Laser preparation of tooth surfaces before fissure sealant placement

Fissure sealant

This review of laser preparation compared to other types of tooth surface preparation before fissure sealant placement included 5 RCTs. While the review suggested that retention rates with laser preparation were similar to acid etching the included studies were small and at high risk of bias. Thefore the findings should be considered very cautiously.

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Bisphenol-A: Exposure from dental treatment

Bisphenol-A

This review on Bisphenol-A (BPA) exposure from dental treatment included 7 studies and suggests an increase in urinary BPA after 24 hours returning to baseline by 14 days.

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Top Dental Elf Blogs: Jan – Apr 2018

If this your idea of fun, do drop us a line.

Between January and April 2018 our most popular blogs considered restorations in primary teeth,digital impressions, root canal irrigants and fissure sealants.

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Fissure sealing using flowable composite

Fissure sealant

This review of fissure sealing using flowable composite included 11 studies and suggests retention rates at 1 year may be slightly better than resin-based sealants. However, the findings should be interpreted cautious as the confidence intervals are wide and quality of the studies is limited.

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Fissure sealants: performance not affected by tooth characteristics

Fissure sealant

16 studies affect of were included in this review of tooth characteristics on sealant performance. With the exception of lower sealant failure rate on premolars sealants were not affected negatively by mouth side, jaw, or tooth type.

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Fissure sealants effective in preventing caries in children and adolescents

Fissure sealant

38 trials were included in this updated Cochrane review of the effect of fissure sealants on occlusal caries. The data show a reduction in caries of between 11-51% at 24months compared to no sealant. The benefit was also maintained at longer-term follow up.

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Occlusal caries prevention: Seal or varnish?

shutterstock_34500700 - caries sign

This large, well-conducted study in a primary care setting found a small, but not statistically significant difference, between fissure sealants and fluoride varnish for the prevention of caries in first permanent molars at 36 months.

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Molar-incisor hypomineralisation

mih

This review of molar-incisor hypomineralisation management only included 14 limited quality and mainly observations studies.For molars composites, preformed metal crowns or indirect restorations seem suitable but more high quality studies are needed.

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Sealants or fluoride varnish for caries prevention?

Fissure sealant

This Cochrane review update included 8 trials involving 1746 participants. Some low-quality evidence suggesting the superiority of resin-based fissure sealants over fluoride varnish applications was identified

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