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Objective: Pit and fissure sealants with antibacterial and remineralization properties have broad application prospects in caries prevention. The objectives of this study were to: (1) develop a novel pit and fissure sealant containing CaF nanoparticles (nCaF) and dimethylaminohexadecyl methacrylate (DMAHDM); and (2) investigate the effects of nCaF and DMAHDM on biofilm response and fluoride (F) ion release for the first time.
Methods: Helioseal F was used as a control. Bioactive sealants were formulated with DMAHDM and nCaF. Flow properties, enamel shear bond strength, hardness and F ion releases were measured. Streptococcus mutans (S. mutans) biofilms were grown on sealants. Biofilm metabolic activity, lactic acid production, colony-forming units (CFU), and pH of biofilm culture medium were measured.
Results: Adding 5% DMAHDM and 20% nCaF did not reduce the paste flow and enamel bond strength, compared to control (p < 0.05). Hardness of sealants with 20% nCaF and DMAHDM was higher than control (p < 0.05). The F ion release from 20% nCaF was much higher than that of commercial control (p < 0.05). The sealant with DMAHDM reduced the S. mutans biofilm CFU by 4 logs. The pH in biofilm medium of the new bioactive sealant was much higher (pH 6.8) than that of commercial sealant (pH 4.66) (p < 0.05).
Significance: The new bioactive pit and fissure sealant with nCaF and DMAHDM achieved high fluoride release and strong antibacterial performance. This novel fluoride-releasing and antibacterial sealant is promising to inhibit caries and promote the remineralizaton of enamel and dentin.
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http://dx.doi.org/10.1016/j.dental.2020.05.010 | DOI Listing |
J Oral Biol Craniofac Res
August 2025
Department of Public Health Dentistry, ACPM Dental College, Dhule, Maharashtra, India.
Background: In modern dentistry, the focus is more on preventing caries than treating them, which helps preserve tooth structure. There is an approximately 50 % prevalence of caries on the occlusal surface in school children. Pits and fissures with irregularities and invasions are responsible for this.
View Article and Find Full Text PDFJpn Dent Sci Rev
December 2025
Departament of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil.
This systematic review analyzed effectiveness of resin sealants in arresting caries lesions in the outer 1/3 of dentin compared to restorations in deciduous/permanent teeth. Seven databases were searched for randomized clinical trials (December/2024), considering the outcomes "caries progression", "material retention", "tertiary dentin formation", with a minimum 6 months follow-up. Risk of bias was assessed with RoB 2; meta-analysis used risk difference as effect measure in random effects model and Cochran Q test / I statistics for heterogeneity; GRADE assessed the evidence certainty.
View Article and Find Full Text PDFSci Rep
August 2025
Postgraduation Program in Biophotonic Medicine, Universidade Nove de Julho, UNINOVE, Rua Vergueiro, 235/249 - Liberdade, São Paulo, SP, 01504-000, Brazil.
This study evaluated the impact of photobiomodulation (PBM) combined with glass ionomer sealant on hypersensitivity, oral hygiene, and sealant retention in molars affected by molar incisor hypomineralization (MIH). Forty-nine children (6-12 years) with MIH (Grade 3, 4a, or 4b) per MIH-TNI criteria were randomly assigned to two groups: control (n = 25, fluoride toothpaste, sealant with self-curing glass ionomer cement, simulated PBM) and treatment (n = 24, fluoride toothpaste, sealant with self-curing glass ionomer cement, active PBM). Hypersensitivity (SCASS, VAS), oral hygiene (OHI-S), and sealant retention (CCC system) were assessed.
View Article and Find Full Text PDFFolia Med (Plovdiv)
August 2025
Medical University of Sofia, Sofia, Bulgaria.
Marginal integrity can be defined as the ability of a sealant to establish a robust and resilient bond at the interface between the sealant and the tooth surface, preventing microleakage, discoloration, the formation of voids and cracks, and the subsequent development of caries lesions.
View Article and Find Full Text PDFBioinformation
May 2025
Department of Pediatric and Preventive Dentistry, People's Dental Academy Bhopal, People's University, Bhopal, Madhya Pradesh, India.
Demineralization causes dissolution of calcium hydroxyapatite crystals from enamel surface and leads to formation of micro-porosities resulting in chalky white patches on tooth surface thereby causing a white spot lesions. Therefore, it is of interest to compare the surface roughness, micro-hardness and masking effect of commonly used pit and fissure sealant (GC, fuji VII, IVOCLAR, helioseal F) and DMG ICON in artificial carious lesions. A total of 80 freshly extracted premolars were collected for the study.
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