This 7-year evaluation of the Augusta study reinforces earlier conclusions regarding the long-term retention of sealants and their efficacy in caries protection. Although more time will be required to answer all the questions about sealants, sufficient data are now available to document their efficacy as caries-preventive agents. It is imperative that the dental profession provide this safe and effective preventive technique for the public so that dental disease can either be reduced or further postponed.

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A total of 254 children were examined 36 months after a single application of sealant. In 128 children, 201 permanent first molars were treated with Delton, and, in 126 children, 205 permanent first molars were treated with Nuva-Seal. Delton was completely retained on 80% of all paired permanent first molars, partially retained on 10%, and completely lost on 10% of the study teeth. Nuva-Seal was completely retained on 60% of all paired permanent molars, partially retained on 21%, and completely lost on 19% of the study teeth. Delton was 69% effective in preventing occlusal caries on permanent first molars three years after a single application. Nuva-Seal was 39% effective in preventing occlusal caries on permanent first molars three years after a single application. Both sealants have been shown to prevent dental caries on permanent first molars of children three years after a single application.