Evidence map›Paper›PMID 41915094›Full record

Trial reportClinical oral investigations2026

Effectiveness of fissure sealants following different silver fluoride application protocols in MIH-affected molars: randomized clinical study.

Nagihan Cayiroglu, Elif Ballikaya, Gizem Erbas Unverdi, Zafer Cavit Cehreli

Erratum issued Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical oral investigations, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06641011 (The Effect of Rinsing Off or Blot-drying Silver Fluoride on the Retention of Subsequently-applied Resin- and Glass Ionomer-based Fissure Sealants in Permanent Molars Affected by Molar-Incisor Hypomineralization.), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06641011 narecruitingnot on this map

The Effect of Rinsing Off or Blot-drying Silver Fluoride on the Retention of Subsequently-applied Resin- and Glass Ionomer-based Fissure Sealants in Permanent Molars Affected by Molar-Incisor Hypomineralization.

TypeinterventionalSponsorHacettepe UniversityRan2023 to 2026Enrolled104ConditionsMolar Incisor Hypomineralisation, Children, Dental CariesArmsImmediate restoration (resin- based) after blot-drying silver fluoride application, Immediate restoration (GI- based) after blot-drying silver fluoride application, Immediate restoration (Resin based) after rinsing silver fluoride application, Immediate restoration (GIC) after rinsing silver fluoride application, Resin based fissure sealant restoration one week after silver fluoride (AgF) application
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Nagihan CayirogluDepartment of Pediatric Dentistry, Faculty of Dentistry, Hacettepe University, Ankara, 06100, Turkey.
Elif BallikayaDepartment of Pediatric Dentistry, Faculty of Dentistry, Hacettepe University, Ankara, 06100, Turkey. eyildirim@hacettepe.edu.tr.ORCID http://orcid.org/0000-0002-1743-1881
Gizem Erbas UnverdiDepartment of Pediatric Dentistry, Faculty of Dentistry, Hacettepe University, Ankara, 06100, Turkey.ORCID http://orcid.org/0000-0002-8916-5949
Zafer Cavit CehreliDepartment of Pediatric Dentistry, Faculty of Dentistry, Istanbul Health and Technology University, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-0332-8653

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare the clinical efficacy of glass ionomer sealants (GIS) and resin-based sealants (RBS) applied immediately or one week after silver fluoride (SF) application to permanent molars affected by molar incisor hypomineralization (MIH) in children at high risk for caries.

methodsA total of 216 MIH-affected molars (ICDAS 1–2) from 102 children aged 6–14 years were randomly allocated to six groups: Resin- or glass ionomer–based fissure sealants were placed either one week after the application of silver fluoride or during the same clinical session. In the same-visit protocols, sealants were applied immediately after silver fluoride treatment, either following gentle blot drying with cotton or after immediate rinsing. Hypersensitivity, caries progression, and sealant retention were assessed at 1, 6, and 12 months. Hypersensitivity was evaluated using the Schiff Cold Sensitivity Scale (SCASS). Sealant performance was analyzed using modified USPHS criteria. Statistical analyses included Fisher’s Exact Test and the Friedman test.

resultsFull retention was achieved in all resin-based sealant groups, while the lowest retention rate (88.9%) was recorded in the glass ionomer sealant group applied one week after silver fluoride. Caries occurred in 2.8% of teeth and was confined to three groups: glass ionomer sealants placed one week after silver fluoride, resin-based sealants applied immediately following blot drying, and glass ionomer sealants applied immediately after rinsing. All other groups showed complete clinical success. No statistically significant differences were found among groups regarding caries prevention (p = 1.000) or sealant retention (p = 0.062). Hypersensitivity decreased significantly over time in all groups.

conclusionResin-based and glass ionomer fissure sealants placed either one week after silver fluoride application or immediately following treatment, using rinsing or blot-drying protocols, showed similar outcomes over a 12-month follow-up period in terms of caries prevention and reduction of hypersensitivity. Nonetheless, within the limitations of this study, sealants placed immediately following silver fluoride application demonstrated a greater frequency of discoloration. CLINICAL SIGNIFICANCE: Both glass ionomer and resin-based fissure sealants can be successfully applied either immediately or one week following silver fluoride treatment to provide protection for MIH-affected permanent molars. CLINICAL TRIALS REGISTRATION NUMBER: NCT06641011.

Indexed as

Cariostatic AgentsFluoridesMolar HypomineralizationPit and Fissure SealantsSilver CompoundsAdolescentChildDental CariesFemaleFluorides, TopicalFluoride TreatmentGlass Ionomer CementsHumansMaleMolarTreatment OutcomeCariostatic AgentsFluoridesFluorides, TopicalGlass Ionomer CementsPit and Fissure SealantsSilver Compoundssilver fluorideGlass ionomer fissure sealantMolar incisor hypomineralizationResin-based fissure sealantSilver fluoride

Identifiers

PMID41915094
PMCPMC13038748

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.