British Society of Paediatric Dentistry: a policy document on fissure sealants in paediatric dentistry

doi:10.1046/j.1365-263x.2000.010002174.x

Cited by 40 publications

(6 citation statements)

References 20 publications

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“…A Cochrane systematic review [6] found that PFS, relative to no treatment, reduced decay by 86% after 12 months. PFS treatment for children at risk of caries is supported by The American Academy of Paediatric Dentistry, The European Academy of Paediatric Dentistry, and The British Society of Paediatric Dentistry [7-9]. Despite this support, and that PFS application is inexpensive, easy to do, and long-lasting, fewer than 20% of 11 year olds living in Scotland had their first molars sealed at the time of this study [10].…”

Section: Introductionmentioning

confidence: 99%

Applying psychological theories to evidence-based clinical practice: identifying factors predictive of placing preventive fissure sealants

et al. 2010

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BackgroundPsychological models are used to understand and predict behaviour in a wide range of settings, but have not been consistently applied to health professional behaviours, and the contribution of differing theories is not clear. This study explored the usefulness of a range of models to predict an evidence-based behaviour -- the placing of fissure sealants.MethodsMeasures were collected by postal questionnaire from a random sample of general dental practitioners (GDPs) in Scotland. Outcomes were behavioural simulation (scenario decision-making), and behavioural intention. Predictor variables were from the Theory of Planned Behaviour (TPB), Social Cognitive Theory (SCT), Common Sense Self-regulation Model (CS-SRM), Operant Learning Theory (OLT), Implementation Intention (II), Stage Model, and knowledge (a non-theoretical construct). Multiple regression analysis was used to examine the predictive value of each theoretical model individually. Significant constructs from all theories were then entered into a 'cross theory' stepwise regression analysis to investigate their combined predictive valueResultsBehavioural simulation - theory level variance explained was: TPB 31%; SCT 29%; II 7%; OLT 30%. Neither CS-SRM nor stage explained significant variance. In the cross theory analysis, habit (OLT), timeline acute (CS-SRM), and outcome expectancy (SCT) entered the equation, together explaining 38% of the variance. Behavioural intention - theory level variance explained was: TPB 30%; SCT 24%; OLT 58%, CS-SRM 27%. GDPs in the action stage had significantly higher intention to place fissure sealants. In the cross theory analysis, habit (OLT) and attitude (TPB) entered the equation, together explaining 68% of the variance in intention.SummaryThe study provides evidence that psychological models can be useful in understanding and predicting clinical behaviour. Taking a theory-based approach enables the creation of a replicable methodology for identifying factors that may predict clinical behaviour and so provide possible targets for knowledge translation interventions. Results suggest that more evidence-based behaviour may be achieved by influencing beliefs about the positive outcomes of placing fissure sealants and building a habit of placing them as part of patient management. However a number of conceptual and methodological challenges remain.

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Section: Introductionmentioning

confidence: 99%

Applying psychological theories to evidence-based clinical practice: identifying factors predictive of placing preventive fissure sealants

et al. 2010

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“…17 This study's inclusion criteria were drafted keeping the recommendations from AAPD and the British Society of Pediatric Dentistry in mind. 3,18 Based on these guidelines, sealants should be applied to the child's first permanent molar between the ages of 7-10 years. 17 This ensures that the newly erupted teeth are protected from demineralization.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the clinical effectiveness of self-etch sealant with the conventional acid-etch sealant for the retentive ability and marginal integrity in permanent molars: a split mouth one year randomized controlled trial

et al. 2022

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Background: Self-etching has been shown to be beneficial compared to the other resin sealants especially in pediatric practice. The present in-vivo study was designed to clinically evaluate the sealing ability and retention of the self-etching sealant compared to the conventional resin sealant. The aim was to evaluate and compare the retention and marginal integrity of the self-etch and acid etch sealant materials at three, six and twelve-month follow up. Methods: This was designed a randomized controlled trial, with double blind parallel, split-mouth design. In total, 35 children (70 teeth) between 7 and 10 years of age formed part of the study. Group 1 received acid-etch sealant and Group 2 received self-etch sealants. The study participants and the investigator who performed the statistical analysis were blinded to the treatment allocation. All the samples were evaluated at 3, 6, and 12 months. The inter-group and intragroup comparison were carried out using the Chi-Square test and Friedman test with level of significance set at 5% and the P value less than 0.05. Results: Complete retention of sealants was observed in 34.5% of conventional acid etch (group 1) and 22.9% of self-etch samples (group 2) whereas complete loss of sealants were seen in 11.4% of group 1 and 20% of the group 2 samples and intergroup comparison of retention failure was non-significant (p=0.135). In total, 85.7% of the group 1 and 82.9% of the group 2 samples exhibited good marginal integrity with no clinical changes in the enamel around the margins but this was not statistically significant (p=0.5). Conclusions: Sealants with fewer procedural steps and those which provide adequate retention would be ideal for use in children. Thus, self-etch sealants have been found to be effective and efficient as a sealant in the present in-vivo study. Clinical Trials Registry, India registration: CTRI/2019/03/018343 (29/03/2019).

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“…This setting accesses children who might not otherwise routinely attend a general dental practice - attendance being linked to socioeconomic status [32]. In addition to having the necessary throughput of patients to achieve the required recruitment rate of at-risk children (as defined by SIGN / BSPD guidelines [10,11]), a schools-based setting will facilitate control over retention and follow-up. Furthermore, and perhaps most importantly, the CDS has established a relationship with the schools, parents and the children over many years which will obviously facilitate meaningful user and participant involvement in the study.…”

Section: Discussionmentioning

confidence: 99%

“…All children in these schools are deemed at high caries-risk according to Scottish Intercollegiate Guidelines Network (SIGN) [10] /British Society of Paediatric Dentistry (BSPD) guidelines [11] and qualify for PFS/FV application. With parental consent and child assent, children aged 6–7 years who have at least one erupted non-carious first permanent molar tooth will be randomly allocated to receive either PFS or FV.…”

Section: Methodsmentioning

confidence: 99%

Protocol for “Seal or Varnish?” (SoV) trial: a randomised controlled trial to measure the relative cost and effectiveness of pit and fissure sealants and fluoride varnish in preventing dental decay

et al. 2012

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BackgroundDental caries remains a significant public health problem, prevalence being linked to social and economic deprivation. Occlusal surfaces of first permanent molars are the most susceptible site in the developing permanent dentition. Cochrane reviews have shown pit and fissure sealants (PFS) and fluoride varnish (FV) to be effective over no intervention in preventing caries. However, the comparative cost and effectiveness of these treatments is uncertain. The primary aim of the trial described in this protocol is to compare the clinical effectiveness of PFS and FV in preventing dental caries in first permanent molars in 6-7 year-olds. Secondary aims include: establishing the costs and the relative cost-effectiveness of PFS and FV delivered in a community/school setting; examining the impact of PFS and FV on children and their parents/carers in terms of quality of life/treatment acceptability measures; and examining the implementation of treatment in a community setting.Methods/designThe trial design comprises a randomised, assessor-blinded, two-arm, parallel group trial in 6–7 year old schoolchildren. Clinical procedures and assessments will be performed at 66 primary schools, in deprived areas in South Wales. Treatments will be delivered via a mobile dental clinic. In total, 920 children will be recruited (460 per trial arm). At baseline and annually for 36 months dental caries will be recorded using the International Caries Detection and Assessment System (ICDAS) by trained and calibrated dentists. PFS and FV will be applied by trained dental hygienists. The FV will be applied at baseline, 6, 12, 18, 24 and 30 months. The PFS will be applied at baseline and re-examined at 6, 12, 18, 24, and 30 months, and will be re-applied if the existing sealant has become detached/is insufficient. The economic analysis will estimate the costs of providing the PFS versus FV. The process evaluation will assess implementation and acceptability through acceptability scales, a schools questionnaire and interviews with children, parents, dentists, dental nurses and school staff. The primary outcome measure will be the proportion of children developing new caries on any one of up to four treated first permanent molars.DiscussionThe objectives of this study have been identified by the National Institute for Health Research as one of importance to the National Health Service in the UK. The results of this trial will provide guidance on which of these technologies should be adopted for the prevention of dental decay in the most susceptible tooth-surface in the most at risk children.Trial registrationsISRCTN ref: ISRCTN17029222 EudraCT: 2010-023476-23 UKCRN ref: 9273

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British Society of Paediatric Dentistry: a policy document on fissure sealants in paediatric dentistry

Cited by 40 publications

References 20 publications

Applying psychological theories to evidence-based clinical practice: identifying factors predictive of placing preventive fissure sealants

Applying psychological theories to evidence-based clinical practice: identifying factors predictive of placing preventive fissure sealants

Comparison of the clinical effectiveness of self-etch sealant with the conventional acid-etch sealant for the retentive ability and marginal integrity in permanent molars: a split mouth one year randomized controlled trial

Protocol for “Seal or Varnish?” (SoV) trial: a randomised controlled trial to measure the relative cost and effectiveness of pit and fissure sealants and fluoride varnish in preventing dental decay

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