Effectiveness of Fissure Sealants Bonded With Different Universal Adhesives
Study Details
Study Description
Brief Summary
The purpose of this study is to evaluate and compare the clinical retention of a resin-based fissure sealant placed with prior application of etch-and-rinse and self-etch modes of universal adhesives.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Sealants will placed on previously unsealed, caries-free permanent first molars, employing a split-mouth design. 100 patients will be included the study. The teeth will be randomized into eight groups according to the adhesive systems and modes placed under the tested resin-based sealant.
Group1: Acid-Etch + Fissure sealant (ClinPro 3M ESPE, U.S.) (Control arm) Group2: All Bond Universal (Bisco Inc., Schaumburg,IL, U.S.) - with self etch technique + Fissure sealant ; Group3: All Bond Universal - total etch technique + Fissure sealant Group4: Scotchbond (Single Bond) Universal (3M ESPE, U.S.) - self etch technique + Fissure sealant Group5: Scotchbond (Single Bond) Universal - total etch technique + Fissure sealant Group6: Clearfil
Universal Bond (Kuraray, Tokyo, Japan) - self etch technique + Fissure sealant Group7:
Clearfil Universal Bond- total etch technique + Fissure sealant Group8: Single Bond Plus (3M ESPE)- total etch technique + Fissure sealant
Clinical assessments will be performed according to modified USPHS criteria at 3, 6, 12, 18 and 24 months. Retention, seconder caries, marginal adaptation and marginal discoloration of the sealants will be evaluated.
The data will be analyzed statistically using Fisher's Exact test and Kaplan-Meier analysis.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
No Intervention: acid-etch Acid etch+fissure sealant |
|
Other: All Bond universal adhesive Acid etch+ All Bond universal adhesive agent+fissure sealant |
Device: Adhesive agent
Agents used to bond the restorative materials to teeth structure.
|
Other: All Bond universal All Bond universal adhesive agent+fissure sealant |
Device: Adhesive agent
Agents used to bond the restorative materials to teeth structure.
|
Other: Scotchbond universal adhesive Acid etch+ Scotchbond universal adhesive agent+fissure sealant |
Device: Adhesive agent
Agents used to bond the restorative materials to teeth structure.
|
Other: Scotchbond universal Scotchbond universal adhesive agent+fissure sealant |
Device: Adhesive agent
Agents used to bond the restorative materials to teeth structure.
|
Other: Clearfil universal adhesive Acid etch+ Clearfil universal adhesive agent+fissure sealant |
Device: Adhesive agent
Agents used to bond the restorative materials to teeth structure.
|
Other: Clearfil universal Clearfil universal adhesive agent+fissure sealant |
Device: Adhesive agent
Agents used to bond the restorative materials to teeth structure.
|
Other: Total-etch Dental Adhesive Acid etch+ Single Bond adhesive agent+fissure sealant |
Device: Adhesive agent
Agents used to bond the restorative materials to teeth structure.
|
Outcome Measures
Primary Outcome Measures
- Completion of clinical evaluations (retention, secondary caries, marginal adaptation and marginal discoloration) of all teeth assessed by modified USPHS criteria [24 months]
Long-term clinical success of different universal adhesives under fissure sealants
Eligibility Criteria
Criteria
Inclusion Criteria:
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Teeth having clinical indication of sealing with pit and fissure sealant.
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Patients with four fully-erupted permanent molars, with unstained, caries-free and unsealed pit and fissures.
Exclusion Criteria:
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Patients having incipient carious lesions, fewer erupted molars or teeth without pits on buccal/palatal surfaces.
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Patients with systemic diseases.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Hacettepe University
Investigators
- Principal Investigator: Zafer C Cehreli, Prof, Hacettepe University
Study Documents (Full-Text)
None provided.More Information
Publications
- Feigal RJ, 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. J Dent Res. 2000 Nov;79(11):1850-6.
- Karaman E, Yazici AR, Tuncer D, Firat E, Unluer S, Baseren M. A 48-month clinical evaluation of fissure sealants placed with different adhesive systems. Oper Dent. 2013 Jul-Aug;38(4):369-75. doi: 10.2341/12-181-C. Epub 2012 Dec 4.
- McCafferty J, O'Connell AC. A randomised clinical trial on the use of intermediate bonding on the retention of fissure sealants in children. Int J Paediatr Dent. 2016 Mar;26(2):110-5. doi: 10.1111/ipd.12165. Epub 2015 Apr 10.
- HUDHF-1