Evidence-based clinical recommendations for the use of pit-and-fissure sealants - A report of the American Dental Association Council on Scientific Affairs
Evidence-based clinical recommendations for the use of pit-and-fissure sealants - A report of the American Dental Association Council on Scientific Affairs
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DOI：
10.14219/jada.archive.2008.0155
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发表时间：
2008-03-01
影响因子：
3.9
通讯作者：
Frantsve-Hawley, Julie
中科院分区：
文献类型：
--
作者：
Beauchamp, Jean;Caufield, Page W.;Frantsve-Hawley, Julie
背景资料。本文介绍了由美国牙科协会科学事务委员会召集的专家小组开发的使用窝沟封闭剂的循证临床建议。专家小组讨论了以下临床问题：在什么情况下应该放置封闭剂来预防龋病？在早期(非空洞)病变上放置封闭剂能防止病变的进展吗？在固位或防龋性方面，是否存在有利于树脂基骨水泥封闭剂与玻璃离子水门汀封闭剂放置的条件？有没有什么技术可以提高封闭剂的固位力和防龋效果？研究类型综述。ADA科学部的工作人员进行了MEDLINE搜索，以确定在确定的系统评价之后发表的系统评价和临床研究。应专家小组的要求，ADA科学部门的工作人员对与特定主题相关的临床研究进行了额外的搜索。疾病控制和预防中心也提供了未发表的系统性评价，自那以后已被接受发表。专家小组为每个临床问题制定了临床建议。该小组的结论是，封闭剂在预防龋病方面是有效的，并且封闭剂可以防止早期非空洞性龋损的进展。这些建议是作为临床决策过程中考虑的资源提出的。作为循证护理方法的一部分，这些临床建议应与医生的专业判断以及患者的需求和偏好相结合。有证据表明，封闭剂可以有效地预防龋病的发生和发展。
Background. This article presents evidence-based clinical recommendations for use of pit-and-fissure sealants developed by an expert panel convened by the American Dental Association Council on Scientific Affairs. The panel addressed the following clinical questions: Under what circumstances should sealants be placed to prevent caries? Does placing sealants over early (noncavitated) lesions prevent progression of the lesion? Are there conditions that favor the placement of resin-based versus glass ionomer cement sealants in terms of retention or caries prevention? Are there any techniques that could improve sealants' retention and effectiveness in caries prevention?Types of Studies Reviewed. Staff of the ADA Division of Science conducted a MEDLINE search to identify systematic reviews and clinical studies published after the identified systematic reviews. At the panel's request, the ADA Division of Science staff conducted additional searches for clinical studies related to specific topics. The Centers for Disease Control and Prevention also provided unpublished systematic reviews that since have been accepted for publication.Results. The expert panel developed clinical recommendations for each clinical question. The panel concluded that sealants are effective in caries prevention and that sealants can prevent the progression of early noncavitated carious lesions.Clinical Implications. These recommendations are presented as a resource to be considered in the clinical decision-making process. As part of the evidence-based approach to care, these clinical recommendations should be integrated with the practitioner's professional judgment and the patient's needs and preferences. The evidence indicates that sealants can be used effectively to prevent the initiation and progression of dental caries.