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Background: The long-term capability of resin sealants and glass ionomer cements to release fluoride is associated
to a reduction in pit and fissure caries. The regular use of fluoride varnishes/toothpastes can result in the absorption
of fluoride into the sealant. The objective of the present study was to assess the fluoride release/uptake capacities
of different fissure sealants.
Material and Methods: Three different fissure sealants (Fuji Triage/GC, Fissurit FX/Voco and Grandio Seal/Voco)
were examined. Ten discs of each material were prepared. Each disc was incubated with distilled water and then
the solution analyzed for diluted for fluoride concentration, using a combination of fluoride electrode (OrionGP 1
S/N 13824, Orion Research Inc, Boston, MA, USA) connected to an expandable ion analyzer (Orion 720A, Orion
Research Inc, Boston, MA, USA). Standard curves between 1 and 100 ppm F- were used to calibrate the electrode.
Cumulative fluoride release was measured on days 1, 2, 3, 5, 7, 21, 35 and 49, then two different fluoride varnishes/
pastes (Profluorid Varnish/Voco, MI Paste Plus/GC), were applied to the sealants tested, and fluoride release (after
reuptake) was measured on days 56, 70 and 84.
Results: Kruskal Wallis test confirmed significant differences in fluoride release between Fuji Triage/GC and Fissurit FX/Voco and Grandio Seal/Voco from day 1 (
P
< 0.001). The application of fluoride varnish Profluorid Varnish
enhanced the fluoride release for all sealants (
P
< 0.05). MI Paste Plus enhanced the fluoride release for all sealants
except for Fuji Triage/GC (
P
> 0.05).
Conclusions: The GIC-based sealant (Fuji Triage/GC) released significantly more fluoride than the resin sealants
tested. The exposure to the fluoridated varnish (Profluorid Varnish) significantly recharged the sealants tested more
than the CPP-ACPF toothpaste (MI Paste Plus).
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