Pit and fissure sealants versus fluoride varnishes for preventing dental decay in the permanent teeth of children and adolescents.

@article{Kashbour2020PitAF,
  title={Pit and fissure sealants versus fluoride varnishes for preventing dental decay in the permanent teeth of children and adolescents.},
  author={Wafa A. Kashbour and Puneet Gupta and Helen V Worthington and Dwayne Boyers},
  journal={The Cochrane database of systematic reviews},
  year={2020},
  volume={11},
  pages={
          CD003067
        }
}
BACKGROUND Most of the detected increment in dental caries among children above the age of six years and adolescents is confined to occlusal surfaces of posterior permanent molars. Dental sealants and fluoride varnishes are much used to prevent caries. As the effectiveness of both interventions in controlling caries as compared with no intervention has been demonstrated previously, this review aimed to evaluate their relative effectiveness. It updates a review published originally in 2006 and… 

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This review evaluated the relative effectiveness of fissure sealants compared with fluoride varnishes, or fissur sealants together with fluoridevarnishes compared with Fluoridation Varnishes alone, for preventing dental caries in the occlusal surfaces of permanent teeth of children and adolescents.

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

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.

Pit and fissure sealants for preventing dental decay in permanent teeth.

BACKGROUND Dental sealants were introduced in the 1960s to help prevent dental caries, mainly in the pits and fissures of occlusal tooth surfaces. Sealants act to prevent bacteria growth that can

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Sealing fissures seems to be better in preventing occlusal caries lesions in primary molars than applying only fluoride varnish and after 1 year, the majority of sealants were retained sound.

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Sealant and fluoride varnish are effective in preventing caries in both fissured and nonfissured surface.

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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.

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Comparing the clinical effectiveness and cost-effectiveness of FS and FV in preventing dental caries in first permanent molars in 6- and 7-year-olds and to determine their acceptability found both interventions were acceptable to the children.

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The placement of fissures sealant, application of fluoride varnish, and application of ozone - are recommended to use in prevention of occlusal pit and fissure caries in permanent premolars in children.
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