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Dental sealants. Who needs them?

M D Siegal1, C L Farquhar, J M Bouchard

  • 1Bureau of Oral Health Services, Ohio Department of Health, Columbus 43266-0588, USA. msiegal@gw.odh.state.oh.us

Public Health Reports (Washington, D.C. : 1974)
|March 1, 1997
PubMed
Summary

Dental sealants prevent childhood cavities by protecting tooth pits and fissures. Public health programs are crucial for reaching at-risk children who lack access to private dental care.

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Area of Science:

  • Dentistry
  • Public Health
  • Pediatric Oral Health

Background:

  • Childhood tooth decay remains a significant issue, particularly affecting pits and fissures.
  • Dental sealants are highly effective in preventing caries in these vulnerable tooth surfaces.
  • Data from 1988-1991 indicated low sealant prevalence on permanent teeth despite high rates of pit and fissure decay.

Purpose of the Study:

  • To examine public health strategies for community-based dental sealant programs.
  • To identify methods for targeting sealant application to children at highest risk for caries.
  • To address disparities in access to preventive dental care.

Main Methods:

  • Analysis of national survey data on childhood caries and sealant use.
  • Review of public health initiatives, including school-based and school-linked programs.
  • Focus on community-based prevention strategies utilizing portable dental equipment.

Main Results:

  • Despite declining overall caries rates, pit and fissure decay remains prevalent.
  • Children at highest risk for decay often lack access to private dental care.
  • School-based and school-linked programs effectively reach underserved populations.

Conclusions:

  • Targeted sealant application is essential for managing childhood caries.
  • Public health programs play a vital role in ensuring equitable access to preventive dental services.
  • Community-based strategies are effective in delivering sealants to high-risk children.

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