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2004, Evidence-based dentistry
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2 pages
1 file
languages were considered and translated. Study selection Articles were selected for inclusion in the review if they were randomised or quasi-randomised controlled trials of at least 12 months in duration and if sealants were used for preventing caries in children and adolescents of under 20 years of age. Both parallel group and split-mouth study designs were included. The primary outcome was the increment in the numbers of carious occlusal surfaces of premolars and molars. Data extraction and synthesis In the first phase, two reviewers independently examined whether a given study was likely to be relevant on the basis of the title, keywords and abstract. In the second phase, four of the reviewers independently classified whether studies would be included in final analyses. Study authors were contacted for additional information. In the split-mouth studies, relative risk (RR) ratios were calculated for the paired differences of tooth surfaces being carious or not. In studies that compared resin-based sealant with no treatment, fixed-effect meta-analyses were used to combine the estimates of RR ratios. In one parallel-group study, the effect-estimate was calculated from data of occlusal surfaces of teeth included in the test and control groups. Results Eight trials were included in this review, of which seven were split-mouth studies and one a parallel-group study. Six studies provided data for comparing sealant with no treatment and three studies compared glass ionomers (GI) with resin-based sealants. The overall effectiveness of resin-based sealants in preventing dental decay on first molars was high. Based on five split-mouth studies with 5-10-year-old children there were significant differences in favour of the secondgeneration resin sealant compared with no treatment. Pooled RR values were 0.14, 0.24, 0.30 and 0.43 at 12, 24, 36 and 48-54 months, respectively. The reductions in caries therefore ranged from 86% at 12 months to 57% at 48-54 months. The 24-month parallel group study that compared second-generation resin sealant with control in 12-13year old children also found significantly more caries in the control group children with a DFS of 0.65 (95% confidence interval, 0.47-0.83). Allocation concealment was classified as adequate in three of these six studies. The information on background levels of caries in the
Journal of Public Health Dentistry, 1995
Journal of Applied Oral Science, 2011
O bjective: The aims of this study were to investigate the effectiveness of sealant placement under the guidelines of the Oral Health Promotion Program for Children and $GROHVFHQWV 3RUWXJDO DQG WR WHVW WKH LQÀXHQFH RI FOLQLFDO DQG VRFLRHFRQRPLF YDULDEOHV on the DMFT increment in 277 children, born in 1997. Material and Methods: A dental hygienist performed the initial examinations and sealant placement (Helioseal, Vivadent) on WKH SHUPDQHQW ¿UVW PRODUV LQ 7KHVH DFWLYLWLHV ZHUH UHJLVWHUHG LQ GHQWDO UHFRUGV WKDW ZHUH DVVHVVHG LQ &KLOGUHQ ZHUH FODVVL¿HG DFFRUGLQJ WR FDULHV ULVN DW EDVHOLQH >KLJK (HR: DMFT+dmft>0); low (LR: DMFT+dmft=0) risk] and sealant placement as follows: HR-S and LR-S Groups (with sealant placement); HR-NS and LR-NS Groups (without sealant SODFHPHQW $ FDOLEUDWHG GHQWLVW SHUIRUPHG WKH ¿QDO H[DPLQDWLRQ LQ DW VFKRRO EDVHG on the World Health Organization recommendations. The variables collected were: dental caries, visible dental plaque, malocclusions, and socioeconomic level (questionnaire sent to children's parents). For univariate (Chi-square or Fisher tests) and multivariate (Multiple logistic regression) analyses the DMFT increment >0 was selected as dependent variable. Results: Approximately 17.0% of the children showed DMFT increment>0 (mean=0.25). +LJKULVN FKLOGUHQ SUHVHQWHG D VLJQL¿FDQW LQFUHDVH LQ WKH QXPEHU RI GHFD\HG DQGRU ¿OOHG teeth. These children had 7.94 more chance of developing caries. Children who did not receive sealant were 1.8 more prone to have DMFT increment >0. Conclusion: It appears that sealant placement was effective in preventing dental caries development. Moreover, the variables "risk" and "sealant placement" were predictors for DMFT increment in the studied children.
1989
Objectives: To assess the efficacy of resin sealants in children aged 6-12 years referred to one graduate pedodontic program located in the Middle East (2009-2010). Study Design: Data from a cohort of 110 patients with at least 2 erupted first permanent molars were included in this study. Dental health status was evaluated using the DMFs/t index. UltraSeal XT® Plus sealants (n=253 applications) were performed in presence of rubber dam isolation and survival carefully inspected and scored at 1 and 2 years. Cross-sectional examination of descriptives and bi/multivariate analysis followed. Results: Majority (63%) were males. Caries were diagnosed in 77.9% of children with only 1% deemed caries-free. Hence, mean DMFs/t was 9.3±6.1/7.2±5.1, respectively. At 2 years, 66% of sealants were completely retained and 11% completely lost. Analysis revealed higher sealant survival in mandibular teeth. Conclusions: Fluoride-releasing resin sealant is an effectual preventive tool especially in such a high carious population.
BMC Public Health, 2011
Background: The use of sealants as an effective measure for the prevention of pit and fissure caries in children has been well documented by several studies; either they are used on an individual or on a public health basis. In order to plan and establish a national preventive program with sealants in a community, it is mandatory to know the epidemiological pattern of caries along with other variables influencing their use and effectiveness. Aims: To assess the utilization and distribution pattern of pit and fissure sealants on the first and second permanent molars of Greek adolescents and to evaluate whether the existing usage of sealants and some socio-demographic factors are correlated to caries prevalence on the population examined Methods: A stratified cluster sample of 2481 Greek adolescents was selected according to WHO guidelines (1224 twelve and 1,257 fifteen-year-old), living in urban and rural areas in 11 districts within the country. Five calibrated examiners carried out clinical examinations, recording caries experience at the dentine threshold (BASCD criteria) and presence or absence of sealants along with Socio-demographic indicators associated with oral health. Mann Whitney and Pearson's chi-square non parametric tests were utilized for assessing the data. The level of significance was p < 0.05.
Dental Materials Journal
The objective of this study was to compare the retention and caries-preventive effect of glass ionomer (Fuji Triage) and resin-based (Clinpro) sealants among 6-9-year-old children. This split-mouth, randomized clinical trial covered 35 children/140 fully erupted permanent first molars. Evaluation was conducted by two independent examiners after 6, 12, and 18 months and the data were compared in relation to the children's caries risk and age groups. The Kaplan-Meier survival method and chi-square test were used for analysis. There were no statistically significant differences in the survival of partial and fully retained sealants or in the survival of caries-free pits and fissures between glass-ionomer and resin-based sealants. In terms of retention, both sealants performed better in the younger age group at the end of the study, and showed better caries prevention in moderate caries risk children. After 18 months, both sealants had comparable retention and caries-preventive effects in 6-9-year old children.
SciDoc Publishers, 2021
Application of Pit and fissure sealants is an integral part of comprehensive caries management approach. Their role in the field of caries prophylaxis is undisputed. A Pit and fissure sealant is a clear or an opaque plastic material which when applied to the deep pit and fissure of the posterior teeth can prevent caries. The current study aims at estimating the frequency of commonly treated maxillary primary teeth with pit and fissure sealants in a dental hospital setting and also in the provision of a detailed statistical report on the same. The study was performed in the Outpatient department of saveetha dental college, under a university setting. It was a retrospective study. Data required for the study was procured by reviewing patient records dating between June 2019 and March 2021.The collected data was sorted and analysed and the results were interpreted in the form of graphs. Our results show that the majority of the preventive resin sealant procedures that is 50.51% are done on male children and children of three years of age were the frequently treated (28.06%).
The Open Dentistry Journal
Purpose: This study aimed to assess the utilization of fissure sealants and their influence on caries reduction in first permanent molars (FPMs) among 6-9 years old female schoolchildren in Dammam, Eastern Province of Saudi Arabia. Materials and Methods: First to fourth grade female children from public schools in Dammam participated in this cross-sectional study. Dental caries and fissure sealants in FPMs were examined clinically using the World Health Organization guidelines. In addition, the parents of the participants responded to a self-reported questionnaire. Results: The study analyzed the data of 449 children. Almost 44.3% of the participants had at least one FPM affected with caries. There were 8.7% of the participants who had fissure sealants in at least one FPM, and out of these, only 2.2% had four FPMs filled with sealants. A significantly greater proportion of participants with sealed FPMs had no caries than the lower proportion of participants without sealants who had ...
Journal of IMAB, 2022
Background: Dental sealant is a material that is applied to pits and fissures in order to prevent the occurrence of occlusal dental caries. The caries-prophylactic effect of sealants on a glass-ionomer basis has not been sufficiently studied, which motivates us to conduct our research. Purpose; To monitor the caries-preventive effect of a glass-ionomer-based sealant after silanization of the newly erupted first permanent molars in children aged 5-6 years. Materials and methods: We started the study with 78 healthy, newly erupted first permanent molars (silanized with Fuji triage, GC), the follow-up was performed at 3,6 and 12 months by visual method on the ICDAS II system, diagnostics under magnification using VistaCam Macro and modified Ryge criteria. After recoding the data obtained from monitoring the occlusal surfaces of the newly erupted first permanent molars, we performed a frequency analysis of the data depending on the absence or presence of caries. Results: In the group of 5-6-year-olds after the application of glass-ionomer-based sealant in the newly erupted first permanent molars, one year after application of the sealant, we assessed over 95% of the examined surfaces as healthy with all diagnostic methods that we used. Conclusion: Glass-ionomer cements used for silanization are the main tool of choice when it is impossible to control moisture, as is the case with newly erupted molars. Despite their significantly low retention, they provide an excellent caries-prophylactic effect.
The Journal of the American Dental Association, 2015
Systematic review conclusion. Sealants to prevent occlusal caries in permanent molars are recommended, but the benefits in different caries risk populations and types of sealants have yet to be established. Critical summary assessment. Resin-based sealants in permanent molars reduces risk of experiencing caries up to 48 months compared with permanent molars without sealants; however, after longer follow-up, the quantity and quality of the evidence is reduced. Evidence quality rating. Good. Clinical question. In children and adolescents with high and low risk of developing caries, does the application of different types of pit-and-fissure sealants in permanent teeth result in caries control compared with no treatment and compared by types of material? Review methods. Two of the authors independently searched 9 databases including gray literature for publications from 1946 to September 2012. An additional search of ongoing trials as well as reference lists was done. There were no language or publication restrictions. The included randomized or quasirandomized controlled trials were of at least 12 months duration to compare sealants for preventing caries of occlusal or approximal surfaces of premolars or molars. The comparison group was children and adolescents under age 20 years who did not receive sealants of any type.
SciDoc Publishers, 2021
Aim: To evaluate the prevalence of commonly treated mandibular teeth with preventive resin sealant among children with mixed dentition. Introduction: Dental caries is a complicated disease triggered by change in the composition of the bacterial biofilm, which causes an imbalance in the demineralization and remineralization cycles, resulting in cavitation. Dental sealants could be an effective protective measure for pit and fissure caries whether it can be used as part of a holistic solution to caries prevention on an individual basis or as a public health measure for at-risk communities.
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SciDoc Publishers, 2021
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