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Sealant use and placement techniques among pediatric dentists.
1Department of Pediatric Dentistry, University of Florida, Gainesville, USA.
Journal of the American Dental Association (1939)
|October 30, 2001
Summary
Pediatric dentists show varied approaches to pit and fissure sealant placement, seeking evidence-based criteria for improved clinical success. Retention rates for sealants are generally consistent with existing literature.
Area of Science:
- Dental Public Health
- Pediatric Dentistry
- Clinical Practice Research
Background:
- Pit and fissure sealant use exhibits significant variability among dental practitioners.
- A survey was conducted to investigate current sealant placement practices among pediatric dentists.
Purpose of the Study:
- To determine variations and patterns in sealant placement techniques used by pediatric dentists.
- To examine selection criteria, placement methods, and evaluation strategies for dental sealants.
Main Methods:
- A 20-question survey was distributed to members of the American Academy of Pediatric Dentistry and U.S. dental school departments.
- Data collected included sealant selection, preparation, placement techniques, and retention rates at one and three years.
Main Results:
- High response rates (70% practitioners, 90% dental schools) were achieved.
- Approximately 80% of respondents seal caries-free/questionable surfaces; 20% seal incipient caries.
- Estimated one-year sealant retention was 89% (practitioners) and 83% (dental schools); three-year retention was 78% and 71%, respectively.
Conclusions:
- Wide variations exist in sealant selection criteria, placement techniques, and evaluation methods.
- Retention rates reported are comparable to those found in existing literature.
- Pediatric dentists appear to seek evidence-based guidelines for sealant placement to enhance clinical outcomes.
