Use of Sealants in the Prevention and Early Treatment of Carious Lesions: Cost Analysis

Leverett, Dennis H.; Handelman, Stanley L.; Brenner, Claus; Iker, Howard P.

doi:10.14219/jada.archive.1983.0024

Cited by 57 publications

(29 citation statements)

References 9 publications

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“…Pit and fissure sealants have been found to prevent occlusal caries as well as arrest small lesions [1][2][3][4][5][6][7][8][9][10]. Surfaces on which pits and fissures are located account for over 85% of the total caries experienced in the 1986-87 NIDR survey of US schoolchildren [11].…”

Section: Introductionmentioning

confidence: 99%

Microleakage of three sealants following conventional, bur, and air‐abrasion preparation of pits and fissures

Hatibović-Kofman

Butler

Sadek

2001

Int J Paed Dentistry

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Section: Introductionmentioning

confidence: 99%

Microleakage of three sealants following conventional, bur, and air‐abrasion preparation of pits and fissures

Hatibović-Kofman

Butler

Sadek

2001

Int J Paed Dentistry

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“…7 Sealants are most cost effective when placed in patients, and on surfaces, at high risk for decay. 8 They must be adequately maintained to be effective.…”

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confidence: 99%

Pits and fissures: Relative space contribution in fissures from sealants, prophylaxis pastes and organic remnants

Burrow

Makinson

2003

Australian Dental Journal

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Background: Previous studies by the authors have looked at the nature of the fissure system of human permanent molars and premolars, and has provided evidence for the presence of a prismless layer of enamel. It was noted during these studies that the fissure spaces were often occupied by material other than the fissure sealant. The aim of this study was to define these materials and to look at the percentage contribution of each to the sealed fissure space. Methods: A sample of teeth, both molars and premolars, were sealed with an unfilled fissure sealant after prophylaxis with a coloured prophylaxis paste. In one group, the crown of the tooth was removed by dissolution in hydrochloric acid following placement of the sealant. This revealed a negative image of the fissure system and its contents. The second group of teeth was sectioned following sealing, and the contents of the fissure space were analyzed. Results: The negative image of the fissure system displayed the fissure contents by colour and the sectioned teeth were able to be computer analyzed to establish the relative contribution of sealant, prophylaxis paste and organic material to the fissure space. Conclusions: Sealant contribution was in the range of 14-96 per cent, prophylaxis paste from 0-50 per cent and organic remnants 0-55 per cent. The presence of these last two components could contribute to sealant loss.

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“…Overall success can be increased by maintenance sealant retreatment (Leverett et al, 1983;Romcke et al, 1990). Although the former may facilitate a more efficient clinical study design, the latter more closely resembles the realities of clinical practice.…”

Section: Sealant Effectivenessmentioning

confidence: 99%

“…When the cost of sealant application as a preventive measure for sound teeth and a treatment measure for teeth with incipient early caries for all posterior teeth in children was compared with that of the placement of amalgam for the treatment of caries, routine restorative care was found to be more economical over the short term (Leverett et al, 1983). However, when this comparison was made for individuals with a high caries rate, the cost-benefit ratio tended to favor sealant application (Leverett et al, 1983;Weintraub et al, 1993). However, these studies did not use formal cost-benefit/cost-utility analysis and did not consider other factors that would have an impact on costeffectiveness.…”

Section: Sealant Effectivenessmentioning

confidence: 99%

Michael Buonocore and the Eastman Dental Center: A Historic Perspective on Sealants

Handelman¹,

Shey²

1996

J Dent Res

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Dr. Michael Buonocore is known for his innovative research on the preparation of the enamel surface with a weak acid to enhance adhesion of an organic plastic chemical sealant and the polymerization in situ of a sealant with ultraviolet light. His co-workers at Eastman Dental Center aided and extended his research findings. The purpose of his original research was the development of a sealant to prevent occlusal caries on posterior teeth. However, the major impact of his work has been the development of adhesive restorative techniques. Although it has been demonstrated that (i) bacteria tend to die out and caries does not progress if early caries lesions are inadvertently sealed, (ii) sealant retention rates are favorable, and (iii) sealants are cost-effective, the use of sealants by the profession is still far short of early expectations.

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Use of Sealants in the Prevention and Early Treatment of Carious Lesions: Cost Analysis

Cited by 57 publications

References 9 publications

Microleakage of three sealants following conventional, bur, and air‐abrasion preparation of pits and fissures

Microleakage of three sealants following conventional, bur, and air‐abrasion preparation of pits and fissures

Pits and fissures: Relative space contribution in fissures from sealants, prophylaxis pastes and organic remnants

Michael Buonocore and the Eastman Dental Center: A Historic Perspective on Sealants

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