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Pit and fissure sealant: review of the literature.
Pediatr Dent. 2002 Sep-Oct; 24(5):393-414.PD

Abstract

For this literature review of pit and fissure sealant, 1,465 references were selected by a search for "sealants" on PubMed. References were limited to dental journals and papers in the English language. The search comprised papers from 1971 to October 2001. Additional papers of historical significance prior to 1971 were added from memory and from reference lists published in early papers. This paper reviewed the literature on pit and fissure sealants under the following subheadings: (1) laboratory studies, (2) clinical technique and tooth preparation, (3) etching time, (4) auxiliary application of pit and fissure sealant, (5) retention and caries prevention, (6) fluoride used with sealants and fluoride-containing sealant, (7) glass ionomer materials as sealants, (8) options in sealant: filled vs unfilled; colored vs clear; autocure vs light-initiated, (9) sealant placed over caries in a therapeutic manner, (10) cost effectiveness of sealant application, (11) underuse of pit and fissure sealant, (12) the estrogenicity issue, (13) use of an intermediate bonding layer to improve retention, (14) new developments and projections, and (15) summary and conclusions. From a careful and thorough review of peer-reviewed publications on pit and fissure sealant, it is clear that sealants are safe, effective and underused (at least underused in the United States). Pit and fissure sealant is best applied to high-risk populations by trained auxiliaries using sealant that incorporates the benefit of an intermediate bonding layer, applied under the rubber dam or with some alternative short-term, but effective, isolation technique, onto an enamel surface that has been cleaned with an air polishing technique and etched with 35% phosphoric acid for 15 seconds. The dental profession awaits with enthusiasm, and some impatience, the incorporation of dentin-bonding technology into the development of a modern, more durable, resin-based sealant.

Authors+Show Affiliations

Arizona School of Dentistry and Oral Health, Mesa, USA. rsimonsen@ashs.edu

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

12412954

Citation

Simonsen, Richard J.. "Pit and Fissure Sealant: Review of the Literature." Pediatric Dentistry, vol. 24, no. 5, 2002, pp. 393-414.
Simonsen RJ. Pit and fissure sealant: review of the literature. Pediatr Dent. 2002;24(5):393-414.
Simonsen, R. J. (2002). Pit and fissure sealant: review of the literature. Pediatric Dentistry, 24(5), 393-414.
Simonsen RJ. Pit and Fissure Sealant: Review of the Literature. Pediatr Dent. 2002 Sep-Oct;24(5):393-414. PubMed PMID: 12412954.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pit and fissure sealant: review of the literature. A1 - Simonsen,Richard J, PY - 2002/11/5/pubmed PY - 2003/1/29/medline PY - 2002/11/5/entrez SP - 393 EP - 414 JF - Pediatric dentistry JO - Pediatr Dent VL - 24 IS - 5 N2 - For this literature review of pit and fissure sealant, 1,465 references were selected by a search for "sealants" on PubMed. References were limited to dental journals and papers in the English language. The search comprised papers from 1971 to October 2001. Additional papers of historical significance prior to 1971 were added from memory and from reference lists published in early papers. This paper reviewed the literature on pit and fissure sealants under the following subheadings: (1) laboratory studies, (2) clinical technique and tooth preparation, (3) etching time, (4) auxiliary application of pit and fissure sealant, (5) retention and caries prevention, (6) fluoride used with sealants and fluoride-containing sealant, (7) glass ionomer materials as sealants, (8) options in sealant: filled vs unfilled; colored vs clear; autocure vs light-initiated, (9) sealant placed over caries in a therapeutic manner, (10) cost effectiveness of sealant application, (11) underuse of pit and fissure sealant, (12) the estrogenicity issue, (13) use of an intermediate bonding layer to improve retention, (14) new developments and projections, and (15) summary and conclusions. From a careful and thorough review of peer-reviewed publications on pit and fissure sealant, it is clear that sealants are safe, effective and underused (at least underused in the United States). Pit and fissure sealant is best applied to high-risk populations by trained auxiliaries using sealant that incorporates the benefit of an intermediate bonding layer, applied under the rubber dam or with some alternative short-term, but effective, isolation technique, onto an enamel surface that has been cleaned with an air polishing technique and etched with 35% phosphoric acid for 15 seconds. The dental profession awaits with enthusiasm, and some impatience, the incorporation of dentin-bonding technology into the development of a modern, more durable, resin-based sealant. SN - 0164-1263 UR - https://www.unboundmedicine.com/medline/citation/12412954/Pit_and_fissure_sealant:_review_of_the_literature_ L2 - https://medlineplus.gov/toothdecay.html DB - PRIME DP - Unbound Medicine ER -