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Sealant Retention (sealant + retention)
Selected AbstractsTwelve-month Sealant Retention in a School-based Program Using a Self-etching Primer/AdhesiveJOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 4 2004Daniel J. Venker DDS ABSTRACT Objectives: Very little independent research has been done on the new self-etching primer/adhesives in dentistry. A recent clinical study compared two sealant application techniques involving self-etching primer adhesives and the traditional phosphoric acid etch. The purpose of this study was to compare these two techniques in an Iowa school-based sealant program. Methods: Twelvemonth sealant retention data on 208 students from the Des Moines, Iowa, school-based sealant program were analyzed retrospectively. Results: Sealant retention reported at the person level showed that 60 percent of the students who received sealants at the five schools had to be recalled at one year to have one or more surfaces reseated. A logistic regression model at the person level demonstrated that the phosphoric acid technique was six times as likely to have retention of all the sealed tooth surfaces as those sealed with Prompt-L-Pop®. Conclusions: In this study, many students had to be recalled to the chair 12 months after sealant application due to incomplete retention. Though sealants were retained in larger numbers with phosphoric acid, overall sealant retention at the tooth level was lower than previously published for clinical studies and school-based programs. Examining retention data at the person level, however, allows program administrators to plan resources more effectively and reevaluate sealant protocol to ensure as few children return for sealant reapplication. [source] Fluoride pit and fissure sealants: a reviewINTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 2 2000Tonia L. Morphis There are two methods of fluoride incorporation into fissure sealants. In the first method, fluoride is added to the unpolymerized resin in the form of a soluble fluoride salt that releases fluoride ions by dissolution, following sealant application. In the second method, an organic fluoride compound is chemically bound to the resin and the fluoride is released by exchange with other ions (anion exchange system). This report reviews the literature on the effectiveness of all the fluoride-releasing sealants ,commercial and experimental , that have been prepared using either the former or the latter method of fluoride incorporation. There is evidence for equal retention rates to conventional sealants and for ex vivo fluoride release and reduced enamel demineralization. However, further research is necessary to ensure the clinical longevity of fluoride sealant retention and to establish the objective of greater caries inhibition through the fluoride released in saliva and enamel. [source] Assessing Cost-Effectiveness of Sealant Placement in ChildrenJOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 2 2005Rocio B. Quiñonez DMD Abstract Objective: The lack of cost-effectiveness information regarding sealant placement strategies is thought to have influenced reimbursement policies and subsequent sealant utilization in dental practice. This study compared three strategies for managing the occlusal surfaces of first permanent molars: seal all (SA), risk-based (RBS), and seal none (SN). Methods: A decision tree was developed for various possible outcomes following each of the above strategies. Due to the complexity of the decision tree, a Markov model was used to allow for the construction of a chain of events representing the natural history of sealant retention, caries formation, and their associated health states. The outcome measures were the incremental cost per month gained in a cavity-free state over a ten-year period. Results: Our theoretical model showed that RBS strategy improved clinical outcomes, in the form of cavity-free months, and saved money over SN. The strategy of sealing both high and low risk teeth (SA) further improved outcomes but at an additional cost compared to RBS. However, the cost was small, $08 for each additional cavity-free month gained per tooth. Further, minor changes in the baseline assumptions resulted in the SA strategy being the dominant strategy. Conclusion: This study provides evidence that sealing children's first permanent molars can improve outcomes and save money by delaying or avoiding invasive treatment and the destructive cycle of caries. In a time of limited funds for dental services, these results can assist payers in establishing more rational sealant reimbursement policies. [source] Twelve-month Sealant Retention in a School-based Program Using a Self-etching Primer/AdhesiveJOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 4 2004Daniel J. Venker DDS ABSTRACT Objectives: Very little independent research has been done on the new self-etching primer/adhesives in dentistry. A recent clinical study compared two sealant application techniques involving self-etching primer adhesives and the traditional phosphoric acid etch. The purpose of this study was to compare these two techniques in an Iowa school-based sealant program. Methods: Twelvemonth sealant retention data on 208 students from the Des Moines, Iowa, school-based sealant program were analyzed retrospectively. Results: Sealant retention reported at the person level showed that 60 percent of the students who received sealants at the five schools had to be recalled at one year to have one or more surfaces reseated. A logistic regression model at the person level demonstrated that the phosphoric acid technique was six times as likely to have retention of all the sealed tooth surfaces as those sealed with Prompt-L-Pop®. Conclusions: In this study, many students had to be recalled to the chair 12 months after sealant application due to incomplete retention. Though sealants were retained in larger numbers with phosphoric acid, overall sealant retention at the tooth level was lower than previously published for clinical studies and school-based programs. Examining retention data at the person level, however, allows program administrators to plan resources more effectively and reevaluate sealant protocol to ensure as few children return for sealant reapplication. [source] |