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Quintessence International



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Quintessence Int 40 (2009), No. 9     31. Aug. 2009
Quintessence Int 40 (2009), No. 9  (31.08.2009)

Page 763-772, PubMed:19862403

Effect of adhesive agent and fissure morphology on the in vitro microleakage and penetrability of pit and fissure sealants
Marks, Derek / Owens, Barry M. / Johnson, William W.
Objective: To evaluate the effect of adhesive agents and fissure morphology on the microleakage and penetrability of pit and fissure sealants.
Method and Materials: Sealants used in this study included Aegis (Bosworth), conseal f (Southern Dental Industries), and Admira Seal (Voco). Adhesive agents included Optibond Solo Plus (sds/Kerr) and Clearfil S3Bond (Kuraray). Ninety extracted permanent molars were randomly assigned to 9 groups combining sealant and adhesive agent materials. A sealant and control group (phosphoric acid etch only) was also included. Dye penetration (microleakage), penetrability, and fissure morphology assessment was performed for the treatment groups through microscopic evaluation.
Results: Significant (P = .003) differences in microleakage were exhibited, with the Aegis + control and Aegis + Optibond Solo Plus groups displaying less leakage, while significant (P = .03) differences were also noted between groups regarding penetrability. Fissure morphology was not a significant (P = .82) factor affecting microleakage; however, fissure type did significantly (P < .001) impact penetrability. No correlation was found between the extent of microleakage and penetrability.
Conclusion: Application of sealants using phosphoric acid as a conditioning agent revealed superior results, while the use of adhesives was found to be unnecessary.

Keywords: adhesive, fissure morphology, microleakage, pit and fissure sealant