Evidence-based Practice of Pit and Fissure Sealants_Chinese Journal of Evidence-Based Medicine

Authors：

QUE Kehua , GUO Bin

West China College of Stomatology , Sichuan University , Chengdu 610041, China;

Corresponding author：

Keywords：

Pit and fissure sealants; Caries prevention; Evidence-based practice

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

We searched randomized controlled trials, meta-analysis and systematic reviews from OVID-EBM Reviews which included ACP Journal Club, The Cochrane Library, and MEDLINE（1991 to 2005 ） to evaluate clinical effectiveness of pit and fissure sealants for caries. The resultsshowed that pit and fissure sealants were recommended to prevent caries of the occlusal surface. The effectiveness varied between the two types of sealants, in general, flowable resin composite had a more satisfactory retention than glass ionomer composite. Acid etch was helpful for less microleakage and more satisfactory retention. Mechanical air-abrasion with acid etch may have the best border seal, However, we were not sure of the effectiveness of Er：YAG laser, technique of dental drill preparation and splicing. More high quality clinical trials on pit and fissure sealants are still needed.

Citation： QUE Kehua,GUO Bin. Evidence-based Practice of Pit and Fissure Sealants. Chinese Journal of Evidence-Based Medicine, 2006, 06(2): 146-149. doi: Copy

1.	Ahovuo-Saloranta A,Hiiri A,Nordblad A,et al.Pit and fissure sealants for preventing dental decay in the permanent teeth of children and adolescents (Cochrane Review).The Cochrane Library,Issue 2,2005.Chichester,UK:John Wiley & Sons,Ltd.
2.	Llodra JC,Bravo M,Delgado-Rodriguez M,et al.Factors influencing the effectiveness of sealants-a meta-analysis.Community Dentistry & Oral Epidemiology,1993 21(5):261-268.
3.	Chestnutt IG,Schafer F,Jacobson AP,et al.The prevalence and effectiveness of fissure sealants in Scottish adolescents.British Dental Journal,177(4):125-9,1994 Aug 20.
4.	Bravo M,Garcia-Anllo I,Baca P,et al.A 48-month survival analysis comparing sealant (Delton) with fluoride varnish (Duraphat) in 6-to 8-year-old children.Community Dent Oral Epidemiol,1997; 25(3):247-250.
5.	Poulsen P.Retention of glassionomer sealant in primary teeth in young children.Eur J Paediatr Dent,2003; 4(2):96-98.
6.	Pardi V,Pereira AC,Mialhe FL,et al.A 5-year evaluation of two glass-ionomer cements used as fissure sealants.Community Dent Oral Epidemiol,2003; 31:386-391.
7.	Poulsen S,Beiruti N,Sadat N.A comparison of retention and the effect on caries of fissure sealing with a glass-ionomer and a resin-based sealant.Community Dent Oral Epidemiol,2001; 29(4):298-301.
8.	Raadal M,Utkilen AB,Nilsen OL.Fissure sealing with a light-cured resin-reinforced glass-ionomer cement (Vitrebond) compared with a resin sealant.Int J Paediatr Dent,1996; 6(4):235-239.
9.	Kilpatrick NM,Murray JJ,McCabe JF.Clinical comparison of a light cured glass ionomer sealant restoration with a composite sealant restoration.J Dent,1996; 24(6):399-405.
10.	i V,Pereira AC,Ambrosano GM,et al.Clinical evaluation of three different materials used as pit and fissure sealant:24-months results.J Clin Pediatr Dent,2005; 29(2):133-137.
11.	Corona SA,Borsatto MC,Garcia L,et al.Randomized,controlled trial comparing the retention of a flowable restorative system with a conventional resin sealant:one-year follow up.PMID:15663445[PubMed-indexed for MEDLINE].
12.	Autio-Gold JT.Clinical evaluation of a medium-filled flowable restorative material as a pit and fissure sealant.Oper Dent,2002; 27(4):325-329.
13.	Clinical evaluation of a polyacid-modified resin composite-based fissure sealant:two-year results.Operative dentistry,2004; 29(3):254-260.
14.	Pereira AC,Pardi V,Mialhe FL,et al.Clinical evaluation of a polyacid-modified resin used as a fissure sealant:48-month results.Am J Dent.2000; 13(6):294-296.
15.	Ganss C,Klimek J,Gleim A.One year clinical evaluation of the retention and quality of two fluoride releasing sealants.Clin Oral Invest,1999(3); 188-193.
16.	Lupi-Pegurier L,Muller-Bolla M,Bertrand MF,et al.Microleakage of a pit-and-fissure sealant:effect of air-abrasion compared with classical enamel preparations.J Adhes Dent,2004; 6(1):43-48.
17.	Microleakage of three sealants following conventional,bur,and air-abrasion preparation of pits and fissures.International Journal of Paediatric Dentistry,2001; 11(6):409-416.
18.	Evaluation of different techniques of enamel preparation for pit and fissure sealing.Adhes Dent,2003; 5(4):313-321.
19.	Lupi-Pegurier L,Bertrand MF,Muller-Bolla M.Comparative study of microleakage of a pit and fissure sealant placed after preparation by Er:YAG laser in permanent molars.J Dent Child (Chic),2003; 70(2):134-138.
20.	Perez-Lajarin L,Cortes-Lillo O,Garcia-Ballesta C Marginal microleakage of two fissure sealants:a comparative study.J Dent Child (Chic),2003; 70(1):24-28.
21.	Pinar A,Sepet E,Aren G,et al.Clinical performance of sealants with and without a bonding agent.Quintessence Int,2005; 36(5):355-360.

1. Ahovuo-Saloranta A,Hiiri A,Nordblad A,et al.Pit and fissure sealants for preventing dental decay in the permanent teeth of children and adolescents (Cochrane Review).The Cochrane Library,Issue 2,2005.Chichester,UK:John Wiley & Sons,Ltd.
2. Llodra JC,Bravo M,Delgado-Rodriguez M,et al.Factors influencing the effectiveness of sealants-a meta-analysis.Community Dentistry & Oral Epidemiology,1993 21(5):261-268.
3. Chestnutt IG,Schafer F,Jacobson AP,et al.The prevalence and effectiveness of fissure sealants in Scottish adolescents.British Dental Journal,177(4):125-9,1994 Aug 20.
4. Bravo M,Garcia-Anllo I,Baca P,et al.A 48-month survival analysis comparing sealant (Delton) with fluoride varnish (Duraphat) in 6-to 8-year-old children.Community Dent Oral Epidemiol,1997; 25(3):247-250.
5. Poulsen P.Retention of glassionomer sealant in primary teeth in young children.Eur J Paediatr Dent,2003; 4(2):96-98.
6. Pardi V,Pereira AC,Mialhe FL,et al.A 5-year evaluation of two glass-ionomer cements used as fissure sealants.Community Dent Oral Epidemiol,2003; 31:386-391.
7. Poulsen S,Beiruti N,Sadat N.A comparison of retention and the effect on caries of fissure sealing with a glass-ionomer and a resin-based sealant.Community Dent Oral Epidemiol,2001; 29(4):298-301.
8. Raadal M,Utkilen AB,Nilsen OL.Fissure sealing with a light-cured resin-reinforced glass-ionomer cement (Vitrebond) compared with a resin sealant.Int J Paediatr Dent,1996; 6(4):235-239.
9. Kilpatrick NM,Murray JJ,McCabe JF.Clinical comparison of a light cured glass ionomer sealant restoration with a composite sealant restoration.J Dent,1996; 24(6):399-405.
10. i V,Pereira AC,Ambrosano GM,et al.Clinical evaluation of three different materials used as pit and fissure sealant:24-months results.J Clin Pediatr Dent,2005; 29(2):133-137.
11. Corona SA,Borsatto MC,Garcia L,et al.Randomized,controlled trial comparing the retention of a flowable restorative system with a conventional resin sealant:one-year follow up.PMID:15663445[PubMed-indexed for MEDLINE].
12. Autio-Gold JT.Clinical evaluation of a medium-filled flowable restorative material as a pit and fissure sealant.Oper Dent,2002; 27(4):325-329.
13. Clinical evaluation of a polyacid-modified resin composite-based fissure sealant:two-year results.Operative dentistry,2004; 29(3):254-260.
14. Pereira AC,Pardi V,Mialhe FL,et al.Clinical evaluation of a polyacid-modified resin used as a fissure sealant:48-month results.Am J Dent.2000; 13(6):294-296.
15. Ganss C,Klimek J,Gleim A.One year clinical evaluation of the retention and quality of two fluoride releasing sealants.Clin Oral Invest,1999(3); 188-193.
16. Lupi-Pegurier L,Muller-Bolla M,Bertrand MF,et al.Microleakage of a pit-and-fissure sealant:effect of air-abrasion compared with classical enamel preparations.J Adhes Dent,2004; 6(1):43-48.
17. Microleakage of three sealants following conventional,bur,and air-abrasion preparation of pits and fissures.International Journal of Paediatric Dentistry,2001; 11(6):409-416.
18. Evaluation of different techniques of enamel preparation for pit and fissure sealing.Adhes Dent,2003; 5(4):313-321.
19. Lupi-Pegurier L,Bertrand MF,Muller-Bolla M.Comparative study of microleakage of a pit and fissure sealant placed after preparation by Er:YAG laser in permanent molars.J Dent Child (Chic),2003; 70(2):134-138.
20. Perez-Lajarin L,Cortes-Lillo O,Garcia-Ballesta C Marginal microleakage of two fissure sealants:a comparative study.J Dent Child (Chic),2003; 70(1):24-28.
21. Pinar A,Sepet E,Aren G,et al.Clinical performance of sealants with and without a bonding agent.Quintessence Int,2005; 36(5):355-360.

Chinese Journal of Evidence-Based Medicine

Evidence-based Practice of Pit and Fissure Sealants

Abstract Full text Figures/Tables Video References Cited by

Format

Content