Caries-Preventive Effect of High-Viscosity Glass Ionomer and Resin-Based Fissure Sealants on Permanent Teeth: A Systematic Review of Clinical Trials

PloS One
Steffen Mickenautsch, Veerasamy Yengopal

Abstract

Glass-ionomers are traditionally regarded to be inferior to resin as fissure sealants in protecting teeth from dental caries, due to their comparatively lower retention rate. Unlike low-viscosity glass-ionomers, high-viscosity glass-ionomer cements (HVGIC) are placed as sealants by pressing the material into pits and fissures with a petroleum-jelly-coated index finger. Hence, HVGIC sealants are assumed to penetrate pits and fissures deeper, resulting in a higher material retention rate, which may increase its caries-preventive effect. The aim of this review was to answer the question as to whether, in patients with fully erupted permanent molar teeth, HVGIC based fissure sealants are less effective to protect against dental carious lesions in occlusal pits and fissures than resin-based fissure sealants? A systematic literature search in eight databases was conducted. Heterogeneity of accepted trials and imprecision of the established evidence were assessed. Extracted sufficiently homogenous datasets were pooled by use of a random-effects meta-analysis. Internal trial validity was evaluated. The protocol of this systematic review was registered with the International Prospective Register of Systematic Reviews (PROSPERO / Nr.: CR...Continue Reading

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Citations

Mar 15, 2019·Dental Materials Journal·Cintia Helena Coury SaraceniIvana Suffredini
May 30, 2020·International Journal of Environmental Research and Public Health·Stefano CianettiGuido Lombardo
Mar 23, 2018·Dentistry Journal·Reem NaamanNajlaa Alamoudi
Dec 6, 2018·Brazilian Dental Journal·Beatriz Martines de SouzaAna Carolina Magalhães
May 24, 2019·Scientific Reports·Fabio Rocha BohnsFabricio Mezzomo Collares
Aug 16, 2021·The Journal of Evidence-based Dental Practice·Mariangela Ivette Guanipa OrtizMário Honorato da Silva E Souza Júnior
Sep 5, 2021·The Journal of Evidence-based Dental Practice·Phoebe Py LamCynthia Ky Yiu

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