Eficacia y sobrevida de sellantes dentales: revisión de la literatura

Abstract

Objective: To analyze the literature regarding the efficacy and survival of pit and fissure sealants. Materials and methods: Review of the literature in the Pubmed and Lilacs databases with the keywords: permanent dentition, survival, efficacy and sealants, taking into account articles in Spa-nish and English as inclusion criteria, articles that are systematic reviews and clinical trials, free ac-cess articles, with a cut-off date of February 2022. Regarding the exclusion criteria, articles that are not free access, those that are repeated and those that did not match the theme. At the beginning of the search, 30 articles were found in Pubmed using the combination of keywords and 10 articles in Lilacs, obtaining a total of 40 articles of which 16 were discarded, 8 because there was no access to the full text, one was withdrawn because there was no agreed with the theme and 7 articles because they were repeated. Results: The findings found in this review show that the efficacy of sealants to prevent dental caries is related to the retention of the material. The glass ionomer is effective in preventing carious lesions thanks to its property of releasing fluoride while the resin does so through its adhesion to the dental tissue, in terms of survival, it depends on the correct placement of the material, respecting the operating times and following the proper steps for each material, however, the resin sealant showed better retentive properties due to the fact that it requires acid etching and adhesive systems that, on the contrary, the glass ionomer does not need.