ACTA FAC
MED NAISS 2010; 27 (3):115-123|
ACTA FAC
MED NAISS 2010; 27 (3):115-123 |
Original article
UDC: 616.314-002:615.461
Clinical Comparasion of the Quality of Fissure Sealing With Fisural® and Ionosit®-Seal
in the Observation Period of up to Two
Years
Lidija Mladenović1, Dragan
Mladenović2, Sanja Mladenović2
1Dentistry Clinic, Niš, Serbia
2Faculty of Medicine University of Niš, Serbia
SUMMARY
There is nearly a unanimous standpoint that fissure system is the "region
sensitive to caries". These difficulties imposed the consideration of efficient
protection of the fissure system from caries. For final realization of this
method, both adequate selection and comprehensive planned application of
contemporary materials is necessary (composite light-initiated sealants as well
as latest glass-ionomers resin fortified) as well as adequately performed
technique of their application. The aim of the paper was to estimate the
clinical successfulness of application of the two types of sealants,
Fissural®-Galenika-composite sealant, representative of Ш generation and
Ionosit®-seal-DMG Hamburg, glass-ionomer resin fortified, on the basis of
determined clinical criteria as per Cvar and Ryge in the function of time from
one week to two years. Clinical investigations were carried out on 72 teeth of
transcanine sector with 36 patients of both genders aged 18-25 years, by the
method of invasive technique. Upon sealing fissures, teeth were monitored by
clinical method - probing of edge attachment of the sealant, as per Cvar and
Ryge criteria (retention of the sealant, marginal adaptation, change of surface
structure, edge coloring and secondary caries). The results of analysis of all
adopted criteria did not show аnу changes after the observation period of 7 days
for both preparations. There was evident continued declining trend of the
quality of Fissural after two years, which confirmed the declining values of all
adopted criteria: full retention of preparations (77.77%), full marginal
adaptation (77.77%), edge coloring (11.12%), change of surface structure
(88.88%) and appearance of secondary caries (11.12%). With Ionosit® seal, high
relative values of all adopted criteria weге retained, with a slight decline.
The results confirmed that Ionosit-seal®, a hybrid glass-ionomer sealant showed
better qualities than Fissural®, a composite sealant of III
generation, in all analyzed criteria after observation period of two years.
Key words: caries, fissure, sealing