References

Frencken JE, Leal SC, Navarro MFL Twenty-five years atraumatic restorative treatment (ART) approach: a comprehensive overview. Clin Oral Invest. 2012; 16:1337-1346
Disney JA, Graves RC, Stamm JW, Bohannan HM, Abernathy JR, Zack DD The University of North Carolina Caries Risk Assessment study: further developments in caries risk prediction. Community Dent Oral Epidemiol. 1992; 20:64-75
Sánchez-Pérez L, Golubov J, Irigoyen-Camacho ME, Moctezuma PA, Acosta-Gio E Clinical, salivary, and bacterial markers for caries risk assessment in schoolchildren: a 4-year follow-up. Int J Paediatr Dent. 2009; 19:186-192
Antonson SA, Antonson DE, Brener S, Crutchfield J, Larumbe J, Michaud C, Yazici AR, Hardigan PC, Alempour S, Evans D, Ocanto R Twenty-four month clinical evaluation of fissure sealants on partially erupted permanent first molars: glass ionomer versus resin-based sealant. J Am Dent Assoc. 2012; 143:115-122
Taifour D, Frencken JE, van't Hof MA, Beiruti N, Truin GJ Effects of glass ionomer sealants in newly erupted first molars after 5 years: a pilot study. Community Dent Oral Epidemiol. 2003; 31:314-319
Carvalho JC, Ekstrand KR, Thylstrup A Dental plaque and caries on occlusal surfaces of first permanent molars in relation to stage of eruption. J Dent Res. 1989; 68:773-779
Frencken JE, Holmgren CJNijmegen: STI book bv; 1999
Kühnisch J, Mansmann U, Heinrich-Weltzien R, Hickel R Longevity of materials for pit and fissure sealing – results from a meta-analysis. Dent Mater. 2012; 28:298-303
Frencken JE, Makoni F, Sithole WD ART restorations and glass ionomer sealants in Zimbabwe: survival after 3 years. Community Dent Oral Epidemiol. 1998; 26:372-381
Van't Hof MA, Frencken JE, van Palenstein Helderman WH, Holmgren CJ The atraumatic restorative treatment (ART) approach for managing dental caries: a meta-analysis. Int Dent J. 2006; 56:345-351
De Amorim RG, Leal SC, Frencken JE Survival of ART sealants and ART restorations: a meta-analysis. Clin Oral Invest. 2012; 16:429-441
Chen X, Du M, Fan M, Mulder J, Huysmans MC, Frencken JE Effectiveness of two new types of sealants: retention after 2 years. Clin Oral Invest. 2012; 16:1443-1450
Mejàre I, Mjör IA Glass ionomer and resin-based fissure sealants: a clinical study. Scand J Dent Res. 1990; 98:345-350
Williams B, Laxton L, Holt RD, Winter GB Fissure sealants: a 4-year clinical trial comparing an experimental glass polyalkenoate cement with a bis glycidyl methacrylate resin used as fissure sealants. Br Dent J. 1996; 180:104-108
Simonsen RJ Glass ionomer as fissure sealant – a critical review. J Public Health Dent. 1996; 56:146-149
Beiruti N, Frencken JE, van't Hof MA, van Palenstein Helderman WH Caries preventive effect of resin-based and glass ionomer sealants over time: a systematic review. Community Dent Oral Epidemiol. 2006; 34:403-409
Yengopal V, Mickenautsch S, Bezerra AC, Leal SC Caries-preventive effect of glass ionomer and resin-based fissure sealants on permanent teeth: a meta analysis. J Oral Sci. 2009; 51:373-382
Mickenautsch S, Yengopal V Caries-preventive effect of glass ionomer and resin-based fissure sealants on permanent teeth: an update of systematic review evidence. BMC Res Notes. 2011; 4
Ahovuo-Saloranta A, Forss H, Walsh T, Hiiri A, Nordblad A, Mäkelä M, Worthington HV Sealants for preventing dental decay in the permanent teeth. Cochrane Database Syst Rev. 2013; 3
Barja-Fidalgo F, Maroun S, de Oliveira BH Effectiveness of a glass ionomer cement used as a pit and fissure sealant in recently erupted permanent first molars. J Dent Child. 2009; 76:34-40
Chen X, Du MQ, Fan MW, Mulder J, Huysmans MC, Frencken JE Caries-preventive effect of sealants produced with altered glass-ionomer materials, after 2 years. Dent Mater. 2012; 28:554-560
Torppa-Saarinen E, Seppå L Short-term retention of glass-ionomer fissure sealants. Proc Finn Dent Soc. 1990; 86:83-88
Frencken JE, Wolke J Clinical and SEM assessment of ART high-viscosity glass-ionomer sealants after 8–13 years in 4 teeth. J Dent. 2010; 38:59-64
Papacchini F, Goracci C, Sadek FT, Monticelli F, Garcia-Godoy F, Ferrari M Microtensile bond strength to ground enamel by glass-ionomers, resin-modified glass-ionomers, and resin composites used as pit and fissure sealants. J Dent. 2005; 33:459-467
Fleisch AF, Sheffield PE, Chinn C, Edelstein BL, Landrigan PJ Bisphenol A and related compounds in dental materials. Pediatrics. 2010; 126:760-768
Kingman A, Hyman J, Masten SA, Jayaram B, Smith C, Eichmiller F, Arnold MC, Wong PA, Schaeffer JM, Solanki S, Dunn WJ Bisphenol A and other compounds in human saliva and urine associated with the placement of composite restorations. J Am Dent Assoc. 2012; 143:1292-1302
Eng DS, Gebremariam A, Meeker JD, Peterson K, Padmanabhan V, Lee JM Bisphenol A and chronic disease risk factors in US children. Pediatrics. 2013; 132:e637-e645
Yeo M, Berglund K, Hanna M, Guo JU, Kittur J, Torres MD, Abramowitz J, Busciglio J, Gao Y, Birnbaumer L, Liedtke WB Bisphenol A delays the perinatal chloride shift in cortical neurons by epigenetic effects on the Kcc2 promoter. Proc Natl Acad Sci USA. 2013; 110:4315-4320
Jedeon K, De la Dure-Molla M, Brookes SJ, Loiodice S, Marciano C, Kirkham J, Canivenc-Lavier MC, Boudalia S, Bergès R, Harada H, Berdal A, Babajko S Enamel defects reflect perinatal exposure to bisphenol A. Am J Pathol. 2013; 183:108-118
Geneva: FDI;

The state-of-the-art of ART sealants

From Volume 41, Issue 2, March 2014 | Pages 119-124

Authors

Jo E Frencken

DDS, MSc, PhD

Department of Global Oral Health, College of Dental Sciences, Radboud University Medical Centre, PO Box 9101, 6500 HB Nijmegen, The Netherlands

Articles by Jo E Frencken

Abstract

Sealing caries-prone pits and fissure systems is an effective caries-preventive measure. There are basically two types of sealant materials: glass-ionomer and resin-based materials. Low-and medium-viscosity glass-ionomers were initially used and showed a low level of retention. With the advent of the ART approach in the mid-nineties, high-viscosity glass-ionomers were introduced as sealant material and the retention rate of ART sealants increased substantially. As the effectiveness of a sealant is measured by its capacity to prevent (dentine) carious lesion development, sealant retention is considered a surrogate endpoint. The ART sealant protocol is described. Systematic reviews and meta-analysis covering low-medium-and high-viscosity glass-ionomer (ART) sealants have concluded that there is no evidence that either glass-ionomer or resin-based sealants prevent dentine carious lesions better. The annual dentine carious lesion development in teeth with high-viscosity glass-ionomer ART sealants over the first three years is 1%. These ART sealants have a high capacity of preventing carious lesion development. Because no electricity and running water is required, ART sealants can be placed both inside and outside the dental surgery.

Clinical Relevance: High-viscosity glass-ionomer ART sealants can be used alongside resin-based sealants.

Article

About 25 years ago the Atraumatic Restorative Treatment (ART) approach was introduced in an attempt to manage dental caries in care-deprived communities.1 Since then, ART has been integrated not only into oral healthcare systems and private practices in developing countries, but also into those of developed nations.1 As opposed to what the name expresses, the ART approach not only consists of restoring tooth cavities (ART restorations) but also of sealing caries-prone pits and fissures (ART sealants). This article describes and discusses the effectiveness of ART sealants.

ART sealants are defined by the fact that a high-viscosity glass-ionomer is placed over caries-prone pits and fissures under finger pressure and hand instruments, such as an excavator and an applier/carver, are used for adjusting the bite and removing excess material. The protocol for application of an ART sealant is presented in Table 1 and illustrated in Figure 1.

Register now to continue reading

Thank you for visiting Dental Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Up to 2 free articles per month
  • New content available