Permanent Molars, Pit and Fissure Sealant, Resin Infiltration
Conditions
Brief summary
The aim of this study is to evaluate and compare the clinical effectiveness of ICON resin Infiltration versus conventional sealant and the microleakage and penetration depth of the two sealant materials.
Detailed description
Using the resin infiltration technique as a different approach for sealing pits and fissures creates a diffusion barrier as resin infiltrate tends to inhibit enamel pores that serve as diffusion channels for acids and dissolved minerals within the lesion body. A low-viscosity resin that can penetrate into caries lesions, which is referred to as resin infiltration technique. The mechanisms associated with this method depend on the infiltration of subsurface lesions with low-viscosity light-curing resins after eroding the highly mineralized surface layer and increasing penetration depth. This method is believed to overcome the limitations of sealant applications and is considered to be a better alternative for the treatment of initial caries lesions.
Interventions
DRUGResin-based fissure sealant in vitro
The fissure of selected teeth will be sealed with resin-based fissure sealant (Heliosael) in vitro
The fissure of selected teeth will be sealed with ICON resin infiltration Material (DMG Dental UK).
DRUGResin-based fissure sealant group in vivo
The fissure of selected teeth will be sealed with resin-based fissure sealant (Heliosael)
DRUGICON resin infiltration in vitro
The fissure of selected teeth will be sealed with ICON resin infiltration Material (DMG Dental UK) in vitro
Sponsors
Tanta University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Masking description
For the application of ICON, The cleaned fissure was etched using an Icon-Etch in its special syringe for 2 minutes. Then the tooth was rinsed off using water for at least 30 seconds and dried with oil-free and water-free air. Followed by application of the Icon-Dry applied into the fissure and let sit for 30 seconds. The excess of the Icon-Dry was removed and dried with oil-free and water-free air.an ample amount of Icon-Infiltrate is applied into the fissure away from the direct light of the dental unit and let sit for 3 minutes. After excess removal, it will be cured with a light source\* according to the manufacturer's instructions. A second layer of the Icon Infiltrate was applied and cured in the same way.
Eligibility
Sex/Gender
ALL
Age
6 Years to 8 Years
Healthy volunteers
Yes
Inclusion criteria
1. Age of the children from 6 to 8 years. 2. Healthy children free from any systemic disease. 3. Show bilaterally sound fully erupted lower first permanent molars with deep narrow central fissures and supplemental grooves. 4. The eruption time of these molars should not exceed 3 years. 5. No sign of pain or active periodontal disease in the selected teeth.
Exclusion criteria
1. Children with fillings or sealants in the selected teeth. 2. Children with clinical evidence of caries in the selected teeth either white spot lesions or cavities. 3. Children with an allergy to any drug, such as resin restorative material. 4. Children with Extremely poor oral hygiene. 5. Hypoplastic teeth. 6. Children with bruxism.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluate the clinical effectiveness of ICON resin and the sealant retention using Simonsen's criteria. | 3 minutes for application of ICON. The children will be recalled at 3, 6, and 9 months | 172 permanent mandibular molars out of 86 children will be randomly allocated into two equal groups. Group 1: The fissure of selected teeth will be sealed with ICON resin infiltration Material (DMG Dental UK). Group 2: The fissure of selected teeth will be sealed with resin-based fissure sealant (Heliosael).For application of ICON, an ample amount of Icon-Infiltrate is applied into the fissure away from the direct light of the dental unit and let sit for 3 minutes. After excess removal, it will be cured with a light source. A second layer of the Icon Infiltrate was applied and cured in the same way. For Heliosael application, The sealant will be carefully applied starting from the maximum depth of the central fissure up towards two. Sealant retention will be evaluated using Simonsen's criteria. (Completely present: no sealant ledge is present, Partially present: part of the sealed pit or fissure, Complete missing: no sealant ledge is present. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluate and compare the microleakage and penetration depth of the two sealant materials | thirty seconds for application of Heliosael.The children will be recalled at 3, 6, and 9 months | 20 teeth will be randomly assigned into two equal experimental groups . Experimental Group I: The fissure of selected teeth will be sealed with ICON resin infiltration. Experimental Group II: The fissure of selected teeth will be sealed with resin-based fissure sealant (Heliosael). After removal from the dye teeth will be rinsed with water, cleaned, and sectioned longitudinally through the center of the restorations in a buccolingual direction with a double-sided diamond disc and will be given a code number to permit blind evaluation. For each specimen, the dye penetration along the buccal and lingual margins on each sectioned surface will be digitally photographed at 10x under a stereomicroscope. The degree of microleakage was scored by a single observer. |
Countries
Egypt
Contacts
Primary ContactSalsabeel M Abdelgaffar, B.D.S
Outcome results
None listed