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J Indian Soc Pedod Prev Dent. 2019 Jan-Mar;37(1):92-98. doi: 10.4103/JISPPD.JISPPD_173_18.

Retention of moisture-tolerant fluoride-releasing sealant and amorphous calcium phosphate-containing sealant in 6-9-year-old children: A randomized controlled trial.

Author information

1
Department of Public Health Dentistry, Government Dental College and Hospital, Nagpur, Maharashtra, India.
2
Department of Dentistry, Government Medical College and Hospital, Gondia, Maharashtra, India.
3
Department of Public Health Dentistry, Saveetha Dental college, SIMATS, Chennai, Tamil Nadu, India.
4
Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal University, Manipal, Karnataka, India.

Abstract

Context:

Pits and fissures of teeth have been recognized as the most susceptible areas for initiation of caries. The ability of the resin sealant to thoroughly fill pits, fissures, and/or morphological defects and remain completely intact and bonded to enamel surface is the primary basis for its caries prevention.

Aim:

The present study evaluated and compared the retention rates and development of caries in permanent molars of children sealed with amorphous calcium phosphate-containing (Aegis™) and moisture-tolerant fluoride-releasing (Embrace WetBond™) sealant over a period of 1 year.

Settings and Design:

This was a double-blind, split-mouth, randomized controlled trial among children aged 6-9 years.

Methods:

Sixty-eight permanent mandibular first molars in 34 children were randomly assigned to be sealed with Aegis™ or Embrace Wetbond™ sealant. The follow-up examinations were conducted at 3, 6, and 12 months for evaluating the retention and development of caries.

Statistical Analysis:

SPSS version 16.0 was used for the analysis. Within-group comparison of retention and development of caries at 3, 6, and 12 months was evaluated using the Friedman's test.

Results:

The final sample was 32 children with 64 teeth. At 12 months, 23 of 32 (72%) sealants were completely retained in Aegis™, whereas 21 of 32 (65.6%) were retained in Embrace Wetbond™ group. There was no significant difference in the retention rates of Aegis™ and Embrace Wetbond™ sealants at 12 months (P > 0.05).

Conclusion:

Aegis™ was superior to Embrace Wetbond™ sealant as Aegis™ exhibited higher retention and lower caries scores.

KEYWORDS:

Amorphous calcium phosphate; children; moisture-tolerant sealant; retention

PMID:
30804314
DOI:
10.4103/JISPPD.JISPPD_173_18
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