Penetration and Adaptation of the Highly Viscous Zinc-Reinforced Glass Ionomer Cement on Contaminated Fissures: An In Vitro Study with SEM Analysis
Galiah Husam AlJefri,
Sunil Babu Kotha,
Muhannad Hani Murad,
Reham Mohammed Aljudaibi,
Fatmah Nasser Almotawah and
Sreekanth Kumar Mallineni
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Galiah Husam AlJefri: Private Practitioner, Pediatric Dentistry, Riyadh 11614, Saudi Arabia
Sunil Babu Kotha: Pediatric Dentistry Division, Preventive Dentistry Department, College of Dentistry, Riyadh Elm University (REU), Riyadh 13244, Saudi Arabia
Muhannad Hani Murad: Prince Salman bin Muhammad Hospital, Ministry of Health, Ad Dilam Governorate, Riyadh 16223, Saudi Arabia
Reham Mohammed Aljudaibi: Pediatric Dentistry Division, Preventive Dentistry Department, College of Dentistry, Riyadh Elm University (REU), Riyadh 13244, Saudi Arabia
Fatmah Nasser Almotawah: Pediatric Dentistry Division, Preventive Dentistry Department, College of Dentistry, Riyadh Elm University (REU), Riyadh 13244, Saudi Arabia
Sreekanth Kumar Mallineni: Department of Preventive Science, College of Dentistry, Majmaah University, Almajmaah 11952, Saudi Arabia
IJERPH, 2022, vol. 19, issue 10, 1-17
Abstract:
Objective: To evaluate the penetration and adaptation of highly viscous zinc-reinforced glass ionomer cement (ZRGIC), using a scanning electron microscope (SEM), when applied under various contaminated conditions on grooves and fissures of primary second molars. Materials and Methods: A total of 40 extracted human primary second molars were randomly assigned into five groups (8 teeth each), with different surface conditions (conditioned with 40% polyacrylic acid, dry condition, water contamination, saliva contamination, or saliva contamination and air-drying) on the occlusal surface before placement of zinc-reinforced highly viscous glass ionomer cement with the finger-press technique. After sectioning the teeth, they were subjected to SEM analysis, where four in each group underwent aging by thermocycling and the other four were without aging. ANOVA tests, post hoc analysis, and unpaired t-tests were used for statistical analyses. Results: There was a significant statistical difference in the sealant penetration in the non-aging group, but in the aging group, there was no significant statistical difference in the sealant penetration. On other hand, a significant statistical difference was found in the adaptation between all the groups ( p < 0.05). Highly viscous zinc-reinforced glass ionomer fissure sealants have better fissure penetration and more intimate adaptation under fissures conditioned with 40% polyacrylic acid and dry surface fissures with no contamination. However, the best penetration and retention after aging were under contaminated fissures with a shiny layer of saliva. Conclusions: The ZRGIC is a highly viscous fluoride-releasing cement, effectively seals fissures by interfering with food lodgment and protecting teeth from caries. It is advisable to restore the fissures with the minimal technique of sensitive fluoride-releasing GIC, particularly in young, uncooperative children, rather than leaving a caries-prone environment.
Keywords: glass ionomer cement; fissures; zinc; children; fluoride (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:19:y:2022:i:10:p:6291-:d:821264
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