website: 86th General Session & Exhibition of the IADR

ABSTRACT: 0974  

Sealing potential of a self-adhesive fissure sealant

J. PERDIGAO, University of Minnesota, Minneapolis, USA, and A. SEZINANDO, University of Lisbon, Lisboa, Portugal

Objectives: To test the null hypothesis that phosphoric acid does not improve the sealing ability of a new self-adhesive fissure sealant. Methods: 15 extracted molars stored in 0.4% chloramine T for 1 month were cleaned with pumice and randomly assigned to 3 groups (n=5): (1) Enamel Loc (ELOC, Premier Dental), a self-adhesive sealant applied as per manufacturer's instructions; (2) Enamel etched with 35% H3PO4 for 15 sec followed by the application of ELOC; (3) Enamel etched with 35% H3PO4 for 15 sec followed by the application of Clinpro (3M ESPE) as the control group. Teeth were thermocycled for 1,000 cycles (5-55oC), isolated with nail polish except for the occlusal surface, left in 50% ammoniacal silver nitrate for 24h at 37oC, then photo-developer for 8h. Each tooth was sectioned BL in four 1.0±0.2 mm thick slices. Silver infiltration was measured under a digital stereo microscope at X20 in rankings from 0 (no silver infiltration) to 3 (silver infiltration to the full fissure depth). Further analyses were carried out with backscattered FESEM. Medians (M) were analyzed with nonparametric tests (Mann-Whitney and Median tests, P<0.05, superscript letters). Results:

Group 1 -ELOC

Group 2 – H3PO4 + ELOC

Group 3 – H3PO4 + Clinpro

Leakage Ranks

> Median

17

7

1

<= Median

23

33

39

Group 1 (ELOC) resulted in significantly deeper silver infiltration into the enamel fissures than Group 2 (P<0.003) and Group 3 (P<0.0001). Group 2 resulted in statistically deeper silver penetration than Group 3 at P<0.02. Conclusions: The null hypothesis was rejected. Phosphoric acid etching improved the sealing ability of the new self-adhesive sealant.
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