The role of sealants in caries prevention programs.
The role of sealants in caries prevention programs.
复制标题
密封剂在龋齿预防计划中的作用。
DOI：
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发表时间：
2003
期刊：
影响因子：
--
通讯作者：
S. Adair
中科院分区：
文献类型：
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作者：
S. Adair
坑裂密封剂作为牙齿预防项目的一个元素已经使用了30多年。随着时间的推移，密封剂的放置技术已经发展到今天变得更具侵入性。然而，要想成功，仍然需要一丝不苟的技巧。从业人员最近估计，他们一年和三年的密封剂成功率分别为89%和78%。据报道，在临床试验一年后，密封胶成功率的大中位数在有效性方面高达83%，在完全保留方面高达92%。7年期利率分别为55%和66%。龋齿流行病学的一些变化对密封剂的使用产生了影响。这些变化包括：20世纪后几十年美国学童总体龋齿率下降；*由牙合龋齿构成的人口DMFS百分比相对增加；*病变进展速度普遍减慢。牙医诊断咬合面状态的能力也会影响是否封闭的决定。可通过以下方式提高密封剂的成本效益：*针对高危人群；*在早期病变和最小缺陷修复体上使用密封剂；*培训更多牙科辅助人员在牙医的监督下放置密封剂。对密封的腐蚀和密封胶成分的雌激素性的关注被解决。检讨密封胶使用指引研讨会所颁布的密封胶指引；并总结了密封剂在预防方案中的作用。
Pit-and-fissure sealants have been employed as an element in dental prevention programs for more than 30 years. The technique for sealant placement has evolved over time to become somewhat more invasive today. However, a meticulous technique is still required for success. Practitioners recently estimated that their one- and three-year sealant success rates were 89 percent and 78 percent, respectively. Grand medians for sealant success rates after one year in clinical trials have been reported to be as high as 83 percent for effectiveness and 92 percent for complete retention. Seven-year rates were 55 percent and 66 percent, respectively. Several changes in caries epidemiology have had an impact on the use of sealants. These changes include: * Declines in overall caries rates in U.S. schoolchildren during the latter decades of the 20th century; * A relative increase in the percentage of the population DMFS constituted by occlusal caries; and * A general slowing in the rate of lesion progression. Dentists' abilities to diagnose occlusal surface status also affect the decision to seal. Sealant cost-effectiveness can be improved by: * Targeting at-risk populations; * Using sealants on incipient lesions and minimally defective restorations; and * Training more dental auxiliaries to place sealants under a dentists' supervision. Concerns about sealing over decay and the estrogenicity of sealant components are addressed. Sealant guidelines, as promulgated by the Workshop on Guidelines for Sealant Use, are reviewed; and conclusions are presented about the role of sealants in prevention programs.
影响因子：
10.4
作者：
Olea N;Pulgar R;Pérez P;Olea-Serrano F;Rivas A;Novillo-Fertrell A;Pedraza V;Soto AM;Sonnenschein C
通讯作者：
Sonnenschein C
龋齿流行病学的最新变化对牙科密封剂使用指南的影响：临床观点。
影响因子：
2.3
作者：
Söderholm,KJ
通讯作者：
Söderholm,KJ