Clinpro ™ XT Sealant Adhesion to the Occlusal Surface of Primary Molars: Longitudinal Evaluation

Autores

  • Gabriela Fleury Seixas Unopar, Curso de Odontologia. PR, Brasil
  • Sandrine Bittencourt Berger Guiraldo Unopar, Programa de Pós-Graduação Stricto Sensu em Odontologia. PR, Brasil
  • Letícia Vargas Freire Martins Lemos Universidade do Vale do Paraíba. SP, Brasil
  • Silvio Issao Myaki Universidade Estadual Paulista Júlio de Mesquita Filho, Instituto de Ciência e Tecnologia. SP, Brasil
  • Ivan Balducci Universidade Estadual Paulista úlio de Mesquita Filho, Departamento de Odontologia Social. SP. Brasil
  • Sandra Kiss Moura UNINOVE, Programa de Pós Graduação em Biofotônica Aplicada às Ciências da Saúde

DOI:

https://doi.org/10.17921/2447-8938.2018v20n2p112-118

Resumo

Abstract

The study aims to evaluate the bond strength of sealants on deciduous molars. Clinpro ™ XT, Vitremer ™, Fluroshield and Optibond FL materials were applied to the occlusal surface of 40 deciduous lower molars (n = 5). The teeth were prepared for the micro tensile test, obtaining a specimen in a stick format with a cross-sectional area of 0.8 mm2. After 24 hours and 6 months of restorative procedures, the specimens were traversed in universal test machine. The statistical analysis used the tooth as experimental unit, considering the adhesive and mixed fractures data, through Variance Analysis of repeated measures and Tukey tests (α = 0.05). There was a difference among the adhesion of the materials in 24 h, with higher union strength for Optibond FL (31.20 ± 1.36 MPa), significantly higher than that of Clinpro ™ XT (20.23 ± 1.16 MPa), Fluroshield (24.61 ± 2.76 MPa) and Vitremer™ (21.31 ± 2.32 MPa), which were similar. After 6 months of storage, the Clinpro ™ XT bond strength remained (22.18 ± 2.91 MPa), Optibond FL decreased (20.77 ± 1.53 MPa), but remained similar to that of Clinpro ™ XT in 6 months. The lowest adhesion values at 6 months were of Fluroshield (11.14 ± 1.98 Mpa) and Vitremer (5.29 ± 0.58 Mpa). It was concluded that the bond strength of the sealants to the occlusal surface of the deciduous molars was influenced by the material, with Clinpro ™ XT being the only material that maintained the bond strength values after 6 months.

Keywords: Pit and Fissure Sealants. Tensile Strength. Tooth, Deciduous.

Resumo

O presente estudo teve como objetivo avaliar a adesão de selantes em molares decíduos. Os materiais Clinpro™ XT, VitremerTM, Fluroshield e Optibond FL foram aplicados na superfície oclusal de 40 molares inferiores decíduos (n=5). Os dentes foram preparados para o ensaio de microtração, com obtenção de corpo-de-prova em formato de palito com área de seção transversal de 0,8 mm2. Após 24 horas e 6 meses da realização dos procedimentos restauradores, os espécimes foram tracionados em máquina de ensaio universal. A análise estatística usou como unidade experimental o dente, considerando os dados de fraturas adesivas e mistas, pelos testes de Análise de Variância de medidas repetidas e Tukey (α=0,05). Houve diferença entre a adesão dos materiais em 24 h, com maior resistência de união para o Optibond FL (31,20 ±1,36 MPa), significativamente maior que a do Clinpro™ XT (20,23 ±1,16 MPa); Fluroshield (24,61 ±2,76 MPa) e VitremerTM (21,31 ±2,32 MPa) foram semelhantes. Decorridos 6 meses de armazenamento, a resistência de união do Clinpro™ XT se manteve (22,18 ±2,91 MPa) e a do Optibond FL diminuiu (20,77 ±1,53 MPa) mas se manteve semelhante à do Clinpro™ XT em 6 meses. Os menores valores de adesão em 6 meses foram do Fluroshield (11,14 ±1,98 Mpa) e do Vitremer (5,29 ±0,58 Mpa). Concluiu-se que a resistência de união dos selantes à superfície oclusal dos molares decíduos foi influenciada pelo material, sendo o Clinpro™ XT o único material que manteve os valores de resistência de união após 6 meses.

Palavras-chave: Selantes de Fossas e Fissuras. Resistência à Tração. Dente decíduo.

Biografia do Autor

Gabriela Fleury Seixas, Unopar, Curso de Odontologia. PR, Brasil

Especialista em Saúde Coletiva (UEL) e Odontopediatria (UEL). Habilitada em Odontologia Hospitalar (Einstein). Mestre em Clínica Odontológica (UEL), Doutora em Dentística (UNOPAR). 

Professora do curso de graduação em Odontologia da UNOPAR, e Coordenadora e Professora do curso de pós graduação em Odontopediatria (Hodos Londrina).

Referências

Innes NP, Frencken JE, Bjorndal L, Maltz M, Manton DJ, Ricketts D, et al. Managing Carious Lesions: Consensus Recommendations on Terminology. Adv Dent Res 2016;28(2):49-57. doi: 10.1177/0022034516639276.

Sheiham A, James WP. Diet and dental caries: the pivotal role of free sugars reemphasized. J Dent Res 2015;94(10):1341-7. doi: 10.1177/0022034515590377.

Carvalho JC. Caries process on occlusal surfaces: evolving evidence and understanding. Caries Res 2014;48(4):339-46 doi: 10.1159/000356307.

Brasil. Pesquisa Nacional de Saúde Bucal: resultados principais. Brasília: MS; 2010.

Gimenez T, Bispo BA, Souza DP, Vigano ME, Wanderley MT, Mendes FM, et al. Does the decline in caries prevalence of Latin American and Caribbean children continue in the new century? Evidence from systematic review with meta-analysis. PloS One 2016;11(10):e0164903 doi: 10.1371/journal.pone.0164903.

Lynch RJ. The primary and mixed dentition, post-eruptive enamel maturation and dental caries: a review. Int Dent J 2013;63:3-13. doi: 10.1111/idj.12076.

Brasil. Projeto SB Brasil 2003. Condições de saúde bucal da população brasileira 2002-2003. Brasilia: MS; 2004.

Guedes RS, Piovesan C, Ardenghi TM, Emmanuelli B, Braga MM, Ekstrand KR, et al. Validation of visual caries activity assessment: A 2-yr cohort study. J Dent Res 2014;93(7 Suppl):101S-7S. doi 10.1177/0022034514531017.

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.

Meneghel LL, Fernandes KBP, Lara SMH, Ferelle A, Sturion L, Walter LRF. Evaluation of food retention in occlusal surfaces of first primary molars. Int J Odont 2010;4(2):6.

Ramires-Romito AC, Reis A, Loguercio AD, de Goes MF, Grande RH. Micro-tensile bond strength of adhesive systems applied on occlusal primary enamel. J Clin Pediatr Dent 2004;28(4):333-8.

Wright JT, Crall JJ, Fontana M, Gillette EJ, Novy 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 e12. doi: 10.1016/j.adaj.2016.06.001.

Ahovuo-Saloranta A, Forss H, Walsh T, Nordblad A, Makela M,Worthington HV. Pit and fissure sealants for preventing dental decay in permanent teeth. The Cochrane Database Syst Rev 2017; 31 doi: 10.1002/1465858.

Mickenautsch S, Yengopal V. Validity of sealant retention as surrogate for caries prevention: a systematic review. PloS One 2013;8(10):e77103 doi: 10.1371/journal.pone.0077103.

Lemos LV, Felizardo KR, Myaki SI, Lopes MB, Moura SK. Bond strength and morphology of resin materials applied to the occlusal surface of primary molars. Int J Paediatr Dent 2012;22(6):435-41. doi: 10.1111/j.1365-263X.2011.01213.x.

Yengopal V, Mickenautsch S. Resin-modified glass-ionomer cements versus resin-based materials as fissure sealants: a meta-analysis of clinical trials. Eur Arch Paediatr Dent 2010;11(1):18-25.

Crall JJ, Donly KJ. Dental sealants guidelines development: 2002-2014. Pediatr Dentistr 2015;37(2):111-5.

Ainda KL, de Paula Ramos S, Seixas GF, Bozza A, Couto de Almeida RS, Dezan Garbelini CC. Influence of a preschool preventive dental programme on caries prevalence, oral care and secretory immunity to Streptococcus mutans in young adults. Int J Dent Hyg 2017:1-8 doi: 10.1111/idh.12311.

Ramos-Gomez F, Crystal YO, Ng MW, Tinanoff N, Featherstone JD. Caries risk assessment, prevention, and management in pediatric dental care. Gen Dent 2010;58(6):505-17.

Fraiz FC,Walter LRF. Study of the factors associated with dental caries in children who receive early dental care. Pesq Bras Odontop Clín Integr 2001;15(3):6.21.

Kowash MB, Pinfield A, Smith J, Curzon ME. Effectiveness on oral health of a long-term health education programme for mothers with young children. British Dental J 2000;188(4):201-5.

Wright JT, Tampi MP, Graham L, Estrich C, Crall JJ, Fontana M, et al. Sealants for preventing and arresting pit-and-fissure occlusal caries in primary and permanent molars:a systematic review of randomized controlled trials-a report of the American Dental Association and the American Academy of Pediatric Dentistry. J Am Dent Assoc 2016;147(8):631-45 e18. doi: 10.1016/j.adaj.2016.06.003

Dye BA, Thompson-Evans G, Li X, Iafolla TJ. Dental caries and sealant prevalence in children and adolescents in the United States, 2011-2012. NCHS Data Brief 2015;191:8.

Simonsen RJ, Neal RC. A review of the clinical application and performance of pit and fissure sealants. Aust Dent J 2011;56:45-58. doi: 10.1111/j.1834-7819.2010.01295.x.

Ahovuo-Saloranta A, Forss H, Hiiri A, Nordblad A, Makela M. Pit and fissure sealants versus fluoride varnishes for preventing dental decay in the permanent teeth of children and adolescents. Cochrane Database Systc Rev 2016;1: CD003067 doi: 10.1002/14651858.

3MESPE. Clinpro XT Varnish Selante Ionomérico 2016. [Acessa em 6 jun 2017]. Available from: http://multimedia.3m.com/mws/media/711688O/perfil-tec-clinpro-xt.pdf?fn=Perfil%20Clinpro%20XT_Port.pdf.

Britto Azevedo C. Verniz fluoretado e ionômero de vidro modificado por resina no tratamento de lesões cariosas oclusais em esmalte de molares permanentes em erupção: ensaio clínico randomizado. Porto Alegre: Universidade Federal do Rio Grande do Sul; 2015.

Silin AV, Satygo EA, Sadal'skii Iu S. Efficacy of the caries preventive agents in children during mixed dentition period. Stomatologiia 2014;93(4):58-60.

Panzeri Pires-de-Souza FC, Silveira RE, Abuna G, Chinelatti MA, Alandia-Roman CC, Sinhoreti MA. Morphology of sealant/enamel interface after surface treatment with bioactive glass. Micros Res Tech 2015;78(12):1062-8. doi: 10.1002/jemt.22585

Gonçalves PSP, Kobayashi TY, Oliveira TM, Honório HM, Rios D, Bonifácio da Silva SM. Pit and fissure sealants with different materials: resin based x glass ionomer cement - results after six months. Braz Res Pediatr Dent Int Clin 2016;16(1):9.

Espinosa R, Bayardo R, Mercado A, Ceja I, Igarashi C, Alcalá J. Efecto de los sistemas fluorados en la remineralización de las lesiones cariosas incipientes del esmalte, estudio in situ. Rev Oper Dent Biom 2014;3(1):8

Cabral RN, Faber J, Otero SAM, Hilgert LA, Leal SC. Retention rates and caries-preventive effects of two different sealant materials: a randomised clinical trial. Clinl Oral Investig 2018 doi: 10.1007/s00784-018-2416-z

Moura SK, Lemos LVFM, Myszkovisk S, Provenzano MGA, Balducci I, Myaki SI. Bonding durability of dental sealants to deciduous and permanent teeth. Braz J Oral Sci 2014;13(3):198-203.

Ramires-Romito AC, Reis A, Loguercio AD, Hipolito VD, Goes MF, Singer JM, et al. Microtensile bond strength of sealant and adhesive systems applied to occlusal primary enamel. Am J Dent 2007;20(2):114-20.

de la Macorra JC, Perez-Higueras JJ. Microtensile bond strength test bias caused by variations in bonded areas. The journal of adhesive dentistry 2014;16(3):207-19.

Armstrong S, Geraldeli S, Maia R, Raposo LH, Soares CJ, Yamagawa J. Adhesion to tooth structure: a critical review of "micro" bond strength test methods. Dent Mat 2010; 26(2):e50-62 doi: 10.1016/j.dental.2009.11.155.

Khare M, Suprabha BS, Shenoy R, Rao A. Evaluation of pit-and-fissure sealants placed with four different bonding protocols: a randomized clinical trial. Int J Paediatr Dent 2016 doi: 10.1111/ipd.12281.

Irinoda Y, Matsumura Y, Kito H, Nakano T, Toyama T, Nakagaki H, et al. Effect of sealant viscosity on the penetration of resin into etched human enamel. Oper Dent 2000;25(4):274-82.

Cagetti MG, Carta G, Cocco F, Sale S, Congiu G, Mura A, et al. Effect of Fluoridated Sealants on Adjacent Tooth Surfaces: A 30-mo Randomized Clinical Trial. J Dent Res 2014;93(7 Suppl):59S-65S doi: 10.1177/0022034514535808.

Papacchini F, Goracci C, Sadek FT, Monticelli F, Garcia-Godoy F, Ferrari M. Microtensile bond strength to ground enamel by glass-ionomers, resin-modified glass-ionomers, and resin composites used as pit and fissure sealants. J Dent 2005;33(6):459-67 doi: 10.1016/j.jdent.2004.11.007.

Kuhnisch J, Mansmann U, Heinrich-Weltzien R, Hickel R. Longevity of materials for pit and fissure sealing-results from a meta-analysis. Dent Mat 2012;28(3):298-303 doi: 10.1016/j.dental.2011.11.002.

Toledano M, Osorio R, Osorio E, Fuentes V, Prati C, Garcia-Godoy F. Sorption and solubility of resin-based restorative dental materials. J Dent 2003; 31(1):43-50.

Khoroushi M, Hosseini-Shirazi M, Soleimani H. Effect of acid pre-conditioning and/or delayed light irradiation on enamel bond strength of three resin-modified glass ionomers. Dental Res J 2013;10(3):328-36.

Smith NK, Morris KT, Wells M, Tantbirojn D, Versluis A. Rationale for caries inhibition of debonded glass ionomer sealants: an in vitro study. Pediatr Dent 2014;36(7):464-7.

Virupaxi SG, Roshan NM, Poornima P, Nagaveni NB, Neena IE, Bharath KP. Comparative evaluation of longevity of fluoride release from three different fluoride varnishes: an in vitro study. J Clin Diagn Res 2016;10(8):ZC33-ZC36. doi: 10.7860/JCDR/2016/19209.8242.

Alsayed EZ, Hariri I, Nakashima S, Shimada Y, Bakhsh TA, Tagami J, et al. Effects of coating materials on nanoindentation hardness of enamel and adjacent areas. Dent Mat 2016;32(6):807-16 doi: 10.1016/j.dental.2016.03.023.

Zhou SL, Zhou J, Watanabe S, Watanabe K, Wen LY, Xuan K. In vitro study of the effects of fluoride-releasing dental materials on remineralization in an enamel erosion model. J Dent 2012;40(3):255-63 doi: 10.1016/j.jdent.2011.12.016.

Botton G, Morgental CS, Scherer MM, Lenzi TL, Montagner AF, Rocha RO. Are self-etch adhesive systems effective in the retention of occlusal sealants? A systematic review and meta-analysis. Int J Paediatr Dent 2015 doi: 10.1111/ipd.12214.

Unal M, Oznurhan F, Kapdan A, Durer S. A comparative clinical study of three fissure sealants on primary teeth: 24-month results. J Clin Ped Dent 2015;39(2):113-9 doi: 10.17796/jcpd.39.2.h247471176596757.

Downloads

Publicado

2018-06-30

Como Citar

1.
Seixas GF, Berger Guiraldo SB, Lemos LVFM, Myaki SI, Balducci I, Moura SK. Clinpro ™ XT Sealant Adhesion to the Occlusal Surface of Primary Molars: Longitudinal Evaluation. J. Health Sci. [Internet]. 30º de junho de 2018 [citado 25º de abril de 2024];20(2):112-8. Disponível em: https://journalhealthscience.pgsscogna.com.br/JHealthSci/article/view/6142

Edição

Seção

Artigos