March 2011

Volume 28, Issue 1

The success of fissure sealants placed by dentists and dental care professionals

Authors: P.G. Robinson H.D. Rodd F. Nilchian
doi: 10.1922/CDH_2542Rodd05


Objective: To obtain preliminary data on the effectiveness of fissure sealants placed by dentists and dental care professionals (DCPs). Research design: Case-note review of fissure sealants provided for paediatric patients within primary dental services in South Yorkshire. Participants: Records were retrieved for 1,100 fissure sealants, placed on first and second permanent molars of 312 children by 25 participating dentists and 25 DCPs during 2001-2003. Main outcome measures: Independent variables included operator details and patient-related factors including: caries experience at baseline, age, gender, and socio-economic status. The outcome variables were sealant retention and progression to caries at three years. Bivariate analyses were used to explore the role of potential factors associated with the success of fissure sealant survival. Kaplan-Meier survival analysis and Cox’s regression models were used to estimate the probability of sealant success for both operator groups. Results: Retention rates at three years for fissure sealants placed by dentists and DCPs were 62.4 % (SD=22.1) and 58.1% (SD=21.5) respectively. After three years, 87.1% (SD=9.8) and 84.2% (SD=11.6) of teeth sealed by dentists and DCPs remained sound. Exploratory analysis found no significant difference in sealant retention or caries transformation rates according to operator type. Conclusions: On the basis of these preliminary findings, delegation of fissure sealants to DCPs would seem to be justified in view of the comparable sealant success rates achieved by dentists and DCPs. These data can now be used to inform future randomised controlled trials on the effectiveness of fissure sealants by different operator groups. Key words:, Caries prevention, dental care professional, fissure sealant.


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Editorial 3-0 Download
Acknowledgement of Referees 4-0 Download
The caries experience of 5 year-old children in Scotland, Wales and England in 2007-2008 and the impact of consent arrangements. Reports of co-ordinated surveys using BASCD criteria 5-11 Download
The dilemma of selecting suitable proximal carious lesions in primary molars for restoration using ART technique. 12-16 Download
Using laser fluorescence (DIAGNOdent) in surveys for the detection of noncavitated occlusal dentine caries 17-21 Download
The prevalence of and risk factors for non-carious cervical lesions in adults in Hubei Province, China 22-28 Download
Pediatrician-recommended use of sports drinks and dental caries in 3-year-old children 29-33 Download
Estimating the potential impact on dental caries in children of fluoridating a UK city 34-39 Download
Community water fluoridation support and opposition in Australia 40-46 Download
Health-related lifestyle behaviours, socio-demographic charac-teristics and use of dental health services in Greek adults. 47-52 Download
Non-biological factors associated with tooth retention in Irish adults 53-59 Download
Short Communication - Actinic Cheilitis among agricultural workers in Campinas, Brazil 60-63 Download
Correlation between oral health perception and clinical factors in a Brazilian community 64-68 Download
Periodontal health and treatment needs among hospitalized chronic psychiatric patients in Istanbul, Turkey 69-74 Download
Oral hygiene and gingival health in Flemish pre-school children 75-81 Download
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Assessment and comparison of periodontal status among young smokers and nonsmokers of Bangalore, India - a cross sectional study. 89-94 Download
Smoking and drinking habits and attitudes to smoking cessation counselling among Tanzanian dental students 95-98 Download
The success of fissure sealants placed by dentists and dental care professionals 99-103 Download
Traumatic dental injuries to primary incisors and the terminal or occlusal plane relationship in Indian preschool children 104-106 Download
Retrospective evaluation of the referral pattern to an oral medicine unit in Ireland 107-110 Download
Factors associated with Japanese dentists encouraging patients to use dental floss 111-115 Download
Teaching dental public health to undergraduates using community profiles and patient case studies 116-120 Download


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