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, Annisa Listya Paramita, Fitria Rahmitasari
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Abstract

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
局部氟化应用后基于玻璃离子的剪切粘结强度裂缝密封胶:氟化钠与酸化氟化磷酸的比较
背景:在幼龄恒牙上应用缝封剂是预防龋病的重要措施之一。基于玻璃离子水泥(GIC)的裂缝密封胶具有释放氟化物的优点。氟化钠和酸化磷酸氟(APF)是再矿化剂,因为它们可以通过将羟基磷灰石转变为氟磷灰石来增加再矿化,这反过来又使氟能够增加ph值。氟可以通过增加牙釉质的再矿化来预防龋齿,而牙釉质刚刚被牙菌斑细菌产生的酸去矿化。本研究的目的是比较氟化钠和APF氟外用玻璃离子基裂缝密封胶的剪切粘结强度。方法:本研究采用真实实验设计和后测纯对照组设计。将21颗上颌恒前臼齿分为3组,分别为对照组(K1)、治疗组添加5%氟化钠(K2)、治疗组添加1.23% APF (K3)。结果:单因素方差分析和事后LSD分析显示各组间差异无统计学意义。这可能是由于在GIC应用之前用作调理剂的材料。氟离子的加入会抑制调理剂对牙釉质的脱矿作用。因此不排除它会干扰本研究中作为裂缝密封剂的GIC材料的附着。结论:氟化钠与酸化氟化磷酸外用玻璃离子基裂缝密封胶的剪切结合强度无显著差异
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