In children, how do resin‐based sealants compare with no sealant or glass isomer‐based sealants for preventing decay in permanent teeth?

Mojtaba Dorri

Research output: Other contribution

Abstract

Question:
In children, how do resin‐based sealants compare with no sealant or glass isomer‐based sealants for preventing decay in permanent teeth?

Clinical Answer:
Moderate‐certainty evidence shows that resin‐based sealants prevent dental caries on occlusal surfaces of permanent molar teeth in children and adolescents for up to 48 months. Certainty of the evidence for subsequent time points, and for resin‐based sealants versus glass ionomer sealants, was very low to low, making it difficult to draw firm conclusions.

Seven RCTs (1054 to 1651 children) showed clear benefits of resin‐based sealant over no sealant in terms of caries on the occlusal surfaces of first permanent molars of children aged 5 to 10 years, at 12 to approximately 48 months (moderate‐certainty evidence; on average, 52 vs 160 had caries per 1000 children at 24 months). RCTs with longer durations of follow‐up (up to 9 years) reported similar findings; however, the certainty of evidence was low to very low.

RCTs that compared resin‐based sealants with glass ionomer over one to seven years of follow‐up provided only very low‐certainty evidence that showed inconsistent results. Therefore, no conclusions can be drawn as to which may be superior.

Reviewers observed no adverse events in either group for the comparison of resin‐based sealants versus no sealant (573 children, 1231 molars) or versus glass ionomer‐based sealants (296 children, 357 molars).
Original languageEnglish
TypeCochrane Clinical Answers 2018
PublisherCochrane Collaboration
DOIs
Publication statusPublished - 24 Jul 2018

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