Glass Ionomer Cement as a preventative fissure sealant for first permanent molars in high caries risk patients waiting general anaesthetic—a case series

Abstract

Abstract Objective/aim The aim of this case series was to assess the ongoing suitability of Glass Ionomer Cement Fissure Sealants for use in paediatric patients. These had been used through the COVID pandemic due to their status as a non-aerosol-generating procedure. Materials and methods A retrospective clinical review was undertaken to identify cases where GIC Fissure Sealants were used in paediatric patients awaiting exodontia general anaesthetic within Harrogate and District NHS Foundation Trust Community Dental Service. Identified cases were then collated to form this case series. These were reviewed regarding the number of GIC fissure sealants placed, and retention at the GA appointment and any subsequent follow-up appointments. Results The results showed favourable results of GIC fissure sealants, with an average retention of 77% – in line with the wider literature results for GIC fissure sealants. Discussion The results showed a favourable retention rate, particularly given patient challenges leading to them requiring exodontia GA. Review of alternative fissure sealant materials may be beneficial on a local level to compare results with the available literature and confirm ongoing suitability. Conclusions The results appear to support the ongoing use of GIC-FS where close patient monitoring is available.