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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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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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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This review looked at whether self-etch adhesive sealants were as effective as traditional acid etching. 5 split-mouth studies were included and they found significantly lower failure rates in the acid etch group. Odds ratio 4.46 (95% CI 1.31, 15.20).
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This split-mouth trial conducted in 4-5 year old children found that sealants were superior to fluoride varnish applications in preventing the development and progression of caries in occlusal surfaces of primary molars over 1 year.
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This trial involved 112 children and found improved sealant retention on permanent teeth following the use of an intermediate bonding agent.
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This network meta-analysis included 14 studies (10 RCTs) and suggests that minimally invasive strategies would rank first followed by micro invasive approaches to pit and fissure caries. However, for some comparisons only a few studies are available and then are generally small and with short follow up periods.
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Despite fails in caries level in recent decades caries is still a significant problem for many children The aim of this study was to compare the effect of infiltration and fissure sealing with fluoride varnish applications. Children aged 5-8 with at least three primary molars with initial lesions on three occlusal surfaces in each child [read the full story…]
There is good quality review evidence (Ahovuo-Saloranta et al. 2013) that resin-based fissure sealants are effective at preventing or controlling occlusal caries. The aim of this trial was to assess whether sealing first permanent molars with fluoride releasing compounds reduced the caries increment on the distal surface of the second primary molars. Children with at [read the full story…]
