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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

 goto top of outline Key Words

  • Caries
  • Children
  • Infiltration
  • Proximal sealing
  • Sealants

 goto top of outline Abstract

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.

Copyright © 2009 S. Karger AG, Basel

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 goto top of outline Author Contacts

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

 goto top of outline Article Information

Received: December 18, 2008
Accepted after revision: October 28, 2009
Published online: December 31, 2009
Number of Print Pages : 11
Number of Figures : 3, Number of Tables : 5, Number of References : 61

 goto top of outline Publication Details

Caries Research

Vol. 44, No. 1, Year 2010 (Cover Date: March 2010)

Journal Editor: Shellis R.P. (Bristol)
ISSN: 0008-6568 (Print), eISSN: 1421-976X (Online)

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