Occlusal caries prevention: Seal or varnish?

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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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Molar-incisor hypomineralisation

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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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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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Fissure sealants – are self-etch sealants more effective?

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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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Sealants reduced caries in high-risk primary molars

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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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Caries: micro- and minimally invasive treatments for pit-and-fissure lesions

occlusal caries, molar teeth

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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Trial suggests that infiltrating early carious lesions in primary molars is effective

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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…]

Study suggests benefits to adjacent teeth from application of fluoride containing fissure sealants

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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…]

Study suggests that fissure sealants can arrest caries in primary molars

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There is good evidence for the effectiveness of fissure sealants in the prevention of caries (Dental Elf 8th April 2013) and some evidence for its use in the treatment of carious lesions. There is also evidence for the effectiveness of partial rather complete caries removal (Dental Elf 13th Apr – 2014).The aim of this study [read the full story…]