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77128

Comparison between the effectiveness of two sealants in prevention of enamel white spot lesions: in vitro study

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Last updated: 25 Dec 2024

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Abstract

Objectives: This study was done to compare between the effectiveness of using highly filled and lightly filled sealants in preventing demineralization and resisting acid and abrasion through assessing enamel color change differences and sealant retention after induced challenges. Methods: 100 human premolars were collected and allocated into 2 groups. The buccal surfaces of the 1st group were sealed with a 38% filled sealant (Opal®SealTM) and the 2nd group with an 18 % filled one (PRO SEAL®). Both groups were exposed to acidic and abrasive challenges. Enamel color changes were recorded spectrophotometrically at baseline (T0), after sealant application (T1), after first exposure to acidic challenge (T2), and after second exposure to acidic challenge and simulated toothbrushing (T3). Standardized photographs were taken for each tooth under ultraviolet light at baseline and at (T3). Teeth images were analyzed using computer software to estimate sealant coverage and fluorescence loss. Results: The best protection was seen in the Opal seal group after the 1st acidic challenge (p=0.000) when compared with PRO SEAL. Greater sealant material loss (68.78% ± 15.54) and fluorescence loss (82.46% ± 11.04) were seen in the PRO SEAL group (p=0.000). Both sealants changed the original enamel color similarly and exceeded the clinically detectable threshold (ΔE=3.7). Conclusion: Based on the results of this study; increasing the filler content strengthens the sealant, therefore, offering more protection against white spot lesions. Both sealants degrade with increasing the challenges. Both sealants change the initial enamel color similarly.

DOI

10.21608/eos.2019.77128

Keywords

White spot lesions, Orthodontic sealants, Filled sealants, Color change, demineralization, Spectrophotometer

Authors

First Name

Isis

Last Name

Afifi

MiddleName

-

Affiliation

Department of Orthodontics, Faculty of Dentistry, Alexandria University, Egypt

Email

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City

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Orcid

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First Name

Mohamed

Last Name

Mowafy

MiddleName

-

Affiliation

Department of Orthodontics, Faculty of Dentistry, Alexandria University, Egypt

Email

mo_mowafy@hotmail.com

City

-

Orcid

-

First Name

Nazla

Last Name

Tamish

MiddleName

-

Affiliation

Department of Orthodontics, Faculty of Dentistry, Alexandria University, Egypt

Email

-

City

-

Orcid

-

Volume

55

Article Issue

June 2019

Related Issue

11528

Issue Date

2019-06-01

Receive Date

2020-03-12

Publish Date

2019-06-01

Page Start

67

Page End

88

Print ISSN

1110-435X

Online ISSN

2812-5258

Link

https://eos.journals.ekb.eg/article_77128.html

Detail API

https://eos.journals.ekb.eg/service?article_code=77128

Order

5

Type

Original Article

Type Code

1,120

Publication Type

Journal

Publication Title

Egyptian Orthodontic Journal

Publication Link

https://eos.journals.ekb.eg/

MainTitle

Comparison between the effectiveness of two sealants in prevention of enamel white spot lesions: in vitro study

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Article

Created At

22 Jan 2023