Evaluating the effectiveness of dental sealants in caries prevention and tooth protection

Abeer A. Albadrani; Faisal A. Almuzayil; Hawazen Z. Bushnaq; Abdullah A. Alotaibi; Khadija M. Alqarni; Amal S. Almutairi; Mohammed S. Algarni; Loloah L. Alanazi; Mashael A. Alnowisser; Ghaliah S. Albogmi

doi:10.18203/2394-6040.ijcmph20243781

Authors

Abeer A. Albadrani Dental Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
Faisal A. Almuzayil Dental Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
Hawazen Z. Bushnaq Department of Dental Services, King Abdul-Aziz Medical City, Jeddah, Saudi Arabia
Abdullah A. Alotaibi Dental Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
Khadija M. Alqarni Dental Department, National Guard Health Affairs (NGHA), Yanbu, Saudi Arabia
Amal S. Almutairi Dental Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
Mohammed S. Algarni Dental Department, National Guard Health Affairs (NGHA), Jeddah, Saudi Arabia
Loloah L. Alanazi Dental Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
Mashael A. Alnowisser Dental Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
Ghaliah S. Albogmi Dental Department, Al-Huda Military Hospital, Taif, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20243781

Keywords:

Dental sealants, Caries prevention, Fluoride release, Resin-based sealants, Bioactive materials

Abstract

Dental sealants are a proven preventive measure against dental caries, particularly on occlusal surfaces of molars and premolars, which are prone to decay. By forming a protective barrier over pits and fissures, sealants inhibit the accumulation of food particles and colonization by cariogenic bacteria. Resin-based sealants, known for their high retention and mechanical durability, are widely used, while glass ionomer sealants provide additional benefits through fluoride release, promoting remineralization and caries prevention even in areas not directly covered by the material. The effectiveness of sealants depends on factors such as the choice of material, application techniques, and environmental conditions during the procedure. Acid etching and proper isolation are critical to achieving optimal adhesion, while innovations in light-curing technologies have further enhanced sealant performance. Long-term studies highlight the importance of regular follow-up to monitor retention, address microleakage, and repair or replace worn sealants. Despite their benefits, challenges such as cost, patient compliance, and material degradation over time limit the broader application of sealants. Emerging concerns over potential biocompatibility issues, such as bisphenol A release, have prompted the development of safer alternatives. Advances in bioactive sealants and minimally invasive application techniques hold promise for improving outcomes, especially in high-risk populations. Sealants remain a cornerstone of preventive dental care, significantly reducing the risk of caries when properly applied and maintained. Tailored strategies to enhance awareness, improve access, and optimize application protocols can expand their role in reducing the global burden of dental diseases. Future innovations in materials and techniques are expected to address existing challenges, ensuring that dental sealants continue to play a vital role in promoting oral health.

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References

Simonsen RJ. Retention and effectiveness of a single application of white sealant after 10 years. J Am Dent Assoc. 1987;115(1):31-6.

Gooch BF, Griffin SO, Gray SK, Kohn WG, Rozier RG, Siegal M, et al. Preventing dental caries through school-based sealant programs: updated recommendations and reviews of evidence. J Am Dent Assoc. 2009;140(11):1356-65.

Forss H, Walsh T, Hiiri A, Nordblad A, Mäkelä M, Hv W. Sealants for preventing dental decay in the permanent teeth. Cochrane Database Syst Rev. 2013;3:CD001830.

Beauchamp J, Caufield PW, Crall JJ, Donly K, Feigal R, Gooch B, et al. Evidence-based clinical recommendations for the use of pit-and-fissure sealants: a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc. 2008;139(3):257-68.

Feigal RJ. The use of pit and fissure sealants. Pediatr Dentistry. 2002;24(5):415-22.

Wright JT, Crall JJ, Fontana M, Gillette EJ, Nový BB, Dhar V, et al. Evidence-based clinical practice guideline for the use of pit-and-fissure sealants: a report of the American Dental Association and the American Academy of Pediatric Dentistry. J Am Dent Assoc. 2016;147(8):672-82.

Bandi M, Mallineni SK, Nuvvula S. Retention and effectiveness of pit and fissure sealants placed with or without bonding agent in young permanent teeth: A randomized clinical trial with a year follow-up. Indian J Dent Res. 2020;31(6):877-82.

AlShahrani SS, AlAbbas MaS, Garcia IM, AlGhannam MI, AlRuwaili MA, Collares FM, et al. The antibacterial effects of resin-based dental sealants: a systematic review of in vitro studies. Materials. 2021;14(2):413.

Forsten L. Fluoride release and uptake by glass-ionomers and related materials and its clinical effect. Biomaterials. 1998;19(6):503-8.

Pardi V, Pereira AC, Mialhe FL, de Castro Meneghim M, Ambrosano GMB. A 5‐year evaluation of two glass‐ionomer cements used as fissure sealants. Comm Dentistry Oral Epidemiol. 2003;31(5):386-91.

Griffin SO, Gray SK, Malvitz DM, Gooch BF. Caries risk in formerly sealed teeth. J Am Dent Assoc. 2009;140(4):415-23.

Wendt LK, Koch G, Birkhed D. On the retention and effectiveness of fissure sealant in permanent molars after 15–20 years: a cohort study. Comm Dentistry Oral Epidemiol. 2001;29(4):302-7.

Alirezaei M, Bagherian A, Shirazi AS. Glass ionomer cements as fissure sealing materials: yes or no?: A systematic review and meta-analysis. J Am Dent Assoc. 2018;149(7):640-9.

Molina GF, Cabral RJ, Mazzola I, Lascano LB, Frencken JE. Mechanical performance of encapsulated restorative glass-ionomer cements for use with Atraumatic Restorative Treatment (ART). J Appl Oral Sci. 2013;21(3):243-9.

Neto FR, Maeda F, Turssi C, Serra MC. Potential agents to control enamel caries-like lesions. J Dentistry. 2009;37(10):786-90.

Cvikl B, Moritz A, Bekes K. Pit and fissure sealants—a comprehensive review. Dentistry J. 2018;6(2):18.

Bevilacqua L, Cadenaro M, Sossi A, Biasotto M, Di Lenarda R. Influence of air abrasion and etching on enamel and adaptation of a dental sealant. Eur J Paediatr Dentistry. 2007;8(1):25.

Mattar RE, Sulimany AM, Binsaleh SS, Al-Majed IM. Comparison of fissure sealant chair time and Patients’ preference using three different isolation techniques. Children. 2021;8(6):444.

Price RB, Felix CA, Andreou P. Evaluation of a second-generation LED curing light. J Canad Dent Assoc. 2003;69(10):666.

Kumar G, Dhillon JK, Rehman F. A comparative evaluation of retention of pit and fissure sealants placed with conventional acid etching and Er, Cr: YSGG laser etching: A randomised controlled trial. Laser Therapy. 2016;25(4):291-8.

Kitchens DH. The economics of pit and fissure sealants in preventive dentistry: a review. J Contemp Dent Pract. 2005;6(3):95-103.

Muller‐Bolla M, Lupi‐Pégurier L, Tardieu C, Velly AM, Antomarchi C. Retention of resin‐based pit and fissure sealants: a systematic review. Comm Dentistry Oral Epidemiol. 2006;34(5):321-36.

Weintraub JA, Ramos-Gomez F, Jue B, Shain S, Hoover CI, Featherstone JD, et al. Fluoride varnish efficacy in preventing early childhood caries. J Dent Res. 2006;85(2):172-6.