“Comparative Evaluation of Clinical Efficacy of Pit and Fissure Sealants Combined with Enamel Deproteinization V/S Intermediate Bonding: An in Vivo Study”
Background : Dental caries is still the most common chronic childhood disease and the primary cause of tooth loss. Pit and fissure sealants (PFS) are one of the most effective non-invasive approaches to prevent and/or arrest occlusal caries in high caries risk children and in deep, retentive pits and fissures. Sodium hypochlorite is a non-invasive technique, that has been used in endodontics due to its antibacterial effects and capability to dissolve and remove organic smear layer from the root canal space without doing any harm to tooth structure.
Aims and Objectives : To Evaluate the clinical efficacy of Pit and Fissure Sealants with Enamel Deproteinization and clinical efficacy of Pit and Fissure Sealants with Intermediate Bonding and to Compare both on permanent first molars.
Materials and Methods: 35 children, age 6-9 years were enrolled into the study. 70 teeth were divided into two group in 35 children each. Group I (35teeth) –Enamel Deproteinization, Acid Etching and application of Pit and Fissure Sealant. Group II (35 teeth) - Acid Etching, application of Bonding agent and application of Pit and Fissure Sealant. The sealed teeth were clinically evaluated at 3,6 and 9 months of interval to assess marginal integrity and gross fracture around the sealant.
Results : The results showed that most of the restorations exhibited acceptable clinical performance in all the clinical parameter at the end of 9 months. Thus, it can be concluded that both the method individually can be used to increase the clinical efficacy of the pit and fissure sealant. The data obtained at 3 months, 6 months and 9 months intervals was tabulated or marginal integrity and gross fracture of pit and fissure sealants using USPHS criteria and statistically compared using the Chi-square test of significance for group 1 and group 2. The result obtained for both the group was a statistically non-significant for the frequencies obtained (p>0.05) at all time intervals.
Conclusion : Both the method individually can be used to increase the clinical efficacy of the pit and fissure sealant
