ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title Pit And Fissure Sealant Retention
Clinical Question In healthy young children, how effective is dentin bonding agents in improving pit and fissure sealant retention compared to no usage of dentin bonding agents?
Clinical Bottom Line If a sealant is applied under optimal conditions using proper isolation techniques, placing a bonding agent under a sealant does not enhance retention. (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) 18402095Mascarenhas AK./20084 primary schools, 6-9 year old Kuwaiti childrenSplit Mouth Clinical Trial
Key resultsThere was no difference in sealant retention in teeth sealed with and without bonding.
#2) 15892532Pinar/2005School children at the Pediatric Dentistry ClinicSplit Mouth Clinical Trial
Key resultsThere was no difference in sealant retention in teeth sealed with and without bonding.
Evidence Search Search "Pit and Fissure Sealants"[Mesh] AND "Dentin-Bonding Agents"[Mesh] Limits: Randomized Controlled TrialSearch "Pit and Fissure Sealants"[Mesh] AND "Dentin-Bonding Agents"[Mesh] Limits: Systematic ReviewsSearch "Pit and Fissure Sealants"[Mesh] AND "Dentin-Bonding Agents"[Mesh] Limits: Meta-AnalysisSearch "Pit and Fissure Sealants"[Mesh] AND "Dentin-Bonding Agents"[Mesh]
Comments on
The Evidence
The study by Mascarenhas, a clinical trial with a sample size of 78 consisting of 6 to 9 year old children. A split mouth study was performed on all 4 permanent first molars, and the teeth were randomly assigned to test and control groups by four trained and experienced dentists from Al-Ahmadi Governate. The test group, teeth sealed with primer and bond were compared to the control group, teeth that were sealed without primer and bond after 1-2 years. Although, the evidence is not a meta-analysis or systematic review, the evidence is valid and was conducted for 2 years with a sample size of 78. The study by Pinar, a clinical trial with a sample size of 30 consisting of 8 to 10 year old children. This study was also a split mouth design with the teeth randomly assigned to receive normal sealant, the control group, and with bonding agent, the test group. The treatment was assessed at 3, 6, 12, 24 months.
Applicability The results are applicable to school age children who require pit and fissure sealants.
Specialty/Discipline (Public Health) (General Dentistry) (Pediatric Dentistry)
Keywords Pit and fissure sealants, dentin-bonding agents, retention
ID# 586
Date of submission: 04/01/2010spacer
E-mail nguyenmp@uthscsa.livemail.edu
Author Mai Phuong Nguyen
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Joseph Bartoloni, DMD
Faculty mentor/Co-author e-mail Bartoloni@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
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
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by Tessia Lamison; Sarah McMahan; Elizabeth Allinson (San Antonio, TX) on 01/07/2013
As of Jan 2013, no new evidence was found on the subject. The evidence in this CAT continues to be applicable and current.
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