Journal of AdvancedMedical and Dental Sciences Research

SIX MONTHS CLINICAL PERFORMANCE OF SELF ETCH -SELF ADHESIVE FLOWABLE COMPOSITE AND CONVENTIONAL PIT-AND-FISSURE SEALANTS IN 7 TO 10 YEAR OLD CHILDREN

Background: The majority of sealants available in the market have the same basic chemical composition hence, it is important to know the effectiveness and retention capacity, marginal discoloration, surface texture and anatomical form of each sealant. Aims: Aim of this study was to evaluate the retention rate, marginal integrity and marginal discoloration of two different sealant using rubber dam isolation on molars of 7 to 10 year old children. Material and methods: 20 children of 7 to 10 year with intact deep and retentive fissures, who were reporting to the Department of Pedodontics and Preventive Dentistry were selected. The two sealants that were studied included (a) Conseal F(SDI) and(b) Constic (DMG, Germany) . The four permanent first molars of each child were randomly assigned for placement of each of the two materials. The data was collected in an evaluation form provided for every patient. Pit and fissure sealant was applied by clinician and children were examined by blinded investigator. To evaluate occlusal fissure sealants, visual and tactile examination was performed with a mouth mirror and an explorer in follow-up appointments and clinical examination.. All the cases were clinically evaluated after 1, 3 and 6 months follow up. Results: The data obtained were tabulated and compared statistically using the Chi-square test of significance for marginal integrity between group I and II at 1 month, 3month and 6month interval. Highly significant difference were found between the groups (p<0.01) except for maxillary molars at 1 month follow up which showed significant value (0.029). Conclusion: Results shows significant difference between groups except for 1 month follow up of mandibular teeth. The conseal-F sealant was better than flowable composite as sealant with respect to marginal integrity and anatomical form .Both the materials showed similar results with respect to marginal discoloration.
Key words: Pit and fissure sealant, 3 in 1 composite, discolouration, retention, marginal integrity.