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Pits and Fissure SealantsNCT07399340

A Comparative Evaluation of the Role of Self-Adhesive Flowable Composite in Enhancing Sealant Retention Versus Conventional Pits and Fissure Sealant With and Without Fissurotomy in Permanent Molars

A study testing Self adhering flowable composite Vertise™ Flow (Kerr, Orange, CA, USA) with fissurotomy., Self adhering flowable composite Vertise™ Flow (Kerr, Orange, CA, USA) without fissurotomy. and Conventional resin-based pits and fissure sealant Helioseal-F with fissurotomy. in people with Pits and Fissure Sealants, run by Cairo University at 2 sites in Egypt.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This RCT study aims to establish evidence-based decision comparing between self-adhering flowable composite Vertise™ Flow (Kerr, Orange, CA, USA) and conventional resin-based pits \& fissure sealant Helioseal-F sealant (Ivoclar Vivadent AG, Schaan, Liechtenstein) with and without fissurotomy in sealant retention and… Read more about this study

Who is it for?
Ages 6 to 8 yearsHealthy volunteers can take part
Conditions the study is for
Pits and Fissure Sealants
What is being tested?
Self adhering flowable composite Vertise™ Flow (Kerr, Orange, CA, USA) with fissurotomy., Self adhering flowable composite Vertise™ Flow (Kerr, Orange, CA, USA) without fissurotomy. and Conventional resin-based pits and fissure sealant Helioseal-F with fissurotomy.
Could I receive a placebo?
No, everyone receives an active treatment
How many people
88 participants
Where
2 sitesEgypt
Study dates
Mar 2026to Jun 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 6 to 8 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Normal healthy children aged 6 to 8 years.
  • Children with high caries risk
  • Completely erupted lower first permanent molars with deep pits and fissures.
  • Fissures either intact, sound or retentive which are stained, caries free or ICDAS 0-2.
  • Availability for the duration of the study.
  • Satisfactory dental care performed at home.

Who cannot join

  • Children whose parents refuse to sign informed consent.
  • Long-term medication affecting the salivary flow.
  • Children enrolled for other studies or fluoridation program.
  • Adverse reaction reported to any dental material.
  • Uncooperative child.
  • Bruxism or malocclusion.
Show all 9Show fewer
  • Children with developmental defects/ hypoplastic molars or caries affected teeth (ICDAS>2).
  • Teeth with restoration and partially retained sealants.
  • Children who cannot come for the follow-up.

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Eman MM Ramadan, Bachelors' contact

+201121592653

eman.ramadan@dentistry.cu.edu.eg

Egypt2 sites
  • Faculty of Dentistry, Cairo University

    Cairo, State/Province *, 11411

    00201121592653, eman.ramadan@dentistry.cu.edu.eg

  • Faculty of Dentistry, Cairo University

    Cairo, State/Province *

    Eman Ramadan, Bachelors', 00201121592653, eman.ramadan@dentistry.cu.edu.eg

Other trials in Egypt

About this study

Official title: A Comparative Evaluation of the Role of Self-Adhesive Flowable Composite in Enhancing Sealant Retention Versus Conventional Pits and Fissure Sealant With and Without Fissurotomy in Permanent Molars: A Randomized Controlled Trial

This RCT study aims to establish evidence-based decision comparing between self-adhering flowable composite Vertise™ Flow (Kerr, Orange, CA, USA) and conventional resin-based pits \& fissure sealant Helioseal-F sealant (Ivoclar Vivadent AG, Schaan, Liechtenstein) with and without fissurotomy in sealant retention and prevention of occlusal pits and fissures caries in first permanent molars over a 12-month follow-up.

Read the detailed description

This randomized controlled clinical trial aims to compare the retention and clinical performance of a self-adhering flowable composite and a conventional resin-based pit and fissure sealant, applied with and without fissurotomy, in newly erupted permanent first molars of children aged 6-8 years.

Occlusal pits and fissures are highly susceptible to dental caries in children, and long-term sealant effectiveness is strongly dependent on material retention and technique sensitivity. Self-adhering flowable composites offer simplified application with fewer clinical steps and may improve retention, especially in pediatric patients.

Eighty-eight children will be randomly allocated into four parallel groups (1:1:1:1): self-adhering flowable composite with fissurotomy, self-adhering flowable composite without fissurotomy, conventional resin-based sealant with fissurotomy, and conventional resin-based sealant without fissurotomy.

Sealant retention will be assessed as the primary outcome using Simonsen's criteria, while secondary outcomes include caries development, marginal discoloration, and marginal integrity evaluated using Ryge criteria.

Clinical evaluations will be performed at baseline, 3, 6, and 12 months.

The findings of this study aim to provide evidence-based guidance on the optimal material and technique for pit and fissure sealing in children, potentially improving sealant longevity, reducing occlusal caries incidence, and enhancing preventive pediatric dental care.

Being tested
Self adhering flowable composite Vertise™ Flow (Kerr, Orange, CA, USA) with fissurotomy., Self adhering flowable composite Vertise™ Flow (Kerr, Orange, CA, USA) without fissurotomy., Conventional resin-based pits and fissure sealant Helioseal-F with fissurotomy., Conventional resin-based pits and fissure sealant Helioseal-F without fissurotomy.
Keywords
Self-adhering flowable composite, Conventional pits and fissure sealant, Helioseal-F, Vertise Flow, Fissurotomy, Permanent molars

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Self adhering flowable composite Vertise™ Flow (Kerr, Orange, CA, USA) with fissurotomy.Other

    1. Pits and fissures will be prepared using a Micro STF fissurotomy bur (SS White Burs Inc., Lakewood, NJ, USA) on a high-speed hand piece, the bur will be moved along all the occlusal fissures with a gentle force applied. (Bagherian et al., 2013)
    2. Then washing and drying the tooth with compressed air.
    3. Then self-adhering flowable composite (Vertise Flow, Kerr, Orange, CA, USA) with an A2 shade will be applied on occlusal fissures in 0.5mm and brushed on preparation for 15-20sec using a micro-brush with moderate pressure. (Sabbagh et al., 2017; Sharma et al., 2018)
    4. Excess material around the margins will be removed.
    5. After ensuring that there are no bubbles, the sealant will be cured for 20 seconds by light cure. (Woodpecker RTA Mini S, China).
    6. If necessary, another layer will be applied and cured for 20 seconds.
  • Self adhering flowable composite Vertise™ Flow (Kerr, Orange, CA, USA) without fissurotomy.Other

    1. Before applying Vertise Flow, surface pretreatment according to the manufacturers' recommendations for uncut enamel.(Kucukyilmaz and Savas, 2015) Using 37.5 % phosphoric acid gel Ivoclar Vivadent AG, Schaan, Liechtenstein) for 30-60 seconds according to the manufacturer's instructions, rinsed for 60 seconds and air-dried with oil- and water-free air spray using clean compressed air until observing the chalky white appearance.
    2. Then self-adhering flowable composite (Vertise Flow, Kerr, Orange, CA, USA) with an A2 shade will be applied in 0.5mm and brushed on fissures for 15-20sec using a micro-brush with moderate pressure.(Sabbagh et al., 2017; Sharma et al., 2018)
    3. Remove excess material around the margins.
    4. After ensuring that there are no bubbles, the sealant will be cured for 20 seconds by light cure. (Woodpecker RTA Mini S, China).
    5. If necessary, another layer will be applied and cured for 20 seconds.
  • Conventional resin-based pits and fissure sealant Helioseal-F with fissurotomy.Other

    1. Pits and fissures will be prepared using a Micro STF fissurotomy bur (SS White Burs Inc., Lakewood, NJ, USA) on a high-speed hand piece, the bur will be moved along all the occlusal fissures with a gentle force applied. (Bagherian et al., 2013)
    2. Then the occlusal surface of the teeth will be dried and etched with 37% phosphoric acid (Ivoclar Vivadent AG, Schaan, Liechtenstein) for 15-30 seconds according to the manufacturer's instructions, rinsed for 30 seconds and air-dried with oil- and water-free air spray using clean compressed air until observing the chalky white appearance.
    3. Helioseal-F sealant (Ivoclar Vivadent AG, Schaan, Liechtenstein) will be applied and directed into the pits and fissures by a sterile explorer to check that there are no air bubbles and light cured for 40 seconds by light cure. (Woodpecker RTA Mini S, China).
  • Conventional resin-based pits and fissure sealant Helioseal-F without fissurotomy.Other

    1. The occlusal surface of the teeth will be dried and etched with 37% phosphoric acid (Ivoclar Vivadent AG, Schaan, Liechtenstein) for 30-60 seconds according to the manufacturer's instructions, rinsed for 30 seconds and air-dried with oil- and water-free air spray using clean compressed air until observing the chalky white appearance.
    2. Helioseal-F sealant (Ivoclar Vivadent AG, Schaan, Liechtenstein) will be applied and directed into the pits and fissures by a sterile explorer to check that there are no air bubbles and light cured for 40 seconds by light cure. (Woodpecker RTA Mini S, China )
Study groups in NCT07399340
Study groupRoleWhat they receive
Self adhering flowable composite Vertise™ Flow with fissurotomyExperimentalVertise™ Flow (Kerr, Orange, CA, USA) Chemical composition: * Resin: GPDMA, HEMA, BisGMA, catalysts. * Fillers: Prepolymers, silanated Ba-glass, SiO2,YF3 (70 wt%). This SAFC uses the adhesive monomer glycerophosphate dimethacrylate GPDM, a phosphate functional group that creates a chemical bond with the calcium ions of the tooth. GPDM monomers ensure a tenacious bond to enamel, evidenced by the strength known to all generations of the OptiBond adhesive family.
Receives: Other: Self adhering flowable composite Vertise™ Flow (Kerr, Orange, CA, USA) with fissurotomy.
Self adhering flowable composite Vertise™ Flow without fissurotomyExperimentalVertise™ Flow (Kerr, Orange, CA, USA) Chemical composition: * Resin: GPDMA, HEMA, BisGMA, catalysts. * Fillers: Prepolymers, silanated Ba-glass, SiO2,YF3 (70 wt%). This SAFC uses the adhesive monomer glycerophosphate dimethacrylate GPDM, a phosphate functional group that creates a chemical bond with the calcium ions of the tooth. GPDM monomers ensure a tenacious bond to enamel, evidenced by the strength known to all generations of the OptiBond adhesive family.
Receives: Other: Self adhering flowable composite Vertise™ Flow (Kerr, Orange, CA, USA) without fissurotomy.
Conventional resin-based pits and fissure sealant Helioseal-F with fissurotomy.Active comparatorResin-based pits and fissure sealant Helioseal-F 40% filler content, higher viscosity Sealant Matrix Composition: 1. Bis-GMA 2. UDMA 3. TEGDMA Fillers: Fluorosilicate glass , highly dispersed silicon dioxide, pigments, initiators.
Receives: Other: Conventional resin-based pits and fissure sealant Helioseal-F with fissurotomy.
Conventional resin-based pits and fissure sealant Helioseal-F without fissurotomy.Active comparatorResin-based pits and fissure sealant Helioseal-F 40% filler content, higher viscosity Sealant Composition: 1. Bis-GMA 2. UDMA 3. TEGDMA Fillers: Fluorosilicate glass , highly dispersed silicon dioxide, pigments, initiators.
Receives: Other: Conventional resin-based pits and fissure sealant Helioseal-F without fissurotomy.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Sealant retention

    Simonsen's criteria Score 1: Complete retention Score 2: Partial loss Score 3: Complete loss

    Measured: 3,6,12 months

Secondary outcomes (3)
  1. Presence of Caries

    Ryge criteria Alpha: Absence of caries Bravo: Prescence of caries

    Measured: 3,6,12 months

  2. Marginal discoloration

    Ryge criteria Alpha: No discoloration anywhere on the margin around the sealant. Bravo: Visible partial discoloration on the margin around sealant. Charlie: Visible discoloration on the margin around all sealant.

    Measured: 3,6,12 months

  3. Marginal Integrity

    Ryge criteria Alpha: Sealant had full adaptation to the adjacent tooth structure. Bravo: Evidence of gap detected by the tip of an explorer.

    Measured: 3,6,12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Feb 2026
  2. Study startMar 2026 (estimated)
  3. Primary completionJun 2026 (estimated)
  4. Study completionJun 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
88 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07399340
Sponsor's protocol ID
CU-Pedo-2026
Status last verified
Feb 2026
First submitted
3 Feb 2026
Last updated
10 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Self adhering flowable composite Vertise™ Flow (Kerr, Orange, CA, USA) with fissurotomy., Self adhering flowable composite Vertise™ Flow (Kerr, Orange, CA, USA) without fissurotomy. and Conventional resin-based pits and fissure sealant Helioseal-F with fissurotomy. in people with Pits and Fissure Sealants, run by Cairo University at 2 sites in Egypt.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 10 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Eman MM Ramadan, Bachelors' (+201121592653, eman.ramadan@dentistry.cu.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Sealant retention (time frame: 3,6,12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Feb 2026.

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