11 RCTs were included in this Cochrane review which looked at the relative effectiveness of fissure sealants compared with fluoride varnishes for the prevention of caries in the occlusal surfaces of permanent teeth.
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Pulpotomy of permanent teeth with irreversible pulpitis, the management of direct anticoagulant agents for invasive dental treatments and laser preparation of tooth surfaces for fissure sealant placement were out most popular blogs in July, August and September.
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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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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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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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This well conducted multi-centered randomised controlled trial compares fluoride-containing resin-based sealants with non-fluoride sealants
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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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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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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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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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