The purpose of this study is to compare the clinical success between preventive resin restoration, and
pit and fissure sealant in terms of retention and caries prevention on first permanent molar. Data were
collected from the patients’ case records in Pediatric Dentistry clinic. Records of children who had done
their sealants and preventive resin in their first permanent molar were reviewed. 61 patients had
preventive resin restoration and 56 pit and fissure sealant done in permanent first molar 2 years ago
were included and called for clinical review. Participants were between 6-10 years. Visual and tactile
assessment was done to detect the integrity of preventive resin restoration and pit and fissure sealants
under 4 categories whether the sealant or PRR is total lost, partial lost, completely present, carious.
Data was analyzed using descriptive statistics. At the end of 2 years, sealants showed 64.3 % total
retention, 21.4% partial retention and 10.7% complete loss when compared to PRR which showed
62.2% total retention, 14% partial retention and 4.9% complete loss. Preventive resin restoration have
more tendency to have caries, while teeth with pit and fissure sealants does not (18% vs. 3.6%). As a
conclusion, pit and fissure sealants have marginally higher retention compared to preventive resin
restoration on permanent molars. Pit and fissure sealant is better in terms of caries prevention compared
to preventive resin restoration.