• Journal of Korean Dental Hygiene Science
• /
• v.6 no.2
• /
• pp.101-114
• /
• 2023

Background: This study aimed to explore the overall perception of pit and fissure sealants and suggest methods to revitalize their current stagnation. Methods: To determine the social perception of the change in coverage policy for pit and fissure sealants, we categorized them into five time periods. The first period (December 1, 2009 to November 30, 2010), the second period (December 1, 2010 to September 30, 2012), the third period (October 1, 2012 to May 5, 2013), the fourth period (May 6, 2013 to September 30, 2017), and the fifth period (October 1, 2017 to December 31, 2022). We utilized text mining, an unstructured big data analysis method. Keywords were collected and analyzed using Textom, and the frequency analysis of the top 30 keywords, structural features of the semantic network, centrality analysis, QAP correlation analysis, and co-occurrence analysis were conducted. Results: The frequency analysis showed that the top keywords for each time period were 'Cavities', 'Treatment', and 'Children'. In the structural features of the semantic network of pit and fissure sealants by time period, the density index was found to be around 1.00 for all time periods. The QAP correlation analysis showed the highest correlation between the first and second periods and the fourth and fifth periods with a correlation coefficient of 0.834. The co-occurrence analysis showed that 'cavities' and 'prevention were the top two words across all time periods. Conclusion: This study showed that pit and fissure sealants are well accepted by the society as a preventive treatment for caries. However, the awareness of health education related to these sealants was found to be low. Efforts to revitalize stagnant pit and fissure sealants need to be strengthened with effective education.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.23 no.4
• /
• pp.906-914
• /
• 1996

Due to the various reason, sealing of pit & fissure might be imperfect. One of these reason can be the fracture of sealant material because of the low hardness value of sealing material. The purpose of this in vitro study was to evaluate the microhardness of two different curing type pit and fissure sealants: Dual-cure and Light-cure. The result from the present study can be summarized as follows: 1. All pit and fissure sealants that used in this study showed statistically significant difference in their microhardness of upper and lower surface. (P <0.05) 2. Except of lower surface of teethmate, microhardness of 40-second curing sealant was statistically higher than that of 20-second curing sealant. (P <0.05) 3. In comparison of sealants, microhardness of dual-cure sealant was statistically higher than that of light-cure sealant. Above results suggest that the use of dual-cure sealant and longer curing time are recommended.

• Journal of Korean society of Dental Hygiene
• /
• v.5 no.1
• /
• pp.29-38
• /
• 2005

In 2001, as a subject of this study, the first grade 165 kids in Yomju elementary school had been guided in pit and fissure sealant, fluoride rinse, group tooth brushing, and Dental health education as a part of oral disease preventive program. From the data, this author has estimated incremental dental health care program in school dental clinic in order to make it more effective and enlarge it. For that purpose, the program has been continued at six month intervals for two years. The retention condition of pit and fissure sealant in first molar and DMF rate had been investigated. The conclusions are as follows: 1. Full and partial retention of pit and fissure sealant was measured as 80.69% in maxillary right first molar, 83.20% in maxillary left first molar, and 86.72% in mandibular right first molar, and 86.28% in mandibular left first molar. 2. Retention of pit and fissure sealant in first molar was measured as 76.55% in maxillary right first molar, 81.03% in maxillary left first molar, 80.65% in mandibular left first molar, and 82.03% in mandibular right first molar. 3. Among Yomju elementary school students, DMF rate was measured as 8.7%, and DMFT index as 1.03. However, in Yangdong elementary school students the former was measured as 13.8% and the latter as 1.76. When the DMF rate difference between Yomju and Yangdong elementary school kids was considered, the oral health condition of the former was much better than that of the latter because the former had received incremental dental health care program for two years and on the other hand, the latter had not. So it is necessary that we should enlarge school dental clinic, improve and keep students' oral health.

• Journal of Korean society of Dental Hygiene
• /
• v.20 no.4
• /
• pp.535-543
• /
• 2020

Objectives: The aim of this study was to investigated the surface roughness and change in the amount of adhesion of Streptococcus mutans to the commercial pit and fissure sealant containing cerium oxide nano particles(CNPs). Methods: The CNPs was incorporated into a commercial pit and fissure sealant at 0-4.0 wt%. Disk Specimens (ϕ 10 mm × 2 mm) were prepared by light polymerization the front and back for 40s. Average surface roughness was measured and Streptococcus mutans adhesion was observed under confocal laser scanning microscopy (CLSM) after 24 hour. Data were statistically analyzed by one-way ANOVA and Tukey HSD^a post-hoc test. Results: Difference of the surface roughness(Ra) between groups was not statistically significant in both non CNPs group and CNPs group(p>0.05). In CNPs group, the amount of S. mutans adhesion was significantly different between control group and decreased in order of CNPs 4.0, CNPs 0.5, CNPs 1.0 and CNPs 2.0(p<0.05). Conclusions: Within the limitation of this study, these aspects of oral bacteria performances suggest potential usefulness of the CNPs incorporation, especially CNPs 1% and 2%, in pit and fissure sealant for inducing antibacterial effect.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.32 no.2
• /
• pp.321-331
• /
• 2005

The purpose of this study was to compare the effectiveness of mechanical and acid treatment on enamel surfaces for the retention of pit and fissure sealants and evaluate the presence of a prismless layer. The etch pattern produced on enamel from immature and mature premolar teeth extracted with varying period of acid etching using 37% phosphoric acid was examined using a scanning electron microscope(SEM). The composition of each groups was evaluated using an energy dispersive x-ray(EDX) spectroscopy. The result of present study can be summarized as follows: 1. Prismless layer was commonly observed on the fissure enamel in young and mature premolar. 2. There were no differences in micro-structure and etching pattern on fissure enamel between the young and the mature premolar. 3. The most effective etching pattern for retention of pit and fissure sealant was observed in 60 seconds of etching time and no apparent difference of etching pattern was found among 15, 30, and 45 seconds of etching time which showed non-retentive etching patterns. 4. The etching pattern obtained by grinding enamel surface with bur followed by 60 seconds of etching was similar to that of 60 seconds of etching without any pretreatment of fissure surface. 5. Type 2 etching pattern was commonly found on fissure enamel in both young and mature premolar. 6. The calcium content and P/Ca ratio in fissure enamel between the young and the mature premolar were significantly different(P<0.05). But content of calcium, phosphate and P/Ca ratio on various regions of fissure enamel in both young and mature premolar did not showed any difference. Based on these results, prismless layer may negatively influence the retention of pit and fissure sealants. Therefore, the mechanical removal of the prismless layer by grinding prior to etching or by prolonged etching time of enamel within the fissure system should result in an improved bonding of a pit and fissure sealant.

• Journal of dental hygiene science
• /
• v.14 no.4
• /
• pp.589-596
• /
• 2014

This study was designed to investigate the using status and awareness of pit and fissure sealant, and how it affects on secondary caries when performed on above of initial caries. After classifying 446 occlusal surface into four groups, performed pit and fissure sealant, induced artificial caries, used DIAGNOdent (Kavo) to measure degree of secondary caries. Also, distributed a questionnaire on dental clinic in metropolitan area to find out using status and awareness of pit and fissure sealant, the following results were obtained. 1) On inspection and percussion, Group 4 corresponding to the enamel caries showed the highest secondary caries after sealant and was statistically significant difference in the order of initial group, stained group, sound group (p<0.05). 2) Inspection showed the highest percentage on tooth fissure caries diagnostic methods before sealant. 3) 56.6% didn't know about DIAGNOdent, 91.6% didn't have it. 4) In clinically, the most cause of secondary caries after sealant was a broken sealant, making caries on the downward. Based on the results of above study, degree of caries under sealant could affect on secondary caries, needs publicity about the use and necessity of objective fluorescence device.

• Journal of Korean society of Dental Hygiene
• /
• v.7 no.1
• /
• pp.31-39
• /
• 2007

This purpose of this study was to provide the basic data for preventing dental caries, and maintaining and enhancing Oral health education. The subject of this study through the survey of the recognition of Oral health education, a questionnaire survey and dental experience and Pit and fissure sealant status was conducted for 334 male and female students who were in the 4th, 5th, 6th grade of elementary school in Ulsan city. Statistical analysis was conducted using the SPSS 11.5 with t-test, ANOVA and correlation. The obtained results were as follows 1. Experience caries on permanent teeth was male score of 58.0% and female score of 42.0% and an everage score of 52.7% very low. 2. The students who were in the 4th, 5th, 6th grade of elementary school Experience caries on permanent teeth is grad higher(p=0.000). Pit and fissure sealant of teeth number and teeth surface status by grad higher(pE0.016, p=0.000). 3. Oral health knowledge and behavior is significantly related to status(p=0.001), behavior and Daily tooth brushing frequency was significantly related to status(p=0.000). But experience caries on permanent teeth and Oral health knowledge and behavior beween wasn't significantly related to status.

• Journal of Korean society of Dental Hygiene
• /
• v.13 no.5
• /
• pp.889-900
• /
• 2013

Objectives : Molecular biology techniques were employed to assess diversity of bacterial in children's dental caries. Methods : DNA of germs was extracted and the diversity of the 16S rRNA clones was analyzed by amplified rDNA restriction analysis and sequencing. The experimental samples were pit and fissure caries (PC), deep dentinal caries (DC), smooth surface caries (SC), and supragingival plaque (PQ) from 50 children of age less than 12 years old. The control group was healthy teeth supragingival plaque (HT). Thirty clones from each 16S rRNA clone library of 5 samples were randomly selected, thus a total of 150 clones were analyzed. Results : Amplified rDNA restriction analysis uncovered 18, 20, 11, 17, and 22 phylotypes from healthy teeth, pit and fissure caries, deep dentinal caries, smooth surface caries, and supragingival plaque, respectively. Sequencing analysis found the dominance of Actinomycs naeslundii and Fusobacterium nucleatum in the healthy teeth; Leptotrichia sp. in the pit and fissure caries; Actinomyces sp., Streptococcus mutans, and Rahnella aquatilis in the deep dentinal caries; Streptococcus mutans and Actinomyces sp. in the smooth surface caries; Enterobacter hormaechei and Streptococcus sanguinis in the supragingival plaque. Conclusions : Clonal analysis identified 6 phyla, 20 genera, and 51 species.

• The Journal of the Korean dental association
• /
• v.49 no.1
• /
• pp.22-32
• /
• 2011

This paper reviewed the following subheadings and a few selected references in each section were discussed: ${\cdot}$ Sealant placed over caries; is it possible? Initial caries which is not sticky during proving is possible to be placed with sealants. ${\cdot}$ Prophylaxis of fissure; which method is most effective? Mechanical preparation with fissurotomy or resin polishing bur is one of the most effective method to clean the pit and fissure. ${\cdot}$ Glassionomer cement as a sealant; GIC, wheather it released fluoride or not, cannot be as cost-effective as resin-based sealants. ${\cdot}$ Sealant products; Color(white vs opaque), fluoride(containing vs not), filler component(filled vs non-filled) do not influenced the quality and retention of sealants. ${\cdot}$ Use of intermediate bonding agent to improve retention; Intermediate bonding may increase the retention rate of sealants ${\cdot}$ Penetration method of sealants; Several methods including waiting before light curing are recommended.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.32 no.1
• /
• pp.164-173
• /
• 2005

Mechanical preparation has been introduced to provide the sealant retention. The objective of this study was to compare the fissure penetration and the microleakage of pit and fissure sealant using mechanical preparation(mechanical preparation + acid etching) and acid etching only. An additional objective of this study was to compare the fissure penetration and the microleakage of unfilled and filled sealant in both methods. Sixty human premolars extracted for orthodontic purpose were selected. Thirty teeth were acid etched alone and remaining thirty teeth were prepared with a $\frac{1}{4}$ round bur and then acid etched. One-half of teeth in each surface treatment method were sealed with unfilled sealant and the other half were sealed with filled sealant. All of the teeth were thermocycled for 1200 cycles at $5^{\circ}C\;and\;55^{\circ}C$ and immersed in 5% methylene blue for 24 hours. Each tooth was sectioned bucco-lingually at mesial pit and distal pit and examined under a Measurescope. In the case of mechanical preparation, fissure penetration of sealant was significantly increased compared with the case of acid etching only(P < 0.05). The filled and unfilled sealant using mechanical preparation showed significantly decreased microleakage when compared with the unfilled sealant using acid etching only(P < 0.05). No differences were found in fissure penetration and microleakage between unfilled and filled sealant in both methods. Taken together, the results of this study suggest that mechanical preparation and filled sealant are recommended when placing pit and fissure sealant. However, further clinical studies should be performed in regard to microleakage.