|
Title |
Sealants protect permanent premolars and molars from carious lesions |
Clinical Question |
In a healthy adult or adolescent, do sealants reduce the incidence of carious lesions on permanent premolars and molars compared to no prophylactic treatment? |
Clinical Bottom Line |
Application of pit and fissure sealants can reduce the occurrence of new carious lesions of permanent premolars and molars. (See Comments on the CAT below) |
Best Evidence |
(you may view more info by clicking on the PubMed ID link) |
PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
#1) 18843625 | Ahovuo-Saloranta/2008 | Children and adolescents under 20 years old | Meta-analysis | Key results | The following results apply to six studies comparing 2nd and 3rd generation resin sealants to “no sealant” controls. RR of 0.13, 0.22, 0.30, and 0.40 at 12, 24, 36, and 48-54 months follow up. 95% CI 0.09 to 0.20, 0.15 to 0.34, 0.22 to 0.40, 0.31 to 0.51, respectively. | |
Evidence Search |
“Pit and Fissure Sealants” [Mesh] AND “Dental Caries” [Mesh] |
Comments on
The Evidence |
The patient group of this study did not include adults, however, the results from this study are most likely applicable to adults as well since the results are based on permanent teeth and in a similar oral environment as a healthy adult. Currently, there is little research on treatment of sealants on adults. |
Applicability |
Children, adolescents, and adults |
Specialty/Discipline |
(General Dentistry) (Dental Hygiene) |
Keywords |
sealant, carious lesion, permanent, molar, premolar
|
ID# |
529 |
Date of submission: |
02/23/2010 |
E-mail |
riggsc@livemail.uthscsa.edu |
Author |
Tim Jennings |
Co-author(s) |
Chad Riggs |
Co-author(s) e-mail |
|
Faculty mentor/Co-author |
Barbara MacNeill, DMD |
Faculty mentor/Co-author e-mail |
macneill@uthscsa.edu |
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
post a rationale |
None available | |
|
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
by Joseph Ryan (San Antonio, TX) on 04/10/2012 On 4-9-12, I reviewed the literature pertaining to this CAT and found that the article cited is indeed the most recent and relevant article regarding this PICO question. | |
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