Shear bond strength fissure sealant based on glass ionomer after topical fluor application: a comparison between sodium fluoride and acidulated phosphate fluoride

Yulie Emilda Akwan*  -  Universitas Hang Tuah Surabaya, Indonesia
Annisa Listya Paramita  -  Universitas Hang Tuah Surabaya, Indonesia
Fitria Rahmitasari  -  Universitas Hang Tuah Surabaya, Indonesia

(*) Corresponding Author

Background: Application of fissure sealants to young permanent teeth is one of the preventive measures for caries in the field of dentistry. Fissure sealants based on glass ionomer cement (GIC) have the advantage of releasing fluoride. Sodium fluoride and acidulated phosphate fluoride (APF) are remineralization agents because they can increase remineralization by altering hydroxyapatite to fluorapatite and this in turn makes fluorine able to increase pH. Fluoride can prevent caries by increasing remineralization of the enamel that has just been demineralized by acids produced by plaque bacteria. The aim of this study is to compare the shear bond strength fissure sealant based on glass ionomer between sodium fluoride and APF topical fluor application
Method: This research applied true experimental design with post test only control group design. The 21 maxillary permanent premolars were distributed into 3 groups, namely the control group (K1), the treatment group added 5% sodium fluoride (K2), and the treatment group added 1.23% APF (K3).
Result: One Way ANOVA and post hoc LSD analysis test displayed no significant difference in each group. This could be due to the material used as a conditioner prior to the GIC application. The addition of fluoride ions will inhibit the demineralization process of the enamel produced by the application of conditioner. So it does not rule out that it will interfere with the attachment of the GIC material used as a fissure sealant in this research.
Conclusion: There was no significant difference in shear bond strength of fissure sealant based on glass ionomer between sodium fluoride and acidulated phosphate fluoride topical application.

Keywords: Fluoride; fissure sealant; glass ionomer cement; shear bond strength

  1. Casamassimo, P.S., Fields, H.W., McTigue, D.J. and Nowak, A., 2012. Pediatric dentistry-pageburst e-book on vitalsource, infancy through adolescence, 5: Pediatric dentistry-pageburst e-book on vitalsource. Elsevier Health Sciences
  2. Bachtiar Z.A., Putri R.A.,. Penatalaksanaan Fissure Sealant pada Gigi Anak (Laporan Kasus). TALENTA. 2018. 1(1): 207-213.
  3. Kaur S, Kaur M.. Retention of Pit and Fissure Sealants Used by Two Different Techniques: A Comparatively Study. Internasional Journal of Applied Dental Sciences. 2018. 4(4):70-72.
  4. Pawarti P, Fathiah F. Perbedaan Topical Fluoride Application dan Fissure Sealant dalam Mencegah Karies Pada Gigi Molar Satu. Jurnal Vokasi Kesehatan. 2017 Jul 31;3(2):98-102.
  5. Sundari I, Diansari V, Julianti E.. Perbandingan Tingkat Kebocoran Mikro Antara Resin Komposit Dan Glass Ionomer Cement Sebagai Bahan Penutupan Fisura (Evaluasi In-Vitro Setelah Satu Bulan Aplikasi). Cakradonya Dental Journal. 2018; Oct 4;10(2):121-8.
  6. Sirat NM.. Pengaruh Aplikasi Topikal dengan Larutan NaF dan SnF2 dalam Pencegahan Karies Gigi. Jurnal Kesehatan Gigi. 2014; 2(2): 224.
  7. Annisa, Ahmad I.. Mekanisme Fluor Sebagai Kontrol Karies pada Gigi Anak. Journal of Dental Association. 2018; 1(1): 63. 10.
  8. Limeback H. Comprehensive Preventiv Dentistry. Oxford: WileyBlackwell. 2012.
  9. Dean, J. A., Avery, D. R., & McDonald, R.E. Dentistry for the child and adolescent 9th ed. Maryland Heights, Missouri: Mosbey Elsevier co. 2011.
  10. Mount, G. J., Hume, W. R., Ngo, H. C., & Wolff, M. S. (Eds.). Preservation and restoration of tooth structure. John Wiley & Sons. 2016.
  11. Yagiela JA, Dowd FJ, Jhonson BS, Mariotti AJ, Neidle EA. Pharmacology and Therapeutics for Dentisry 6th Edition. 2011. St.Louis: Mosby. p.725
  12. Bayrak S, Tuloglu N, Bicer H, Tunc ES. Effect of Fluoride Varnish Containing CPP-ACP on Preventing Enamel Erosion. 2017.Hindawi.; 2-5.
  13. Cochrane NJ, Shen P, Yuan Y, Reynolds EC. Ion Release From Calcium and Fluoride Containing Dental Varnishes. Australian Dental Journal. 2014.; 59: 100-105.
  14. Powers, J. M., & Sakaguchi, R. L. Craig’s Restorative Dental Materials. (P. Rudolph & J. Pendill, Eds. 12th ed. 2006.St. Louis, Missouri: Mosby Elsevier.
  15. Anusavice, K. J., Shen, C., & Rawls, R. H.. Phillips’ Science of Dental Materials 12th ed. 2013. St. Louis, Missouri: Mosby Elsevier.
  16. Ekky Berliana; Wardani, Istien; Juniar, Eriza. Efektivitas Topikal Aplikasi Fluoride Menggunakan Ekstrak Teh Hijau Dibandingkan Dengan Sodium Fluoride Pada Gigi Sapi. DENTA Jurnal Kedokteran Gigi, 2015, 9.2: 155.
  17. Gunjal S, Nagesh L, Raju HG. Comparative Evaluation Of Marginal Integrity of Glass Ionomer And Resin Based Fissure Sealants Using Invasive and Non-invasive Techniques: An In Vitro Study. 2012. Indian Journal of Dental Research; 23: 320-325.
  18. Erry HW, Ardinansyah A. Perbedaan Efektifitas Retensi Dan Preventif Karies Bahan Pit Dan Fissure Sealant. ODONTO: Dental Journal. 2019 Dec 30;6(2):125-33.
  19. Joshi, S. R., Gowri Pendyala, D., Mopagar Viddyasagar, D., Padmawar, N., Nara, A., & Joshi, P.. Remineralizing agents in dentistry: A review. 2018
  20. Ekandini, Elfa Rushdah, Et Al.. Kadar Calcium Dan Fluoride Pada Gigi Insisive Sulung Setelah Aplikasi Topikal Sodium Fluoride 5%+ Tricalcium Phosphate (In Vitro). 2015. Phd Thesis. Universitas Airlangga.
  21. Dewiyani S, Paath SL, Febrianti F. Comparison Fluoride Concentration In Saliva Between Fluoride Varnish And Glass Ionomer Cement. ODONTO: Dental Journal. 2022 Jul 26;9(1):28-33.
  22. Apriani A, Mandalas HY, Khoe W. Saliva Acidity Level Toward Application Casein Phosphopeptide-Amorphous Calcium Phosphate For Children Aged 8-9 Years. ODONTO: Dental Journal. 2021 Dec 22;8(2):91-6.
  23. Sungkar, Suzanna. Peran Kondisioner Pada Adhesi Bahan Restorasi Semen Ionomer Kaca Dengan Struktur Dentin (Tinjauan Pustaka). 2014.Cakradonya Dental Journal, , 6.2: 699-705.
  24. Attar N, Turgut MD. Fluoride Release And Uptake Capacities Of Fluoride-Releasing Restorative Materials. Oper Dent; 2003.28:395-402.
  25. Preston AJ, Agalamanyi EA, Higham SM, Mair LH. The recharge of esthetic dental restorative materials with fluoride in vitro-two years' results. Dent Mater 2003;19:32-37.

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