Effect of a bioactive pit and fissure sealant on demineralized human enamel: in vitro study

Abstract Background Incorporation of bioactive agent into pit and fissure sealant would halt demineralization and promote further remineralization. The aim was to assess the effect of bioactive and fluoride fissure sealants on calcium and phosphate content and surface topography of artificially demi...

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Main Authors: Rehab Samir Salma, Omnia M. AbdElfatah
Format: Article
Language:English
Published: BMC 2022-12-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-022-02617-0
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author Rehab Samir Salma
Omnia M. AbdElfatah
author_facet Rehab Samir Salma
Omnia M. AbdElfatah
author_sort Rehab Samir Salma
collection DOAJ
description Abstract Background Incorporation of bioactive agent into pit and fissure sealant would halt demineralization and promote further remineralization. The aim was to assess the effect of bioactive and fluoride fissure sealants on calcium and phosphate content and surface topography of artificially demineralized enamel in young permanent teeth. Methods 30 sound extracted premolars free from cracks or any developmental anomalies were used. They were divided into group I bioactive fissure sealant, group II fluoride fissure sealant and group III no material applied. Each tooth was divided into halves in a buccolingual direction and evaluated by energy dispersive X-ray spectrometer (EDX) at baseline, demineralization and after applying the material. Another set of 7 sound extracted premolars was evaluated by scanning electron microscopy (SEM) at the same phases. Results EDX showed that regaining calcium to demineralized enamel was significantly higher with bioactive sealant than either fluoride or the control group. SEM revealed minerals deposits with formation of distinct white zone at tooth/sealant interface for both pit and fissure sealant groups. Whereas no white zone formation was detected in control group. Conclusions Incorporating bioactive material into pit and fissure sealant through microcapsules provided better results than incorporating fluoride by enhancing the biological process of remineralization. Clinical relevance: The more use of bioactive pit and fissure sealant would maintain the occlusal surfaces as sound structures and decrease the need for operative procedures to restore teeth cavitation.
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spelling doaj.art-262f99b6edf347c4ba4320e848295bb82022-12-22T02:50:55ZengBMCBMC Oral Health1472-68312022-12-0122111110.1186/s12903-022-02617-0Effect of a bioactive pit and fissure sealant on demineralized human enamel: in vitro studyRehab Samir Salma0Omnia M. AbdElfatah1Pediatric and Community Dentistry Department, Faculty of Dentistry, Pharos University in AlexandriaOral Biology Department, Faculty of Dentistry, Pharos University in AlexandriaAbstract Background Incorporation of bioactive agent into pit and fissure sealant would halt demineralization and promote further remineralization. The aim was to assess the effect of bioactive and fluoride fissure sealants on calcium and phosphate content and surface topography of artificially demineralized enamel in young permanent teeth. Methods 30 sound extracted premolars free from cracks or any developmental anomalies were used. They were divided into group I bioactive fissure sealant, group II fluoride fissure sealant and group III no material applied. Each tooth was divided into halves in a buccolingual direction and evaluated by energy dispersive X-ray spectrometer (EDX) at baseline, demineralization and after applying the material. Another set of 7 sound extracted premolars was evaluated by scanning electron microscopy (SEM) at the same phases. Results EDX showed that regaining calcium to demineralized enamel was significantly higher with bioactive sealant than either fluoride or the control group. SEM revealed minerals deposits with formation of distinct white zone at tooth/sealant interface for both pit and fissure sealant groups. Whereas no white zone formation was detected in control group. Conclusions Incorporating bioactive material into pit and fissure sealant through microcapsules provided better results than incorporating fluoride by enhancing the biological process of remineralization. Clinical relevance: The more use of bioactive pit and fissure sealant would maintain the occlusal surfaces as sound structures and decrease the need for operative procedures to restore teeth cavitation.https://doi.org/10.1186/s12903-022-02617-0BioactiveEDXPit and fissure sealantRemineralization
spellingShingle Rehab Samir Salma
Omnia M. AbdElfatah
Effect of a bioactive pit and fissure sealant on demineralized human enamel: in vitro study
BMC Oral Health
Bioactive
EDX
Pit and fissure sealant
Remineralization
title Effect of a bioactive pit and fissure sealant on demineralized human enamel: in vitro study
title_full Effect of a bioactive pit and fissure sealant on demineralized human enamel: in vitro study
title_fullStr Effect of a bioactive pit and fissure sealant on demineralized human enamel: in vitro study
title_full_unstemmed Effect of a bioactive pit and fissure sealant on demineralized human enamel: in vitro study
title_short Effect of a bioactive pit and fissure sealant on demineralized human enamel: in vitro study
title_sort effect of a bioactive pit and fissure sealant on demineralized human enamel in vitro study
topic Bioactive
EDX
Pit and fissure sealant
Remineralization
url https://doi.org/10.1186/s12903-022-02617-0
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