Caries‐preventive effect of fissure sealants: a systematic review

@article{Mejre2003CariespreventiveEO,
  title={Caries‐preventive effect of fissure sealants: a systematic review},
  author={Ingegerd Mej{\`a}re and Peter Lingstr{\"o}m and Lars G. Petersson and A K Holm and Svante Twetman and Carina K{\"a}llest{\aa}l and Gunilla Nordenram and Folke Lagerl{\"o}f and Birgitta S{\"o}der and Anders Norlund and Susanna Axelsson and Helena Dahlgren},
  journal={Acta Odontologica Scandinavica},
  year={2003},
  volume={61},
  pages={321 - 330}
}
The objectives of this study were to evaluate systematically the evidence of the caries‐preventive effect of fissure sealing of occlusal tooth surfaces and to examine factors potentially modifying the effect. The search strategies included electronic databases, reference lists of articles, and selected textbooks. Inclusion criteria were randomized or quasi‐randomized clinical trials or controlled clinical trials comparing fissure sealing with no treatment or another preventive treatment in… 

Caries-preventive effect of glass ionomer and resin-based fissure sealants on permanent teeth: a meta analysis.

TLDR
Both materials appear equally suitable for clinical application as a fissure sealant material in the prevention of dental caries, indicating no difference in the caries-preventive effect of GIC and resin-based fissuring material.

Pit and fissure sealants in the prevention of dental caries in children and adolescents: a systematic review.

TLDR
The following recommendations are based on the evidence gathered in this review: sealants should be placed on all permanent teeth without cavitation as soon after eruption as isolation can be achieved.

The Caries-Preventive Effect of Chlorhexidine Varnish in Children and Adolescents: A Systematic Review

TLDR
Evidence regarding the effectiveness of chlor hexidine varnish for preventing caries is inconclusive and further well-conducted randomised trials are required before chlorhexidinevarnish can be recommended for caries prevention.

The effectiveness of fissure sealants

  • S. Uribe
  • Medicine
    Evidence-Based Dentistry
  • 2004
TLDR
The review provides limited evidence that fissure sealing of first permanent molars with resin-based materials has a caries-preventive effect, and there remains a need for further trials of high quality, particularly in child populations of both low and high caries risk.

Caries-preventive effect of glass ionomer and resin-based fissure sealants on permanent teeth: An update of systematic review evidence

TLDR
The overall outcome of the computed datasets suggest no difference between the caries-preventive effects of GIC- and resin-based fissure sealants.

Pit and fissure sealants versus fluoride varnishes for preventing dental decay in children and adolescents.

TLDR
There was some evidence on the superiority of pit and fissure sealants over fluoride varnish application in the prevention of occlusal decays, however, current scarce data limit recommendations on whether to apply pit and Fissure Sealants or fluoridevarnishes on Occlusal surfaces.

Sealants recommended to prevent caries

  • S. Uribe
  • Medicine
    Evidence-Based Dentistry
  • 2004
TLDR
Sealing with resin-based sealants is recommended to prevent caries of the occlusal surfaces of permanent molars but it is recommended that the caries prevalence level of both the individual and population should be taken into account.

Sealant and Fluoride Varnish in Caries: a Randomized Trial

TLDR
Sealant with fluoride varnish was compared in the prevention of occlusal caries in permanent first molars of children over a nine-year period: 4 yrs for program evaluation plus 5 yrs of discontinuation, which implies caries reductions of 65.4% for sealants vs. control and 27.3% forvarnish.

Retention Loss of Resin Based Fissure Sealants - a Valid Predictor for Clinical Outcome?

TLDR
Predictions based on the retention loss of resin sealants, regarding caries manifestation, was no more accurate than random guesses, and sealant retention loss appears not to be a valid predictor for clinical outcome.
...

References

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Evaluation of a pit- and fissure-sealing program in a public dental health service after 2 years.

TLDR
Analysis showed that only 223 sites had been sealed, while the majority of all erupting sites were either carious or filled before they were screened for the purpose of sealing, so it is assumed that only teeth less susceptible to occlusal decay were sealed, thereby explaining the lack of benefit derived from the sealing program.

Evaluation of a fissure sealing programme in a Danish Public Child Dental Service.

TLDR
The present study takes a pragmatic approach to the use of fissure sealing as a caries-preventive measure in 12-year-old children who had participated in the dental service since preschool age in two municipalities in the Copenhagen area.

Factors influencing the effectiveness of sealants--a meta-analysis.

TLDR
It is concluded that autopolymerizing sealants should be used in preventing dental caries, and more research is needed to compare the effectiveness of dental hygienists and dentists in applying sealants.

Sealant retention and effects on occlusal caries after 2 years in a public program.

TLDR
A clinical trial of one application of Nuva-Seal fissure sealant was conducted under School Dental Service conditions in a low-income area of London, finding that the results are less favorable than those in other trials reported.

A comparison of retention and the effect on caries of fissure sealing with a glass-ionomer and a resin-based sealant.

TLDR
The glass-ionomer sealant tested in the present study had poorer retention and less caries protective effect than the resin-based sealant used.

Evaluation of non-invasive treatment applied to occlusal surfaces.

TLDR
It was concluded that this non-invasive methods were able to arrest the progression of occlusal caries, but fissure sealant showed better results in controlling caries activity.

Retention and caries preventive effects of a GIC and a resin-based fissure sealant.

TLDR
It is suggested that complete retention of GIC sealant is not necessary for caries prevention in newly erupted permanent first molars.

On the use of fissure sealants in caries prevention. A clinical study.

TLDR
It is obvious that the sealants are, in most cases, apt to postpone the need of restorative treatment for a limited period of time only, and postponement may, however, be considered to achieve some advantages as compared with conventional or prophylactic filling procedures.

Four-year clinical evaluation of a pit and fissure sealant.

TLDR
When the sealant remained intact, there was a pronounced reduction in caries initiation--the percent effectiveness being 84%.

Preventive sealing of dental fissures with Heliosil: a two-year follow-up.

TLDR
Preventative efforts and early prophylactic procedures should prevent the development of caries at these critical sites, especially its biting surface with numerous pits and fissures permanent molars.
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