Comparison of the Success Rate of Filled and Unfilled Resin-Based Fissure Sealants: A Systematic Review and Meta-Analysis

Overview

Journal Front Dent

Specialty Dentistry

Date 2022 Aug 8

PMID 35937149

Authors

Elmira Bagheri

Alireza Sarraf Shirazi

Kiana Shekofteh

Affiliations

Soon will be listed here.

Abstract

Incorporation of fillers might improve the physical properties of sealants. This systematic review and meta-analysis evaluated the retention and caries development rate of filled and unfilled fissure sealants. This study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. The PubMed, Scopus, Embase, Cochrane Database of Systematic Reviews, and ISI Web of Knowledge were searched until October 24, 2019. The risk of bias (ROB) was assessed for the included studies based on the Cochrane collaboration common scheme for bias, and the meta-analysis was performed through a random effects model. The search resulted in 6,336 unrepeated relevant studies. After the title, abstract and full-text screening, 19 studies with 26 comparing groups were finally included in this systematic review and meta-analysis. According to the included studies, both retention rate and caries development in filled and unfilled resin-based sealants did not significantly differ within 2 years of follow-up. Since there was no significant difference in the retention rate and caries development between filled and unfilled sealants, it seems that the final decision should be made uniquely for each patient according to the type of fissure, patient's age, habits, etc.

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References

Galo R, Contente M, Borsatto M . Wear of two pit and fissure sealants in contact with primary teeth. Eur J Dent. 2014; 8(2):241-248. PMC: 4054057. DOI: 10.4103/1305-7456.130619. View

Garg N, Indushekar K, Saraf B, Sheoran N, Sardana D . Comparative Evaluation of Penetration Ability of Three Pit and Fissure Sealants and Their Relationship with Fissure Patterns. J Dent (Shiraz). 2018; 19(2):92-99. PMC: 5960740. View

Beun S, Bailly C, Devaux J, Leloup G . Physical, mechanical and rheological characterization of resin-based pit and fissure sealants compared to flowable resin composites. Dent Mater. 2011; 28(4):349-59. DOI: 10.1016/j.dental.2011.11.001. View

Welbury R, Raadal M, Lygidakis N . EAPD guidelines for the use of pit and fissure sealants. Eur J Paediatr Dent. 2004; 5(3):179-84. View

. Clinical evaluation of a medium-filled flowable restorative material as a pit and fissure sealant. Oper Dent. 2002; 27(4):325-9. View

Yazici A, Karaman E, Baseren M, Tuncer D, Yazici E, Unluer S . Clinical evaluation of a nanofilled fissure sealant placed with different adhesive systems: 24-month results. Oper Dent. 2009; 34(6):642-7. DOI: 10.2341/08-097-C. View

Naaman R, El-Housseiny A, Alamoudi N . The Use of Pit and Fissure Sealants-A Literature Review. Dent J (Basel). 2018; 5(4). PMC: 5806970. DOI: 10.3390/dj5040034. View

Baca P, Bravo M, Baca A, Jimenez A, Gonzalez-Rodriguez M . Retention of three fissure sealants and a dentin bonding system used as fissure sealant in caries prevention: 12-month follow-up results. Med Oral Patol Oral Cir Bucal. 2007; 12(6):E459-63. View

Khatri C, Stansbury J, Schultheisz C, Antonucci J . Synthesis, characterization and evaluation of urethane derivatives of Bis-GMA. Dent Mater. 2003; 19(7):584-8. DOI: 10.1016/s0109-5641(02)00108-2. View

10.

Boksman L, McConnell R, Carson B . 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(2):131-3. View

11.

Kobayashi T, Rios D, Machado M, Oliveira T, Da Silva S . A Two-Year Clinical Evaluation of Fluoride and Non-Fluoride Resin-Based Pit-and-Fissure Sealants. Braz Dent J. 2016; 26(6):678-84. DOI: 10.1590/0103-6440201300051. View

12.

Kim K, Ong J, Okuno O . The effect of filler loading and morphology on the mechanical properties of contemporary composites. J Prosthet Dent. 2002; 87(6):642-9. DOI: 10.1067/mpr.2002.125179. View

13.

Rock W, Weatherill S, Anderson R . Retention of three fissure sealant resins. The effects of etching agent and curing method. Results over 3 years. Br Dent J. 1990; 168(8):323-5. DOI: 10.1038/sj.bdj.4807185. View

14.

Koch M, Garcia-Godoy F, Mayer T, Staehle H . Clinical evaluation of Helioseal F fissure sealant. Clin Oral Investig. 1998; 1(4):199-202. DOI: 10.1007/s007840050034. View

15.

Hassan A, Mohammed S . Effectiveness of Seven Types of Sealants: Retention after One Year. Int J Clin Pediatr Dent. 2019; 12(2):96-100. PMC: 6749883. DOI: 10.5005/jp-journals-10005-1600. View

16.

Cvikl B, Moritz A, Bekes K . Pit and Fissure Sealants-A Comprehensive Review. Dent J (Basel). 2018; 6(2). PMC: 6023524. DOI: 10.3390/dj6020018. View

17.

Mohanraj M, Prabhu R, Thomas E, Kumar S . Comparative Evaluation of Hydrophobic and Hydrophilic Resin-based Sealants: A Clinical Study. J Contemp Dent Pract. 2019; 20(7):812-817. View

18.

do Rego M, de Araujo M . A 2-year clinical evaluation of fluoride-containing pit and fissure sealants placed with an invasive technique. Quintessence Int. 1996; 27(2):99-103. View

19.

Cagetti M, Carta G, Cocco F, Sale S, Congiu G, Mura A . Effect of Fluoridated Sealants on Adjacent Tooth Surfaces: A 30-mo Randomized Clinical Trial. J Dent Res. 2014; 93(7 Suppl):59S-65S. PMC: 4293722. DOI: 10.1177/0022034514535808. View

20.

Alsabek L, Al-Nerabieah Z, Bshara N, Comisi J . Retention and remineralization effect of moisture tolerant resin-based sealant and glass ionomer sealant on non-cavitated pit and fissure caries: Randomized controlled clinical trial. J Dent. 2019; 86:69-74. DOI: 10.1016/j.jdent.2019.05.027. View