Adhesión y microfiltración de dos selladores de fosetas y fisuras con diferente sistema de polimerización

Abstract

The pit and fissure sealants have been used successfully in preventive dentistry as a physical barrier to isolate fissures from oral fluids. We have to consider different factors such as the quality of adhesion to the tooth enamel, microleakage and the polymerization system which can be a chemical reaction or lightactivation. The aim of this study was to compare the adhesion and microleakage of two pit and fissure sealants of the same manufacturer with different polymerization system. Forty human molars without caries or restorations extracted for orthodontic reasons were used in this study. Four groups of ten teeth each were randomly selected. Prophylaxis was made on all molars. The sealants were handled according to the manufactures instructions. Adhesion test: previous acid etching groups 1 and 3 received a sample of each sealant on the vestibular face, then were stored in deionized water (37 ± 1°C). Forty-eight hours later they were tested by applying a tractional load (Instron machine, 1 mm/min). Microleakage test: Occlusal fissures of the 2 and 4 groups were etched and sealed with a chemical and lightactivated sealants respectively, then thermocycled (1,000 cycles; 5-45°C). A coat of acrylic resin and nail varnish was placed on the molars leaving the occlusal surface free and immersed for 4 hours in a 2% methylene blue dye. Molars were sectioned bucco-lingually and examined with a stereomicroscope (10X). The results of the adhesion test were analyzed with a Student t that showed a statistically significant difference (p = 0.035) between both polymerization systems. Twenty percent of the specimens sealed with a light–activated sealant presented microleakage; 45% of specimens sealed with a chemical reaction sealant presented microleakage. This results were compared by the Mann-Whitney nonparametric test. No statistical significant differences were found (p = 0.179).