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Caries-preventive e...
Caries-preventive effect of fissure sealants : a systematic review
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- Mejàre, Ingegerd (author)
- Malmö högskola,Odontologiska fakulteten (OD)
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Lingström, Peter (author)
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Petersson, Lars G (author)
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Holm, Anna-Karin (author)
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Twetman, Svante (author)
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Källestål, Carina (author)
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- Nordenram, Gunilla (author)
- Malmö högskola,Odontologiska fakulteten (OD)
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- Lagerlöf, Folke (author)
- Karolinska Institutet
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- Söder, Birgitta (author)
- Karolinska Institutet
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Norlund, Anders (author)
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Axelsson, Susanna (author)
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Dahlgren, Helena (author)
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(creator_code:org_t)
- 2009-07-02
- 2003
- English.
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In: Acta Odontologica Scandinavica. - : Informa UK Limited. - 0001-6357 .- 1502-3850. ; 61:6, s. 321-330
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- The objectives of this study were to evaluate systematically the evi-dence of the caries-preventive effect of fissure sealing of occlusal tooth surfaces and to examine factors potentially modifying the effect. The search strategies included electronic databases, reference lists of arti-cles, and selected textbooks. Inclusion criteria were randomized or quasi-randomized clinical trials or controlled clinical trials comparing fissure sealing with no treatment or another preventive treatment in children up to 14 years of age at the start; the outcome measure was caries increment; the diagnostic criteria had been described; and the follow-up time was at least 2 years. Inclusion decisions were taken and grading of the studies was done independently by two of the authors. The main measure of effect was relative risk reduction. Thirteen stud-ies using resin-based or glass ionomer sealant materials were included in the final analysis. The results showed that most studies were per-formed during the 1970s and a single application had been utilized. The relative caries risk reduction pooled estimate of resin-based seal-ants on permanent 1st molars was 33% (relative risk = 0.67; CI = 0.55-0.83). The effect depended on retention of the sealant. In conclu-sion, the review suggests limited evidence that fissure sealing of 1st permanent molars with resin-based materials has a caries-preventive effect. The evidence is incomplete for permanent 2nd molars, premo-lars and primary molars and for glass ionomer cements. Overall, there remains a need for further trials of high quality, particularly in child populations with a low and a high caries risk, respectively.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Odontologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dentistry (hsv//eng)
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- By the author/editor
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Mejàre, Ingegerd
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Lingström, Peter
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Petersson, Lars ...
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Holm, Anna-Karin
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Twetman, Svante
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Källestål, Carin ...
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show more...
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Nordenram, Gunil ...
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Lagerlöf, Folke
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Söder, Birgitta
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Norlund, Anders
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Axelsson, Susann ...
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Dahlgren, Helena
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Dentistry
- Articles in the publication
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Acta Odontologic ...
- By the university
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Malmö University
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Karolinska Institutet