Journal of Dentistry
Volume 35, Issue 4 , Pages 338-342, April 2007

A practice-based study of the sealant treatment effectiveness in Finns☆

  • Kaja Leskinen

      Affiliations

    • Department of Cariology, Endodontics and Pediatric Dentistry, University of Oulu, Finland
    • Corresponding Author InformationCorresponding author at: Department of Cariology, Endodontics and Pediatric Dentistry, Institute of Dentistry, University of Oulu, P.O.Box 5281, FIN-90014 Oulu, Finland. Tel.: +358 8 5375591.
    • ,
  • Sinikka Salo

      Affiliations

    • Health Center of Kemi, Finland
    • Finland Wellbeing Center (FWBC), Sendai, Japan
    • ,
  • Jorma Suni

      Affiliations

    • Health Center of Vantaa, Finland
    • ,
  • Markku Larmas

      Affiliations

    • Department of Cariology, Endodontics and Pediatric Dentistry, University of Oulu, Finland

Received 26 June 2006; received in revised form 19 October 2006; accepted 27 October 2006.

Abstract 

Objectives

The effectiveness of fissure sealing in preventing dental caries in a subject-specific fashion was studied in order to forge a link between the controlled trials and knowledge creation in clinical practice.

Methods

The subjects were divided retrospectively into three categories according to the sealant treatment status of their first permanent molars at the first examination after the eruption and the survival of first molars in each group were estimated using the Kaplan-Meier method.

Results

Sealing of all first molars in caries-prone subjects was an effective caries preventive method. The highest survival of first molars was observed in the unsealed subjects in the health center focusing on sealing risk-subjects only. The first molars of partly sealed subjects had the lowest probability of survival in both health centers.

Conclusion

Sealing all four permanent first molars rather than some of them in high caries risk subjects and leaving unsealed the first molars of caries resistant subjects enable to decrease unnecessary sealant treatment by focusing it especially to those benefiting it.

Keywords: Sealants, Survival analysis, Caries prevention

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☆ In consideration of the Journal of Dentistry taking action in reviewing and editing our submission: “A practice-based study of the sealant treatment effectiveness in Finns” the authors undersigned hereby affirming that this manuscript is submitted solely to Journal of Dentistry and is not concurrently under consideration for publication in any other journal. The authors do not have financial interest in the products, equipment and companies cited in the manuscript.

PII: S0300-5712(06)00201-6

doi:10.1016/j.jdent.2006.10.009

Journal of Dentistry
Volume 35, Issue 4 , Pages 338-342, April 2007

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