Clinical Evaluation of an Ormocer Based Fissure Sealents on Adults

Objectives: Pit and fissure sealants are proven to be an effective method to reduce the incidence of occlusal caries on permanent teeth. However, it remains uncertain to apply them young adults because of the possibility of failure due to occlusal forces. The objective of the present study was to evaluate the retention of Admira Seal, a light curing ormocer based fissure sealant, clinically on the occlusal pits and fissures of permanent molars and premolars in young adults. Methods: The examined population consisted of 32 (11 male, 21 female) third year dental students. The mean age of patients treated was 21.6 years. 149 premolars and 56 molars were sealed by same researcher. Sealants were evaluated by two researchers immediately and 11-13 month recalls. Kaplan-Meier survival analysis was calculated for various failure criterias: partial or complete loss of the sealant, surface texture and secondary caries. Results: Successful recall was achieved with all patients (100%). Retention of fissure sealants were recorded as 99.05% intact, 0.95% partially lost (1 in premolar and 1 in molar teeth) at 11-13 months. 6.82% of the sealants showed surface irregularity. Retention with explorer was obtained in 7.31% of the examined sealants. Two marginal discoloration of the sealants were detected on two teeth of one patient. No secondary caries was observed clinically and radiographically. Conclusion: The results underlined that ormocer based fissure sealant has been found successful material with low failure rate, good retention and surface texture at 11-13 month duration clinically.