Evidence-Based Clinical Recommendations for the Use of Pit-and-Fissure Sealants

Beauchamp, Jean; Caufield, Page W.; Crall, James J.; Donly, Kevin J.; Feigal, Robert J.; Gooch, Barbara F.; Ismaïl, Amid I.; Kohn, William G.; Siegal, Mark D.; Simonsen, Richard J.

doi:10.14219/jada.archive.2008.0155

Cited by 332 publications

(114 citation statements)

References 55 publications

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“…Results of recent reviews have indicated that there is agreement that in populations at high risk of dental caries, such as First Nations and Inuit populations, all children should receive sealants, and some literature supports the placement of sealants on both primary and permanent molars. 54,55 However, the use of sealants for primary teeth may need to be promoted, because some dental professionals consider sealants for permanent teeth only.…”

Section: Sealantsmentioning

confidence: 99%

Early Childhood Caries in Indigenous Communities

Nations¹,

Inuit²

2011

Pediatrics

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The oral health of Indigenous children of Canada (First Nations, Inuit, and Métis) and the United States (American Indian, Alaska Native) is a major child health issue: there is a high prevalence of early childhood caries (ECC) and resulting adverse health effects in this community, as well as high rates and costs of restorative and surgical treatments under general anesthesia. ECC is an infectious disease that is influenced by multiple factors, including socioeconomic determinants, and requires a combination of approaches for improvement. This statement includes recommendations for preventive oral health and clinical care for young infants and pregnant women by primary health care providers, community-based health-promotion initiatives, oral health workforce and access issues, and advocacy for community water fluoridation and fluoride-varnish program access. Further communitybased research on the epidemiology, prevention, management, and microbiology of ECC in Indigenous communities would be beneficial.

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Section: Sealantsmentioning

confidence: 99%

Early Childhood Caries in Indigenous Communities

Nations¹,

Inuit²

2011

Pediatrics

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“…Pit-and-fissure sealants are effective in preventing caries on an individual level and as a public health measure for at-risk populations [2][3][4] . The two most common materials used for sealing pits and fissures are resins and glass-ionomers.…”

Section: Introductionmentioning

confidence: 99%

A 48-month randomized controlled trial of caries prevention effect of a one-time application of glass ionomer sealant versus resin sealant

Haznedaroğlu

Güner

Duman

et al. 2016

Dental Materials Journal

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The aim of this study was to compare the caries prevention effectiveness, retention rates and the level of fluoride of saliva of a glassionomer sealant (GIS) with that of a resin-based sealant (RS). Eighty GIS and 80RS were placed on the first permanent molars in 40 children aged 7-10 years. Children were re-examined at 6, 12, 24, 36 and 48 months after the procedure. Saliva samples were collected before the sealant was applied and again at each appointment, and fluoride levels were measured. After 48 months, occlusal caries were seen in 4 and 12 teeth in GIS and RS groups respectively. There was a statistically significant difference in the fluoride levels of saliva between baseline and up to 12th month in GIS group. GISs presented effective prevention of caries development, even though the failure rate is higher when compared to the RSs. An increased salivary fluoride level due to GISs might be an additive effect on the prevention of dental caries.

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“…Although this study considered glass ionomer only for the sealing of newly erupted teeth in the city of Três Forquilhas (RS), highviscosity glass ionomer cements, especially VM, are often used for both sealing of newly emerged molars and for sealing cavities with the aim of controlling dental caries. According to literature, the caries preventive effect of glass ionomer materials is unanimous [8,11,15,21,22].…”

Section: Resultsmentioning

confidence: 99%

A Comparative Study of Two High-Viscosity Ionomeric Cements for the Sealing of Newly Erupted Permanent Molars

Romitti¹,

Imparato²,

Manzano³

2015

Pesqui. bras. odontopediatria clín. integr.

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Objective: To compare the retention and preventive aspects of two different types of high-viscosity glass ionomer cements for newly erupted permanent molars, considering the cost-benefit ratio in relation to public health. Material and Methods: fifty-four children (5-12 years) with erupted molars were selected. One hundred and fifty-four teeth were sealed, 75 with Ketac Molar (KM) and 79 with Vitro Molar (VM). Before and after sealant application, photos were taken and condensation silicone casts were produced in order to better classify tooth eruption stage and to assess the sealant retention rate. Results: Fifty-six percent of teeth sealed with KM showed fully retained material (FR) after the 5-month follow-up period; 18.4 % showed KM in two-thirds of the occlusal surface (partial retention 2-PP2); 23.7 % in one third of the occlusal surface (partial retention 1-PP1); and only 1.3 % of sealed teeth showed total loss (TL). Among teeth sealed with VM, 28.8 % showed total retention (TR) of the sealant after 5 months; 7.5 % of sealants were present in two-thirds of the occlusal surface (PP2); 10% were present in one third of the occlusal surface (PP1), and 53.7 % showed total loss of the sealant (TL). The development of only one active white spot caries lesion after total sealant loss was observed in the VM group. Conclusion: Occlusal surfaces of newly erupted permanent molars sealed with high-viscosity KM glass ionomer cement exhibited higher retention when compared to VM after a 5-the development of carious lesions in sealed teeth was similar in both materials, which confirms the good clinical performance of glass ionomer cement sealants in the evaluation period, being highly significant when considering the cost-benefit ratio in relation to public health (KM cost is 4 times higher than VM cost).

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Evidence-Based Clinical Recommendations for the Use of Pit-and-Fissure Sealants

Cited by 332 publications

References 55 publications

Early Childhood Caries in Indigenous Communities

Early Childhood Caries in Indigenous Communities

A 48-month randomized controlled trial of caries prevention effect of a one-time application of glass ionomer sealant versus resin sealant

A Comparative Study of Two High-Viscosity Ionomeric Cements for the Sealing of Newly Erupted Permanent Molars

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