Preventing Dental Caries Through School-Based Sealant Programs

Gooch, Barbara F.; Griffin, Susan; Gray, Shellie Kolavic; Kohn, William G.; Rozier, R. Gary; Siegal, Mark D.; Fontana, Margherita; Brunson, Diane; Carter, Nancy; Curtis, David K.; Donly, Kevin J.; Haering, Harold; Hill, Lawrence F.; Hinson, H. Pitts; Kumar, Jayanth; Lampiris, Lewis N.; Mallatt, Mark E; Meyer, Daniel M.; Miller, Wanda R.; Sanzi-Schaedel, Susan M.; Simonsen, Richard J.; Truman, Benedict I.; Zero, Domenick T.

doi:10.14219/jada.archive.2009.0070

Cited by 145 publications

(126 citation statements)

References 33 publications

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“…Regularly scheduled dental visits are important to deliver preventive services (e.g., topical fluoride) and to monitor and control tooth decay and other oral conditions (2). SBSP can help caregivers of eligible children enroll in public insurance programs (5,6) and can increase utilization of dental care by identifying tooth decay in children who are not regularly seen by a dentist and referring them for needed dental treatment. …”

Section: Conclusion and Commentsmentioning

confidence: 99%

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Vital Signs: Dental Sealant Use and Untreated Tooth Decay Among U.S. School-Aged Children

Griffin¹,

Liang²,

Gooch³

et al. 2016

MMWR Morb. Mortal. Wkly. Rep.

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Background: Tooth decay is one of the greatest unmet treatment needs among children. Pain and suffering associated with untreated dental disease can lead to problems with eating, speaking, and learning. School-based dental sealant programs (SBSP) deliver a highly effective intervention to prevent tooth decay in children who might not receive regular dental care. SBSPs benefits exceed their costs when they target children at high risk for tooth decay.Methods: CDC used data from the National Health and Nutrition Examination Survey (NHANES) 2011-2014 to estimate current prevalences of sealant use and untreated tooth decay among low-income (≤185% of federal poverty level) and higher-income children aged 6-11 years and compared these estimates with 1999-2004 NHANES data. The mean number of decayed and filled first molars (DFFM) was estimated for children with and without sealants. Averted tooth decay resulting from increasing sealant use prevalence was also estimated. All reported differences are significant at p<0.05. From 1999From -2004From to 2011From -2014, among low-and higher-income children, sealant use prevalence increased by 16.2 and 8.8 percentage points to 38.7% and 47.8%, respectively. Among low-income children aged 7-11 years, the mean DFFM was almost three times higher among children without sealants (0.82) than among children with sealants. Approximately 6.5 million low-income children could potentially benefit from the delivery of sealants through SBSP. Results: Conclusions and Implications for Public Health Practice:The prevalence of dental sealant use has increased; however, most children have not received sealants. Increasing sealant use prevalence could substantially reduce untreated decay, associated problems, and dental treatment costs.

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Section: Conclusion and Commentsmentioning

confidence: 99%

“…Approximately 90% of tooth decay in permanent teeth occurs in the chewing surfaces of the back teeth (5). Much of this decay could be prevented with the application of dental sealants.…”

Section: Introductionmentioning

confidence: 99%

Vital Signs: Dental Sealant Use and Untreated Tooth Decay Among U.S. School-Aged Children

Griffin¹,

Liang²,

Gooch³

et al. 2016

MMWR Morb. Mortal. Wkly. Rep.

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“…From a public health standpoint, pit-and-fissure sealants provide a noninvasive alternative for control of some of the etiologic agents of dental caries, by acting as a mechanical barrier between the pathogenic biofilm and the tooth structure 20 . Systematic reviews of the literature support this method as a preventive and therapeutic alternative to arrest the development of carious lesions [21][22][23][24] . The purpose of sealing dental caries is to control the disease.…”

Section: Discussionmentioning

confidence: 94%

Approaches adopted by dentists for management of occlusal caries in primary teeth

Santos

Perazzo

Ribeiro

et al. 2016

RGO, Rev. Gaúch. Odontol.

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ObjectiveTo evaluate the approaches used by Family Health Strategy dentists in the city of Campina Grande, Paraíba, Brazil, for management of occlusal caries in primary teeth. Methods In this observational, cross-sectional, census-based, descriptive study, 33 professionals completed a questionnaire designed to evaluate their approach to management of occlusal caries in enamel and dentin of deciduous teeth in different risk situations. Data were analyzed through descriptive and inferential statistics (Fisher's exact test with the level of significance set to 5%). Inter-examiner agreement was evaluated by Cohen's kappa statistic. Results For chronic enamel caries in primary teeth with low risk/activity, the approach of choice was preventive, with fluoride application being the most cited intervention (39.3%). For active carious dentin in primary teeth with high risk/activity and with low risk/activity, invasive approaches were most prevalent (93.9% and 78.8%, respectively), with complete caries removal (74.2%) and glass-ionomer restoration (69.2%) being the most frequent responses. Inter-examiner agreement was moderate (k = 0.44). ConclusionAlthough a wide range of approaches were adopted by dental practitioners, most preferred invasive interventions, even in situations where preservation of tooth structure was recommended.

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“…Studies have shown that pit and fissure sealing is efficient for preventing occlusal caries [8,[11][12][13][14][15]. However, both the method of application and choice of material have a direct influence on restricting bacterial growth and the accumulation of food debris at the site, thus determining the success or failure of treatment [5].…”

Section: Introductionmentioning

confidence: 99%

Conventional and experimental treatments for pit and fissure sealing associated with ND:YAG laser

et al. 2017

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Objective The aim of this study was to evaluate the efficacy of different treatments for sealing pits and fissures (FF) on enamel surface against artificial caries lesions. Material and methods Thirty sound human premolar crowns were randomly divided into six groups (n = 5), according to FF treatment: C, control (no treatment); L, irradiation with Nd:YAG laser (80 mJ/10 Hz/1064 nm/60 s); F, FluroShield (Dentsply); F+L, FluroShield + Nd:YAG laser; HA+A, hydroxyapatite powder bonded to the adhesive system (Universal Single Bond, 3M ESPE); and HA+A+L, hydroxyapatite mixing associated with laser irradiation. After treatment, the samples were immersed in artificial caries solution for 14 days. Occlusal surfaces were evaluated by laser fluorescence before and after treatments in order to confirm caries formation. Samples were sectioned longitudinally to prepare slides for polarized light microscopy evaluation, to provide three measurements of the depth of caries cavities formed. Data were submitted to one-way ANOVA, Tukey tests (p < 0.05), and Dunnett's test to compare variables. Results ANOVA showed statistically significant differences among groups (p = 0.04). Group L differed significantly from group C. The other treatments showed no statistically significant differences between groups. Conclusion Treatment with Nd:YAG laser presented greater pit and fissure sealing of incipient caries lesions.

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Preventing Dental Caries Through School-Based Sealant Programs

Cited by 145 publications

References 33 publications

Vital Signs: Dental Sealant Use and Untreated Tooth Decay Among U.S. School-Aged Children

Vital Signs: Dental Sealant Use and Untreated Tooth Decay Among U.S. School-Aged Children

Approaches adopted by dentists for management of occlusal caries in primary teeth

Conventional and experimental treatments for pit and fissure sealing associated with ND:YAG laser

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