Clinical Status Of Sealed Composite Restorations: 12-Month Evaluation
Objectives: To observe the clinical quality of composite restorations sealed with pit and fissure resin-based sealant versus a control group according to FDI criteria for marginal adaptation and secondary caries, in an evaluation after 12 months of the treatments. Methods: In this study were used 70 composite restorations with marginal defects 3 or 4 according FDI criteria and analized by calibrated operators (kappa=0.85), from 35 patients with 2 restorations for each one, which were randomized into 2 groups: A (n=35): Sealed with resin-based sealant (Clinpro Sealant, 3M ESPE) more adhesive (Universal scotchbond, 3M ESPE); B (n=35): no treatment. The treatments were performed under absolute isolation with the protocols specified by the manufacturer. FDI Clinical evaluation was performed with two explorers: 150EX (Ø 0.15mm, Depppeler) and 250EX (Ø 0.25mm, Deppeler). Results: In the 12-month evaluation were examinated 32 patients, 91.4% (64 restorations) FDI results Marginal Adaptation: Group A FDI= 1, 50%, 2, 6.3%, 3, 15.6% and 4, 28.1%. Group: B, FDI3, 81.3% and 4, 18.8% (p=0.007). Secondary caries 100% of restorations had FDI 1 value. Conclusions: The sealed of composite restorations with resin-based sealant more adhesive shows better clinical marginal adaptation over 12 months. No secondary caries lesions adjacent to marginal defects in 12 months were observed.