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Table of Contents
Vol. 44, No. 1, 2010
Issue release date: March 2010
Section title: Review
Free Access
Caries Res 2010;44:3–13

Sealants in Dentistry: Outcomes of the ORCA Saturday Afternoon Symposium 2007

Splieth C.H.a · Ekstrand K.R.c · Alkilzy M.a · Clarkson J.d · Meyer-Lueckel H.b · Martignon S.f · Paris S.b · Pitts N.B.d · Ricketts D.N.e · van Loveren C.g
aDepartment of Preventive and Pediatric Dentistry, Ernst Moritz Arndt University, Greifswald, and bClinic for Conservative Dentistry and Periodontology, Christian Albrechts University Kiel, Kiel, Germany; cDepartment of Cariology and Endodontics, University of Copenhagen, Copenhagen, Denmark; dDental Health Services Research Unit and eDepartment of Restorative Dental Care and Clinical Dental Sciences, University of Dundee, Dundee, UK; fCaries Research Unit UNICA, Universidad El Bosque, Bogota, Colombia; gCariologie Endodontologie Pedodontologie, Academisch Centrum voor Tandheelkunde Amsterdam, Amsterdam, The Netherlands
email Corresponding Author

Prof. Dr. Christian H. Splieth

Präventive Zahnmedizin und Kinderzahnheilkunde

Rotgerberstrasse 8

DE–17487 Greifswald (Germany)

Tel. +49 3834 867 101, Fax +49 3834 867 299, E-Mail splieth@uni-greifswald.de

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Sealants are a successful tool in caries prevention, but their role in preventive strategies after the caries decline has to be discussed. A survey of paediatric departments across Europe revealed that indications for pit and fissure sealants vary considerably, both nationally and internationally. Evidence for effectiveness of sealants in controlling caries in posterior teeth implies that sealants should be an integrated part of management of pit and fissure caries. Still, the indication for occlusal sealants seems to be shifting from primary prevention to a therapeutic decision for caries management of lesions in enamel and the outer part of the dentine. Sealants are also an interesting concept for caries management in approximal surfaces. Clinical trials suggest that novel techniques of sealing or infiltrating approximal lesions show promise. However, approximal sealing techniques are as complex to apply and time-consuming as approximal fillings. The article proposes guidelines for teaching on the use of sealants.

© 2009 S. Karger AG, Basel

Article / Publication Details

First-Page Preview
Abstract of Review

Received: December 18, 2008
Accepted: October 28, 2009
Published online: December 31, 2009
Issue release date: March 2010

Number of Print Pages: 11
Number of Figures: 3
Number of Tables: 5

ISSN: 0008-6568 (Print)
eISSN: 1421-976X (Online)

For additional information: http://www.karger.com/CRE

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