International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 17 , ISSUE 3 ( March, 2024 ) > List of Articles

REVIEW ARTICLE

Clinical Effectiveness of Air Abrasion When Compared to Conventional Acid-etching Technique in Enhancing the Retention of Pit and Fissure Sealants: A Systematic Review

Shivani N Bhadule, Ashita Kalaskar, Karthika Krishnakumar, Suyash Joshi, Shruti Balasubramanian

Keywords : Air abrasion, Acid-etching, Pit and fissure sealants, Retentivity, Systematic review

Citation Information : Bhadule SN, Kalaskar A, Krishnakumar K, Joshi S, Balasubramanian S. Clinical Effectiveness of Air Abrasion When Compared to Conventional Acid-etching Technique in Enhancing the Retention of Pit and Fissure Sealants: A Systematic Review. Int J Clin Pediatr Dent 2024; 17 (3):377-384.

DOI: 10.5005/jp-journals-10005-2782

License: CC BY-NC 4.0

Published Online: 01-06-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Purpose: The purpose of our study was to perform a systematic review to assess and compare the effectiveness of the air abrasion technique with that of the conventional acid-etching technique performed before the placement of pit and fissure sealants. Materials and methods: A search of studies was conducted in May 2021 using PubMed, Cochrane Library, and Google Scholar databases. Clinical trials in the English language between 1997 and 2019 were included. The quality of the studies was analyzed using the Cochrane Collaboration tool. Results: The search retrieved 276 references, out of which seven studies were included for a qualitative analysis. In these seven studies, the risk of bias across the Cochrane tool's domains varied from low to high. All the included studies considered acid-etching as a comparator to air abrasion technique either used alone or as an adjunct to acid-etching technique. Conclusion: When coverage of sealants or their retentivity was compared at different time intervals, it was more in the acid-etching group than in the air abrasion group. Similarly, carious lesions were seen more in the air abrasion group than in the acid-etching group. The air abrasion technique followed by acid-etching brought superior retention properties of sealants than the acid-etching technique alone.


HTML PDF Share
  1. Caufield PW, Li Y, Dasanayake A. Dental caries: an infectious and transmissible disease. Compend Contin Educ Dent 2005;26(5 Suppl 1):10–16.
  2. Demirci M, Tuncer S, Yuceokur AA. Prevalence of caries on individual tooth surfaces and its distribution by age and gender in university clinic patients. Eur J Dent 2010;4(3):270–279.
  3. Liu W, Xiong L, Li J, et al. The anticaries effects of pit and fissure sealant in the first permanent molars of school-age children from Guangzhou: a population-based cohort study. BMC Oral Health 2019;19(1):156. DOI: 10.1186/s12903-019-0846-x
  4. Horst JA, Tanzer JM, Milgrom PM. Fluorides and other preventive strategies for tooth decay. Dent Clin North Am 2018;62(2):207–234. DOI: 10.1016/j.cden.2017.11.003
  5. Meiers JC, Jensen ME. Management of the questionable carious fissure: invasive vs noninvasive techniques. J Am Dent Assoc 1984;108(1):64–68. DOI: 10.14219/jada.archive.1984.0203
  6. Kauffmann JH. Prophylactic odontotomy; a successful operative procedure for the prevention of dental caries. N Y State Dent J 1949;15(10):564–569.
  7. Gao SS, Zhao IS, Duffin S, et al. Revitalising silver nitrate for caries management. Int J Environ Res Public Health 2018;15(1). DOI: 10.3390/ijerph15010080
  8. Cvikl B, Moritz A, Bekes K. Pit and fissure sealants-a comprehensive review. Dent J (Basel) 2018;6(2). DOI: 10.3390/dj6020018
  9. Poggio C, Andenna G, Ceci M, et al. Fluoride release and uptake abilities of different fissure sealants. J Clin Exp Dent 2016;8(3):e284–e289. DOI: 10.4317/jced.52775
  10. Tzifa V, Arhakis A. Sealant retention in pits and fissures: preparation and application techniques. A literature review. Balk J Stom 2013;17:9–17.
  11. Farooq I, Imran Z, Farooq U. Air abrasion: truly minimally invasive technique. Int J Prosthodont Endod 2011;1(2):105–107. DOI: 10.5005/jp-journals-10019-1019
  12. Hegde VS, Khatavkar RA. A new dimension to conservative dentistry: air abrasion. J Conserv Dent 2010;13(1):4–8. DOI: 2010. 10.4103/0972-0707.62632
  13. Tan MH, Hill RG, Anderson P. Comparing the air abrasion cutting efficacy of dentine using a fluoride-containing bioactive glass versus an alumina abrasive: an in vitro study. Int J Dent 2015;2015:521901. DOI: 10.1155/2015/521901
  14. Yazici AR, Kiremitçi A, Celik C, et al. A two-year clinical evaluation of pit and fissure sealants placed with and without air abrasion pretreatment in teenagers. J Am Dent Assoc 2006;137(10):1401–1405. DOI: 10.14219/jada.archive.2006.0052
  15. Van Landuyt K, De Munck J, Coutinho E, et al. Dental Hard Tissues and Bonding. Bonding to dentin: smear layer and the process of hybridization. 2005; pp. 89–122.
  16. Bendinskaite R, Peciuliene V, Brukiene V. A five years clinical evaluation of sealed occlusal surfaces of molars. Stomatologija 2010;12(3):87–92.
  17. Gani S, Nagarajappa R, Abid M. Comparative evaluation of air abrasion and acid-etching on sealant integrity by color coverage caries evaluation system. EC Dent Sci 2019;2089–2097.
  18. Kanellis MJ, Warren JJ, Levy SM. Comparison of air abrasion versus acid etch sealant techniques: six-month retention. Pediatr Dent 1997;19(4):258–261.
  19. Kanellis MJ, Warren JJ, Levy SM. A comparison of sealant placement techniques and 12-month retention rates. J Public Health Dent 2000;60(1):53–56. DOI: 10.1111/j.1752-7325.2000.tb03293.x
  20. Reddy PR, Hugar SM, Deshpande SD, et al. The evaluation of different methods viz., acid etch and by air abrasion on retentivity of fissure sealant after 6 months: a clinical study. J Sci Soc 2014;41(1):16–21. DOI: 10.4103/0974-5009.126709
  21. Singh C, Kaur K, Kapoor K. Retention of pit and fissure sealant versus flowable composite: an in vivo one-year comparative evaluation. J Indian Soc Pedod Prev Dent 2019;37(4):372–377. DOI: 10.4103/JISPPD.JISPPD_122_19
  22. Bhushan U, Goswami M. Evaluation of retention of pit and fissure sealants placed with and without air abrasion pretreatment in 6-8 year old children - an in vivo study. J Clin Exp Dent 2017;9(2):e211–e217. DOI: 10.4317/jced.53259
  23. Ahovuo-Saloranta A, Forss H, Walsh T, et al. Sealants for preventing dental decay in the permanent teeth. Cochrane Database Syst Rev 2013;(3):CD001830. DOI: 10.1002/14651858.CD001830.pub4
  24. Simonsen RJ, Neal RC. A review of the clinical application and performance of pit and fissure sealants. Aust Dent J 2011;56 Suppl 1:45–58. DOI: 10.1111/j.1834-7819.2010.01295.x
  25. Kim JE, Lim JH, Kang YJ, et al. Effect of pressure and particle size during aluminum oxide air abrasion on the flexural strength of disperse-filled composite and polymer-infiltrated ceramic network materials. Polymers (Basel) 2020;12(6). DOI: 10.3390/polym12061396
  26. Calderone JJ, Mueller LA. The cost of sealant application in a state dental disease prevention program. J Public Health Dent 1983;43(3):249–254. DOI: 10.1111/j.1752-7325.1983.tb01916.x
  27. Aguilar FG, Drubi-Filho B, Casemiro LA, et al. Retention and penetration of a conventional resin-based sealant and a photochromatic flowable composite resin placed on occlusal pits and fissures. J Indian Soc Pedod Prev Dent 2007;25(4):169–173. DOI: 10.4103/0970-4388.37012
  28. Oulis CJ, Berdouses ED. Fissure sealant retention and caries development after resealing on first permanent molars of children with low, moderate and high caries risk. Eur Arch Paediatr Dent 2009;10(4):211–217. DOI: 10.1007/BF03262684
  29. Naaman R, El-Housseiny AA, Alamoudi N. The use of pit and fissure sealants-a literature review. Dent J (Basel) 2017;5(4). DOI: 10.3390/dj5040034
  30. Handelman SL, Leverett DH, Espeland M, et al. Retention of sealants over carious and sound tooth surfaces. Community Dent Oral Epidemiol 1987;15(1):1–5. DOI: 10.1111/j.1600-0528.1987.tb00470.x
  31. Papageorgiou SN, Dimitraki D, Kotsanos N, et al. Performance of pit and fissure sealants according to tooth characteristics: A systematic review and meta-analysis. J Dent 2017;66:8–17. DOI: 10.1016/j.jdent.2017.08.004
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.