Evaluation of the Clinical Success of Fissure Sealants Applied to Young Permanent Teeth

Authors : Hilal Özbey İpek, Ceylan Çağıl Ertuğrul, Fulya Sarı

Pages : 19-28

Doi:10.51122/neudentj.2025.138

View : 41 | Download : 35

Publication Date : 2025-04-28

Article Type : Research Paper

Abstract :Aim: The success of a fissure sealant (FS) is usually measured with maintained retention, but it is reported that even if the FS is completely lost, the caries prevention effect may continue. The aim of the study was to evaluate clinical success of a fissure sealant according to the type, localization of applied teeth and the follow-up time and also determine the clinical success of the FS according to retention and caries prevalence. Material and Methods: Children whose permanent premolar and/or molar teeth were treated with a fluoride-releasing resin-containing FS (Clinpro Sealant™, 3M ESPE, St. Paul, MN, USA) were invited for control. The clinical success of FS was evaluated by modified USPHS criteria and the data were analyzed by Chi-square test. Results: In total, 1272 FS were examined for 2, 3 or 4 years. There was no significant relationship between the follow-up time and retention rates (p=0.150). Marginal discoloration, marginal adaptation and retention scores were significantly more successful in premolars (p≤0.05). The rates of caries in premolars and molars were 0.5% and 0% in FS with full-retention, 14.2% and 25.7% in FS with partial-retention, and 6.2% and 11.2% in FS with total loss, respectively. Conclusion: Full retention ensures the highest caries prevention. However, FS that have been completely lost are still effective in preventing caries and their success is higher than FS with partial retention. It is important to apply fissure sealants to permanent molars and premolars in every possible child to ensure their oral health in the future.
Keywords : Fissür Örtücü, Retansiyon, Çürük, Çocuk diş hekimliği