Clinical efficacy between conventional pit and fissure sealant and self -etching self- adhering flowable composite as a pit and fissure sealant using split -mouth design- A Randomized Control Trial

Abstract

Clinical efficacy between conventional pit and fissure sealant and self-etching self-adhering flowable composite as a pit and fissure sealant using split-mouth design–A Randomized Control Trial.
Aim: To Compare the clinical efficacy of conventional pit and fissure sealant and self-etching self-bonding flowable composite at 3, 6, and 12-month intervals.
Materials & Methodology: A total of 104 bilateral mandibular first permanent molars from 52 children between 6 12 years of age were included and randomly allocated into 2 groups using a split-mouth design. Group A- conventional pit and fissure sealant.
Group B – self-etch self-adhering flowable composite as pit fissure sealant
All the sealed teeth were evaluated for clinical parameters like marginal discoloration, marginal adaptation, caries formation, retention, and surface roughness of the sealant at regular intervals of 3, 6, and 12 months using Ryge criteria. The difference in clinical parameters in both groups was analyzed using the Chi-square test.
Result: After 12 months, the clinically acceptable marginal discoloration, marginal adaptation, caries formation, retention, and surface roughness for Group A were 63.8%, 74.4%, 89.36%, 63.8%, 74.46%, and for Group B were 85.1%, 89.36%, 97.87%, 95.74%, and 93.61%, respectively. There was a statistically significant difference (p < 0.05) in clinical parameters such as surface roughness, retention, and marginal adaptation.
Conclusion: Self-etch self-adhering flowable composites can be used as a sealant since their improved flowability, greater retention rates, and shorter chair-side duration are beneficial in both cooperative and noncooperative children.