Comparative Clinical Evaluation of Resin-based Pit and Fissure Sealant and Self-adhering Flowable Composite: An In Vivo Study

JOURNAL TITLE: International Journal of Clinical Pediatric Dentistry

1. Ullal A Nayak
2. Deepesh Prajapati
3. Damodhar Kappadi
4. Apurva Pawar
5. Reena Sharma
Publishing Year
Author Affiliations
    1. Department of Preventive Dental Science, Faculty of Dentistry, IBN Sina National College for Medical Studies, Jeddah, Kingdom of Saudi Arabia
    1. Department of Pedodontics and Preventive Dentistry, NIMS Dental College, Jaipur, Rajasthan, India
    1. Department of Pediatric Dentistry, NIMS Dental College and Hospital, Jaipur, Rajasthan, India
    1. Dr RP Centre for Ophthalmic, Sciences, AIIMS, New Delhi, India
    2. Dr RP Centre for Ophthalmic Sciences AIIMS, Ansari Nagar New Delhi
    3. Dr Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
    1. Department of Pedodontics and Preventive Dentistry, NIMS Dental College, Jaipur, Rajasthan, India
  • Article keywords
    Marginal integrity, Pit and fissure sealant, Retention, Self-adhering flowable composite


    Aim: The study evaluated the use of self-adhering flowable composite as a fissure sealant and compared it with a resinbased pit and fissure sealant. Materials and methods: Forty children were selected for the study and all their four permanent first molars were subjected to fluoride free pumice oral prophylaxis. Their occlusal fissures were then prepared with fissurotomy bur using high-speed handpiece under cotton roll isolation and low volume suction. Simple random sampling was done and accordingly a child either received either a resin-based fissure sealant or a self-adhering flowable composite on the prepared fissure. All the restorations were clinically evaluated using Ryge's direct evaluation criteria for four times i.e., immediately after the treatment, at the end of 3rd, 6th and 12th month. The retention was evaluated using Horowytz criteria. Results: The retention rate of Dyad flow after one year was significantly higher than that of Helioseal–F (p = 0.015). The marginal integrity of Dyad Flow was significantly better than that of Helioseal-F during every evaluation period (p < 0.05). Both retention and marginal integrity of both sealants were similar in maxillary and mandibular molars at all evaluation periods. Conclusion: Dyad flow can be used as an alternative to the conventional fissure sealant. Clinical significance: In pediatric dentistry, where shorter appointment time is warranted, the self-adhering composite has the edge over conventional fissure sealant.

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