Comparison between ionomeric sealants and resin sealants in the pediatric dentistry area of the Dr. René Puig Bentz Dental Clinic of the Pedro Henríquez Ureña National University.
Description
Pit and fissure sealants are essential materials used to prevent the accumulation of bacteria on the occlusal surfaces of posterior teeth. The accumulation of bacteria on the occlusal surfaces of posterior teeth prevents the formation of acids and therefore their role is to fill the pits and fissures in a preventive manner and they are mainly used in the paediatric area of dentistry. The objective of this research was to compare the significant efficiency of ionomer sealants and resin sealants in the paediatric dentistry area of the Dr. Rene Puig Bentz Dental Clinic of the Pedro Henríquez Ureña National University. To achieve this objective, a sample of 50 teeth was analysed, divided into two groups: group A with the resin-based sealant and group B with the ionomer-based sealant, where the retention and setting times of both sealants were evaluated. The results obtained showed that immediate retention was 100.0% for both resin-based and ionomer sealants, with no cases of partial retention. In terms of placement time, the mean placement time for the resin sealants was 3.54 minutes, the mean placement time for the resin sealants was 3.54 minutes, and the mean placement time for the ionomer sealants was 3.54 minutes. The mean placement time for ionomer sealants was 6.71 minutes. The resin sealants were found to provide a good seal in 95.8% of cases and a partial seal in 4.2% of cases during the first month. The same results were obtained for the ionomer sealant. In terms of post-operative control, 100% of cases with resin sealants remained at 2 months, while 79.2% of cases with ionomer sealants remained at 2 months and 20.8% at 1 month. Fisher's exact test showed a p-value of 0.049645, indicating a significant association between sealant type and durability. On the basis of the results obtained, it was concluded that the ionomer sealants in the controls did not show greater durability, shorter placement time and less immediate disadaptation than the resin sealants.
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Steps to reproduce
-The Director of the Dental Clinic of the Universidad Nacional Pedro Henríquez Ureña (UNPHU) was officially asked for permission to conduct the study. The coordinator of the paediatric dentistry unit was also officially asked for permission to carry out the study. -The paediatric dentistry area was accessed and the students who would be performing pit and fissure sealants were identified. -A brief and clear explanation of the study was given to the student, tutor and patient, and if the tutor agreed with what had been explained, the informed consent form was signed. -The selected molars were checked to see which group they belonged to. -After the operators had finished placing the sealant (they used a dental mirror and a dental explorer except for the ionomer and resin sealants), the tutor present in the area checked that the procedure had been carried out correctly. -The data collected were grouped in a table in Microsoft Word and Excel programs and tabulated in a computerised form, where they were classified according to the type of sealant (ionomer or resin) and the degree of success or failure (completely retained, partially retained or completely lost). -Once the data had been collected, two checks were carried out, the first after one month and the second after two months. With these data, statistical tables and graphs were made to illustrate the results. A differential analysis was performed based on a post hoc quantitative comparison in STATA v18 software.