Evidence-based clinical recommendations for the use of pit-and-fissure sealants

A report of the American Dental Association Council on Scientific Affairs

Jean Beauchamp, Page W. Caufield, James J. Crall, Kevin Donly, Robert Feigal, Barbara Gooch, Amid Ismail, William Kohn, Mark Siegal, Richard Simonsen, Julie Frantsve-Hawley

Research output: Contribution to journalArticle

Abstract

Background. This article presents evidence-based clinical recommendations for use of pit-and-fissure sealants developed by an expert panel convened by the American Dental Association Council on Scientific Affairs. The panel addressed the following clinical questions: Under what circumstances should sealants be placed to prevent caries? Does placing sealants over early (noncavitated) lesions prevent progression of the lesion? Are there conditions that favor the placement of resin-based versus, glass ionomer cement sealants in terms of retention or caries prevention? Are there any techniques that could improve sealants' retention and effectiveness in caries prevention? Types of Studies Reviewed. Staff of the ADA Division of Science conducted a MEDLINE search to identify systematic reviews and clinical studies published after the identified systematic reviews. At the panel's request, the ADA Division of Science staff conducted additional searches for clinical studies related to specific topics. The Centers for Disease Control and Prevention also provided unpublished systematic reviews that since have been accepted for publication. Resouts. The expert panel developed clinical recommendations for each clinical question. The panel concluded that sealants are effective in caries prevention and that sealants can prevent the progression of early noncavitated carious lesions. Clinical Implications. These recommendations are presented as a resource to be considered in the clinical decision-making process. As part of the evidence-based approach to care, these clinical recommendations should be integrated with the practitioner's professional judgment and the patient's needs and preferences. The evidence indicates that sealants can be used effectively to prevent the initiation and progression of dental caries.

Original languageEnglish (US)
Pages (from-to)257-268
Number of pages12
JournalJournal of the American Dental Association
Volume139
Issue number3
StatePublished - Mar 2008

Fingerprint

American Dental Association
Pit and Fissure Sealants
Glass Ionomer Cements
Patient Preference
Dental Caries
Centers for Disease Control and Prevention (U.S.)
MEDLINE
Publications
Clinical Studies

Keywords

  • Caries
  • Caries prevention
  • Clinical recommendations
  • Evidence-based dentistry
  • Pit-and-fissure sealant
  • Primary prevention
  • Sealant
  • Secondary prevention

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Beauchamp, J., Caufield, P. W., Crall, J. J., Donly, K., Feigal, R., Gooch, B., ... Frantsve-Hawley, J. (2008). Evidence-based clinical recommendations for the use of pit-and-fissure sealants: A report of the American Dental Association Council on Scientific Affairs. Journal of the American Dental Association, 139(3), 257-268.

Evidence-based clinical recommendations for the use of pit-and-fissure sealants : A report of the American Dental Association Council on Scientific Affairs. / Beauchamp, Jean; Caufield, Page W.; Crall, James J.; Donly, Kevin; Feigal, Robert; Gooch, Barbara; Ismail, Amid; Kohn, William; Siegal, Mark; Simonsen, Richard; Frantsve-Hawley, Julie.

In: Journal of the American Dental Association, Vol. 139, No. 3, 03.2008, p. 257-268.

Research output: Contribution to journalArticle

Beauchamp, J, Caufield, PW, Crall, JJ, Donly, K, Feigal, R, Gooch, B, Ismail, A, Kohn, W, Siegal, M, Simonsen, R & Frantsve-Hawley, J 2008, 'Evidence-based clinical recommendations for the use of pit-and-fissure sealants: A report of the American Dental Association Council on Scientific Affairs', Journal of the American Dental Association, vol. 139, no. 3, pp. 257-268.
Beauchamp, Jean ; Caufield, Page W. ; Crall, James J. ; Donly, Kevin ; Feigal, Robert ; Gooch, Barbara ; Ismail, Amid ; Kohn, William ; Siegal, Mark ; Simonsen, Richard ; Frantsve-Hawley, Julie. / Evidence-based clinical recommendations for the use of pit-and-fissure sealants : A report of the American Dental Association Council on Scientific Affairs. In: Journal of the American Dental Association. 2008 ; Vol. 139, No. 3. pp. 257-268.
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