginal microleakage of two fissure sealants: a comparative study. Journal of dentistry for children. 2003;70(1):24-8.

Atash R, Bottenberg P, Petein M, Abbeele AV. In vitro evaluation of the marginal seal of four restoration materials on deciduous molars. Bulletin du Groupement International pour la Recherche Scientifique en Stomatologie et Odontologie. 2008;45(1):34-41.

Kugel G, Ferrari M. The science of bonding: from first to sixth generation. The Journal of the American Dental Association. 2000;131:20S-5S.

Cehreli SB, Eminkahyagil N. Effect of active pretreatment of self-etching primers on the ultramorphology of intact primary and permanent tooth enamel. Journal of dentistry for children. 2006;73(2):86-90.

Shinohara MS, Oliveira MTd, Hipólito VD, Giannini M, Goes MFd. SEM analysis of the acid-etched enamel patterns promoted by acidic monomers and phosphoric acids. Journal of Applied Oral Science. 2006;14(6):427-35.

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

Bishara SE, Gordan VV, VonWald L, Olson ME. Effect of an acidic primer on shear bond strength of orthodontic brackets. American Journal of Orthodontics and Dentofacial Orthopedics. 1998;114(3):243-7.

Woody T, Davis R. The effect of eugenol-containing and eugenol-free temporary cements on microleakage in resin bonded restorations. Operative dentistry. 1992;17(5):175-80.

Bottenberg P, Gräber H-G, Lampert F. Penetration of etching agents and its influence on sealer penetration into fissures in vitro. Dental Materials. 1996;12(2):96-102.

Wadenya RO, Yego C, Blatz MB, Mante F. Bond strength and microleakage of a new self-etch sealant. Quintessence International. 2009;40(7).

Parco T, Tantbirojn D, Versluis A, Beiraghi S. Microleakage of self-etching sealant on noncontaminated and saliva-contaminated enamel. Pediatric dentistry. 2011;33(7):479-83.

Celik E, Kucukyilmaz E, Savas S. Effect of different surface pre-treatment methods on the microleakage of two different self-adhesive composites in Class V cavities. European journal of paediatric dentistry: official journal of European Academy of Paediatric Dentistry. 2015;16(1):33-8.

Hannig M, Gräfe A, Atalay S, Bott B. Microleakage and SEM evaluation of fissure sealants placed by use of self-etching priming agents. Journal of dentistry. 2004;32(1):75-81.

Basir L, Khanehmasjedi M, Kaviani A, Haghighizadeh MH, Khalili E. An in vitro comparison of microleakage of two self-etch adhesive and the one-bottle adhesive used in pit and fissure sealant with or without saliva contamination. Shahid Beheshti University Dental Journal. 2009;27(3):113-20.

Shadman N, Ebrahimi F, Molaie N. Microleakage of Total-etch and Self-etch adhesives in class V composite cavities. Journal of Dental Medicine. 2010;23(4):227-34.

Davidson C, Feilzer A. Polymerization shrinkage and polymerization shrinkage stress in polymer-based restoratives. Journal of dentistry. 1997;25(6):435-40.

Bortolotto T, Mileo A, Krejci I. Strength of the bond as a predictor of marginal performance: an in vitro evaluation of contemporary adhesives. dental materials. 2010;26(3):242-8.

Rahimian-Imam S, Ramazani N, Fayazi MR. Marginal microleakage of conventional fissure sealants and self-adhering flowable composite as fissure sealant in permanent teeth. Journal of dentistry (Tehran). 2015;12(6):430.

Harsha PP, Dhruv KV. Comparative Evaluation of Marginal Microleakage of Conventional Fissure Sealants and Self-adhering Flowable Composites as Fissure Sealant in Permanent Teeth-An In Vitro Study. INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY. 2017;5(2):36-40.

Paschos E, Westphal J-O, Ilie N, Huth KC, Hickel R, Rudzki-Janson I. Artificial saliva contamination effects on bond strength of self-etching primers. The Angle Orthodontist. 2008;78(4):716-21.

Fakhri M, Seraj B, Shahrabi M, Motahhary P, Hooshmand T. Effect of salivary contamination on microleakage of resin composites placed with a self-etch adhesive in primary teeth: an in vitro study. Pediatric dentistry. 2009;31(4):334-9.

Campoy MD, Plasencia E, Vicente A, Bravo LA, Cibrián R. Effect of saliva contamination on bracket failure with a self-etching primer: A prospective controlled clinical trial. American Journal of Orthodontics and Dentofacial Orthopedics. 2010;137(5):679-83.

Kwon HB, Park KT. SEM and microleakage evaluation of 3 flowable composites as sealants without using bonding agents. Pediatric dentistry. 2006;28(1):48-53.

Chaitra T, Reddy VS, Devarasa G, Ravishankar T. Flowable resin used as a sealant in molars using conventional, enameloplasty and fissurotomy techniques: an in vitro study. Journal of Indian Society of pedodontics and preventive dentistry. 2010;28(3):145.

Opdam NJ, Roeters JJ, Joosten M, vd Veeke O. Porosities and voids in Class I restorations placed by six operators using a packable or syringable composite. Dental Materials. 2002;18(1):58-63.

Irinoda Y, Matsumura Y, Kito H, Nakano T, Toyama T, Nakagaki H, et al. Effect of sealant viscosity on the penetration of resin into etched human enamel. Operative dentistry. 2000;25(4):274-82.

Pardi V, Sinhoreti MAC, Pereira AC, Ambrosano GMB, Meneghim MdC. In vitro evaluation of microleakage of different materials used as pit-and-fissure sealants. Brazilian dental journal. 2006;17(1):49-52.

Files
IssueVol 16, No 4 (2019) QRcode
SectionOriginal Article
DOI https://doi.org/10.18502/fid.v16i4.2082
Keywords
Pit and Fissure Sealants Composite Resins Dental Leakage

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How to Cite
1.
Hosseinipour ZS, Heidari A, shahrabi M, Poorzandpoush K. Microleakage of a Self-Adhesive Flowable Composite, a Self-Adhesive Fissure Sealant and a Conventional Fissure Sealant in Permanent Teeth with/without Saliva Contamination. Front Dent. 2019;16(4):239-247.