Sealants for preventing dental caries in primary teeth

Ramamurthy, Priyadarshini Hesarghatta; Rath, Avita; Sidhu, Preena; Fernandes, Bennete; Nettem, Sowmya; Fee, Patrick A; Zaror, Carlos; Walsh, Tanya

doi:10.1002/14651858.cd012981.pub2

Cited by 21 publications

(44 citation statements)

References 55 publications

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“…1 They may be resin-based, glass ionomer-based, or a combination of both materials (i.e., hybrid). 2 Regardless of the material from which they are made, sealants are generally used to prevent caries, or tooth decay, from occurring in both primary and permanent teeth. 1,2 When sealants are applied to surfaces of the teeth, they form a physical barrier that can help prevent buildup of food particles and colonization by cariogenic bacteria.…”

Section: Context and Policy Issuesmentioning

confidence: 99%

“…2 Regardless of the material from which they are made, sealants are generally used to prevent caries, or tooth decay, from occurring in both primary and permanent teeth. 1,2 When sealants are applied to surfaces of the teeth, they form a physical barrier that can help prevent buildup of food particles and colonization by cariogenic bacteria. 1,3 Additionally, sealants can make teeth easier to clean, which is particularly important for pit and fissure surfaces as their anatomy makes cleaning difficult, even with attentive home care.…”

Section: Context and Policy Issuesmentioning

confidence: 99%

“…1,3 Additionally, sealants can make teeth easier to clean, which is particularly important for pit and fissure surfaces as their anatomy makes cleaning difficult, even with attentive home care. 2 While the evidence for the clinical effectiveness of dental sealants in primary teeth is limited, 2 findings from a 2017 Cochrane systematic review 4 suggested that sealants are effective in preventing dental caries in the permanent teeth of children and adolescents. Dental caries are a global issue that affect people of all ages, and so their prevention and effective treatment is crucial.…”

Section: Context and Policy Issuesmentioning

confidence: 99%

“…5 The use of dental sealants for preventing dental caries also is important because untreated initial caries can result in a number of health issues including cavitation of the tooth, pain, inflammation, difficulty chewing, and loss of tooth. 2 These outcomes can lead then lead to further health issues and negatively affect and individual's quality of life. 2,6 Furthermore, given the widespread nature of dental caries, failure to adequately intervene (e.g., with sealants) can result in a notable economic burden.…”

Section: Context and Policy Issuesmentioning

confidence: 99%

“…2 These outcomes can lead then lead to further health issues and negatively affect and individual's quality of life. 2,6 Furthermore, given the widespread nature of dental caries, failure to adequately intervene (e.g., with sealants) can result in a notable economic burden. 2 Sealants are most often applied by dentists or dental hygienists.…”

Section: Context and Policy Issuesmentioning

confidence: 99%

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Dental Sealants for the Prevention of Dental Caries

Haas¹,

Vu²,

Horton³

2023

cjht

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Three guidelines recommend the use of dental sealants to prevent or manage dental caries in children and adolescents. Sealants may be used as a preventive measure upon the eruption of molars, or as treatment to arrest or reverse noncavitated carious lesions. Sealants may be used alone or in combination with other treatments that protect against tooth decay. Overall, the guidelines were rigorous, comprehensive, and clearly reported, but there were gaps in guidance about implementation, choice of sealant material, and selection of patients. There is a need for methodologically rigorous guidelines on dental sealants for the prevention of dental caries that are developed for use in Canadian settings.

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Section: Context and Policy Issuesmentioning

confidence: 99%

Section: Context and Policy Issuesmentioning

confidence: 99%

Section: Context and Policy Issuesmentioning

confidence: 99%

Section: Context and Policy Issuesmentioning

confidence: 99%

Section: Context and Policy Issuesmentioning

confidence: 99%

See 3 more Smart Citations

Dental Sealants for the Prevention of Dental Caries

Haas¹,

Vu²,

Horton³

2023

cjht

View full text Add to dashboard Cite

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Sealants for preventing dental caries in primary teeth

Ramamurthy

Rath

Sidhu

et al. 2022

Cochrane Database of Systematic Reviews

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Effectiveness of fissure sealants in 8- to 10-year-olds with and without molar–incisor hypomineralization (MIH) – results from a cross-sectional epidemiological study

Zöllner,

Fresen,

Gaballah

et al. 2024

Clin Oral Invest

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Objective This cross-sectional study aimed to investigate the use, quality, and caries-preventive effects of fissure sealants (FSs) in 8- to 10-year-olds with and without molar–incisor hypomineralization (MIH). Materials and methods A total of 5,418 children (2,692 males, 2,726 females) were examined via standard instruments (dental mirrors, CPI probes, adequate lighting, mobile examination tables, and air syringes) and methods for the recording of caries (DMFT index, WHO method) and FSs. The classification of MIH followed the recommendations of the European Academy of Pediatric Dentistry (EAPD). Statistical analysis included descriptive analysis and mixed-effects logistic regression models. Results 59.0% of all children had at least one FS; this percentage was 57.8% in the MIH group. The proportions of fully intact sealants and minimal, moderate, or nearly complete loss of retention were 31.7%, 48.3%, 16.8%, and 3.2%, respectively. The mean caries experience was low, at 0.2 DMFT in the whole population. Lower DMFT means were registered in individuals with FSs without MIH (0.1) and with MIH (0.1). The regression analysis revealed a significant caries-protective effect of FSs and MIH in relation to the overall caries burden. In addition, the caries-protective effect was greater in individuals with fully retained sealants (aOR 0.269) than in those with minimal (aOR 0.346), moderate (aOR 0.567) or nearly complete loss of retention (aOR 0.721). Conclusion This study documented the comparable use, quality, and caries-preventive effects of FSs in individuals and permanent molar with and without MIH. Clinical relevance FSs are caries protective in children with and without MIH.

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Sealants for preventing dental caries in primary teeth

Abstract: Sealants for preventing dental caries in primary teeth.

Cited by 21 publications

References 55 publications

Dental Sealants for the Prevention of Dental Caries

Dental Sealants for the Prevention of Dental Caries

Sealants for preventing dental caries in primary teeth

Effectiveness of fissure sealants in 8- to 10-year-olds with and without molar–incisor hypomineralization (MIH) – results from a cross-sectional epidemiological study

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