Abstract
Sealant retention is a commonly used outcome measure for sealant materials, for example, in clinical trials. Retention rates are also used to inform practitioners about the clinical performance of a sealant material and thereby guiding them in the decision for the preferable sealant. However, the association between sealant retention and the prevention or management of carious lesions is questionable. In this chapter, we will discuss why this is and present data as to the retention of different sealants materials. Moreover, factors that may influence sealant retention will be discussed in depth, and clinical recommendations to improve retention will be given.
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References
Kuhnisch J, Mansmann U, Heinrich-Weltzien R, Hickel R. Longevity of materials for pit and fissure sealing – results from a meta-analysis. Dent Mater. 2012;28:298–303.
Ripa LW. Sealants revisted: an update of the effectiveness of pit-and-fissure sealants. Caries Res. 1993;27:77–82.
Mickenautsch S, Yengopal V. Validity of sealant retention as surrogate for caries prevention – a systematic review. PLoS One. 2013;8:e77103.
Griffin SO, Gray SK, Malvitz DM, Gooch BF. Caries risk in formerly sealed teeth. J Am Dent Assoc. 2009;140:415–23.
Rock WP, Anderson RJ. A review of published fissure sealant trials using multiple regression analysis. J Dent. 1982;10:39–43.
Weintraub JA, Burt BA. Prevention of dental caries by the use of pit-and-fissure sealants. J Public Health Policy. 1987;8:542–60.
Liebenberg WH. The fissure sealant impasse. Quintessence Int. 1994;25:741–5.
Muller-Bolla M, Lupi-Pegurier L, Tardieu C, Velly AM, Antomarchi C. Retention of resin-based pit and fissure sealants: A systematic review. Community Dent Oral Epidemiol. 2006;34:321–36.
Mickenautsch S, Yengopal V. Retention loss of resin based fissure sealants – a valid predictor for clinical outcome? Open Dent J. 2013;7:102–8.
Prentice RL. Surrogate endpoints in clinical trials: definition and operational criteria. Stat Med. 1989;8:431–40.
Horowitz HS, Heifetz SB, Poulsen S. Adhesive sealant clinical trial: an overview of results after four years in Kalispell, Montana. J Prev Dent. 1976;3:38–9, 44, 6-7 passim.
Mejare I, Mjor IA. Glass ionomer and resin-based fissure sealants: a clinical study. Scand J Dent Res. 1990;98:345–50.
Wilson AD, Groffman DM, Kuhn AT. The release of fluoride and other chemical species from a glass-ionomer cement. Biomaterials. 1985;6:431–3.
Smith BJ, Ghezzi EM, Manz MC, Markova CP. Perceptions of oral health adequacy and access in Michigan nursing facilities. Gerodontology. 2008;25:89–98.
Wright JT, Tampi MP, Graham L, Estrich C, Crall JJ, Fontana M, et al. Sealants for preventing and arresting pit-and-fissure occlusal caries in primary and permanent molars: a systematic review of randomized controlled trials-a report of the American Dental Association and the American Academy of Pediatric Dentistry. J Am Dent Assoc. 2016;147:631–45.e18.
Schwendicke F, Jager AM, Paris S, Hsu LY, Tu YK. Treating pit-and-fissure caries: a systematic review and network meta-analysis. J Dent Res. 2015;94:522–33.
Ehrenthal JC, Graetz C, Plaumann A, Dorfer CE, Herzog W. Number of teeth predict depressive symptoms in a longitudinal study on patients with periodontal disease. J Psychsom Res. 2016;89:16–9.
Kolavic Gray S, Griffin SO, Malvitz DM, Gooch BF. A comparison of the effects of toothbrushing and handpiece prophylaxis on retention of sealants. J Am Dent Assoc. 2009;140:38–46.
Griffin SO, Jones K, Gray SK, Malvitz DM, Gooch BF. Exploring four-handed delivery and retention of resin-based sealants. J Am Dent Assoc. 2008;139:281–9; quiz 358.
Bagherian A, Sarraf Shirazi A. Preparation before acid etching in fissure sealant therapy: yes or no?: a systematic review and meta-analysis. J Am Dent Assoc. 2016;147:943–51.
Bagherian A, Sarraf Shirazi A, Sadeghi R. Adhesive systems under fissure sealants: yes or no?: a systematic review and meta-analysis. J Am Dent Assoc. 2016;147:446–56.
Schwendicke F, Gostemeyer G, Blunck U, Paris S, Hsu LY, Tu YK. Directly placed restorative materials: review and network meta-analysis. J Dent Res. 2016;95(6):613–22.
Dyer TA, Brocklehurst P, Glenny AM, Davies L, Tickle M, Issac A, et al. Dental auxiliaries for dental care traditionally provided by dentists. Cochrane Database Syst Rev. 2014;8:Cd010076.
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Schwendicke, F., Göstemeyer, G. (2018). Retention of Fissure Sealants. In: Bekes, K. (eds) Pit and Fissure Sealants. Springer, Cham. https://doi.org/10.1007/978-3-319-71979-5_11
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DOI: https://doi.org/10.1007/978-3-319-71979-5_11
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