Comparacion in vitro de la microfiltracién de un
sellador de fosetas y fisuras con la técnica tradicional
y con la colocacién previa de un agente adhesivo con
base de acetona y otro con base de etanol
HICASTILLO PARRILLA J," YAMAMOTO NA,** MORALES ZC,"** VALENZUELA ESPINOZA E*
Se observé el grado de microfittracion en un sellador de fosetas
1 isuras con la técnica convencional y el sellador previa coloca-
‘én de un adhesivo a base de etanol y otro de acetona. Se es-
tudiaron treinta premolares, extraidos por motivos ortodéncicos,
divididos al azar en tres grupos de diez dientes. A todos éstos
se les reali una profilaxis con una pasta fluorada, sequido de
ta apticacién de un grabado de esmalte con HgPO al 37% duran-
te 20 segundos. Al grupo uno se le colocé el adhesivo con base
‘etanol; al grupo dos, un adhesivo con base de acetona; al terce-
ro, directamente el sellador de fosetas y fisuras. Los dientes,
fueron termociclados a 500 ciclos, en un tiempo aproximado de
‘ocho horas y 20 minutos, donde cada ciclo duré un minuto a
tuna temperatura de 5 a 60°C. Se colocaron en un recipiente con,
azul de metileno y luego fueron realizados cortes longitudinales.
EL grado de microfittracion fue observado a través del microsco-
pio (10%), utitizando una escala de O=no penetracion, 1=pene-
tracion esmalte, 2=penetracién dentina. Los datos muestran que
cl grupo uno present6 menos micrfiltracion que los grupos dos
y tres, aunque al realizar el analisis estadistico, con la prueba
de Kruskal Wallis, los resultados muestran que no existe dife-
rencia estadisticamente significativa en la microfiltracion en et
sellador utiizando la técnica convencional y sistema de adhesivos,
con base de etanol o acetona.
INTRODUCCION
de caries dental en la mayoria de los paises desarrollados
I 0s datos epidemiolégicos muestran que la prevalencia
se ha reducido de una manera importante en las ultimas
Alumna de la Especialidad de Odontopediatria de la Division de
Determine the microleakage grade after placing fisure sealant
with the conventional technique in one group, in other two
Groups were used the sealants after one adhesive agent based
etanol and other with acetone was placing, The tree respective
Groups were of ten teeth. Thrirty premolars extracted for orth-
‘odontic reasons were randomly divided. Every teeth was thor-
oughly cleaned with a fluorated paste, followed by placement
37% of HgP for 20 seconds. Teeth were rinsed in tap water for
30 seconds and then air dried for 5 seconds. For teeth in group
‘one an ethanol based adhesive was placed. Teeth in group two
‘an acetone based adhesive was used. After this, the fissure sea-
lant was placed on teeth in both groups. For the third group the
fissure sealant was placed directly with the conventional tech-
nique. The teeth were thermocycled to 500 cycles for eighth
hours and 20 minutes. The duration of each cycle was one minute
‘and temperature range between 5-60 Celsius degrees. After this,
teeth in all groups were placed in a methylene blue solution
and longitudinally sectioned. Microleakage was measured in an
optical microscope (10x). The evaluating scale was: O=no leak-
age; 1=penetration to enamel; 3=penetration to dentin. Results
show that Group one presented less microleakage than groups
two and tree, eventhough statistical analysis (Kruskal Wallis)
determined that there was not significant difference between
the techniques using adhesives and conventional one.