Use of Glass Ionomer Sealants in The Prevention of Occlusal Caries in Pediatric Permanent Teeth
DOI:
https://doi.org/10.31965/dtj.v6i1.1387Keywords:
Fissure Sealant, Glass Ionomer, Sealant, CariesAbstract
In Indonesia, according to the Riskesdas data, only 0.1% of 15-year-old children received fissure sealant treatment. Glass ionomer sealants can prevent caries on newly erupted permanent molars and are a good alternative because they are cheaper, painless, and easy to apply. The study aimed to evaluate the retention of glass ionomer sealants in preventing occlusal caries on permanent molars in children. The research method used an experimental design. The independent variable was the filling of deep fissures with Fuji VII glass ionomer, and the dependent variable was the occlusal status of the left and right lower first permanent molars, which included teeth that had been sealed with glass ionomer (intact sealant, partially lost, completely lost, either caries-free or carious). The population consisted of primary school children in Manefu, East Baumata Village. The research sample was selected using purposive sampling, targeting primary school children aged 7-10 years at SD Manefu who had deep fissures and were willing to participate. Data collection involved clinical trials, including sealing the left and right lower first permanent molars with Fuji VII glass ionomer and evaluating the sealant retention after six months. Data were processed and analyzed using descriptive statistical tests. The results showed that nine molars had good retention (23.68%), five molars had partially lost their sealant (13.15%), 31.57% of molars were caries-free despite losing their entire sealant, and 31.57% of molars developed caries after losing their entire sealant. Overall, 26 molars (68.42%) treated with fissure sealing were protected from caries. Initial enamel caries lesions occurred in 31.58% of sealed molars whose sealants had dislodged. In conclusion, the use of glass ionomer sealants demonstrated a retention effect and prevented occlusal caries on permanent molars in children by up to 68.42%.
References
Ahovuo‐Saloranta, A., Forss, H., Walsh, T., Nordblad, A., Mäkelä, M., & Worthington, H. V. (2017). Pit and fissure sealants for preventing dental decay in permanent teeth. Cochrane database of systematic reviews, (7). https://doi.org/10.1002/14651858.CD001830.pub5
Albert, D. A. (1999). Sealant use in public and private insurance programs. New York State Dental Journal, 65(2), 30.
Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia. (2019). Laporan Riskesdas 2018 Nasional. Jakarta: Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia.
Beauchamp, J., Caufield, P. W., Crall, J. J., Donly, K., Feigal, R., Gooch, B., ... & Simonsen, R. (2008). Evidence-based clinical recommendations for the use of pit-and-fissure sealants: a report of the American Dental Association Council on Scientific Affairs. The Journal of the American Dental Association, 139(3), 257-268.
Chen, X., Du, M. Q., Fan, M. W., Mulder, J., Huysmans, M. C. D. N. J. M., & Frencken, J. E. (2012). Caries-preventive effect of sealants produced with altered glass-ionomer materials, after 2 years. Dental Materials, 28(5), 554-560.
Cvikl, B., Moritz, A., & Bekes, K. (2018). Pit and fissure sealants—a comprehensive review. Dentistry journal, 6(2), 18. https://doi.org/10.3390/dj6020018
Devlin, D., & Henshaw, M. (2011). Improving access to preventive dental services through a school-based dental sealant program. Journal of Dental Hygiene : JDH / American Dental Hygienists’ Association, 85(3), 211–219.
Feigal, R. J., & Donly, K. J. (2006). The use of pit and fissure sealants. Pediatric Dentistry, 28(2), 143–150.
Liu, B. Y., Xiao, Y., Chu, C. H., & Lo, E. C. M. (2014). Glass ionomer ART sealant and fluoride-releasing resin sealant in fissure caries prevention - results from a randomized clinical trial. BMC Oral Health, 14(1), 1–9. doi:10.1186/1472-6831-14-54
Liu, W., Xiong, L., Li, J., Guo, C., Fan, W., & Huang, S. (2019). The anticaries effects of pit and fissure sealant in the first permanent molars of school-age children from Guangzhou: A population-based cohort study. BMC Oral Health, 19(1), 1–8.
Locker, D., Jokovic, A., & Kay, E. J. (2003). Prevention. Part 8: The use of pit and fissure sealants in preventing caries in the permanent dentition of children. British Dental Journal, 195(7), 375–378.
Markovic, D., Peric, T., & Petrovic, B. (2018). Glass-ionomer fissure sealants: Clinical observations up to 13 years. Journal of Dentistry, 79(December), 85–89.
Mathew, R. A., Narayan, A., Babu, E., Oommen, V., Ibrahim, H., & Fatima, S. (2016). Pit and Fissure Sealants: A Recent Advancement. International Journal of Oral Care & Research, 4(4), 284–287.
Naaman, R., El-Housseiny, A. A., & Alamoudi, N. (2017). The use of pit and fissure sealants-a literature review. Dentistry Journal, 5(4), 1–20. doi:10.3390/dj5040034
Ninawe, N., Ullal, N. A., & Khandelwal, V. (2012). A 1-year clinical evaluation of fissure sealants on permanent first molars. Contemporary Clinical Dentistry, 3(1), 54–59.
Paula, J., Tôrres, L. H. N., Ambrosano, G. M. B., & Mialhe, F. (2012). Association between oral health-related quality of life and atraumatic restorative treatment in school children: An exploratory study. Indian Journal of Dental Research, 23(6), 738–741.
Perondi, P. R., Oliveira, P. H. C., Cassoni, A., Reis, A. F., & Rodrigues, J. A. (2014). Ultimate tensile strength and microhardness of glass ionomer materials. Brazilian Dental Science, 17(1), 16–22.
Ramamurthy, P., Rath, A., Sidhu, P., Fernandes, B., Nettem, S., Fee, P. A., … Walsh, T. (2022). Sealants for preventing dental caries in primary teeth. Cochrane Database of Systematic Reviews, 2022(2).
Siegal, M. D., Farquhar, C. L., & Bouchard, J. M. (1997). Dental sealants. Who needs them? Public Health Reports (Washington, D.C. : 1974), 112(2), 98–106.
Sreedevi, A., Brizuela, M., & Mohamed, S. (2022). Pit and Fissure Sealants. In StatPearls. StatPearls Publishing.
Veiga, N., Aires, D., Douglas, F., Pereira, M., Vaz, A., Rama, L., … Veiga, N. (2016). Scient Open Access Exploring the World of Science Dental Caries: A Review. J Dent Oral Health, 2(5), 1–3.
Wright, J. T., Crall, J. J., Fontana, M., Gillette, E. J., Nový, B. B., Dhar, V., … Carrasco-Labra, A. (2016). 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. Journal of the American Dental Association, 147(8), 672-682.e12.
Zero, D. T. (2004). Sugars - The arch criminal? Caries Research, 38(3), 277–285.
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