Sealants in Dentistry: Outcomes of the ORCA Saturday Afternoon Symposium 2007Splieth 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
Prof. Dr. Christian H. Splieth
Präventive Zahnmedizin und Kinderzahnheilkunde
DE–17487 Greifswald (Germany)
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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.
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