title: Evaluation of retention of pit and fissure sealants placed with and without air abrasion pretreatment in 6-8 year old children - Anin vivostudy.
abstract: BACKGROUND
  The success of pit and fissure sealants is directly related to their retention. The purpose of this study was to assess and compare the retention of pit and fissure sealants placed using acid etch alone and a combination of air abrasion and acid etch techniques.
  
  
  METHODS
  50 subjects aged 6-8 years were included in the study. Primary second molars and permanent first molars were sealed in all four quadrants using split mouth design. The right maxillary and mandibular molars (Group A) were treated by acid etching alone while the left maxillary and mandibular molars (Group B) were pretreated with air abrasion followed by acid etching before application of pit and fissure sealant. Retention of sealants was checked using Simonsen's criteria of sealant retention after three and six months of sealant application.
  
  
  RESULTS
  There was no significant difference in retention of sealants in Group A and Group B (p<0.05) after three and six months follow up. The difference in sealant retention in primary and permanent molars was not significant (p>0.05). Maxillary molars showed superior retention compared to mandibular molars, which was statistically significant at both three and six months (p<0.05).
  
  
  CONCLUSIONS
  Combining air abrasion pretreatment with subsequent acid etching did not result in statistically significant difference in sealant retention compared to acid etching alone in both primary and permanent molars after 3 and 6 months follow up. An additional air abrasion pretreatment step can be avoided in pediatric patients when placing sealants and the procedure can be completed faster with better behavior management using acid etching alone.Key words:Pit and fissure sealant, acid etching, air abrasion.
authors.affiliation: BDS, Postgraduate student in Department of Pedodontics and Preventive Dentistry at Maulana Azad Institute of Dental Sciences, New Delhi.
authors.forename: Urvashi
authors.initials: U
authors.lastname: Bhushan
authors.affiliation: BDS, MDS, Head of the Department & Professor, Department of Pedodontics and Preventive Dentistry at Maulana Azad Institute of Dental Sciences, New Delhi.
authors.forename: Mridula
authors.initials: M
authors.lastname: Goswami