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  1. Article ; Online: Evidence-based clinical recommendations for the use of pit-and-fissure sealants: a report of the American Dental Association Council on Scientific Affairs.

    Beauchamp, Jean / Caufield, Page W / Crall, James J / Donly, Kevin J / Feigal, Robert / Gooch, Barbara / Ismail, Amid / Kohn, William / Siegal, Mark / Simonsen, Richard

    Dental clinics of North America

    2009  Volume 53, Issue 1, Page(s) 131–47, x

    Abstract: 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 (ADA) Council on Scientific Affairs ... The panel addressed the following clinical questions. Under what circumstances should sealants be placed ...

    Abstract 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 (ADA) 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? Staff of the ADA Division of Science conducted a MEDLINE search to identify systematic reviews and clinical studies published after the identified systematic reviews.
    Language English
    Publishing date 2009-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 392075-6
    ISSN 1558-0512 ; 0011-8532
    ISSN (online) 1558-0512
    ISSN 0011-8532
    DOI 10.1016/j.cden.2008.09.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Evidence-based clinical recommendations for the use of pit-and-fissure sealants: a report of the American Dental Association Council on Scientific Affairs.

    Beauchamp, Jean / Caufield, Page W / Crall, James J / Donly, Kevin / Feigal, Robert / Gooch, Barbara / Ismail, Amid / Kohn, William / Siegal, Mark / Simonsen, Richard

    Journal of the American Dental Association (1939)

    2007  Volume 139, Issue 3, Page(s) 257–268

    Abstract: ... of pit-and-fissure sealants developed by an expert panel convened by the American Dental Association Council on Scientific ... Background: This article presents evidence-based clinical recommendations for use ... Affairs. The panel addressed the following clinical questions: Under what circumstances should sealants be ...

    Abstract 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.
    MeSH term(s) Adolescent ; Adult ; Cariostatic Agents/therapeutic use ; Child ; Dental Bonding ; Dental Caries/prevention & control ; Dental Fissures/prevention & control ; Evidence-Based Medicine ; Glass Ionomer Cements ; Humans ; Pit and Fissure Sealants/therapeutic use ; Resin Cements
    Chemical Substances Cariostatic Agents ; Glass Ionomer Cements ; Pit and Fissure Sealants ; Resin Cements
    Language English
    Publishing date 2007-10-13
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 220622-5
    ISSN 1943-4723 ; 0002-8177 ; 1048-6364
    ISSN (online) 1943-4723
    ISSN 0002-8177 ; 1048-6364
    DOI 10.14219/jada.archive.2008.0155
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Evidence-based Clinical Practice Guideline for the Use of Pit-and-Fissure Sealants.

    Pediatric dentistry

    2016  Volume 38, Issue 6, Page(s) 263–279

    Abstract: ... panel convened by the American Dental Association (ADA) Council on Scientific Affairs and the American ... Background: This article presents evidence-based clinical recommendations for the use ... of pit-and-fissure sealants on the occlusal surfaces of primary and permanent molars in children and adolescents. A guideline ...

    Abstract Background: This article presents evidence-based clinical recommendations for the use of pit-and-fissure sealants on the occlusal surfaces of primary and permanent molars in children and adolescents. A guideline panel convened by the American Dental Association (ADA) Council on Scientific Affairs and the American Academy of Pediatric Dentistry conducted a systematic review and formulated recommendations to address clinical questions in relation to the efficacy, retention, and potential side effects of sealants to prevent dental caries; their efficacy compared with fluoride varnishes; and a head-to-head comparison of the different types of sealant material used to prevent caries on pits-and-fissures of occlusal surfaces.
    Types of studies reviewed: This is an update of the ADA 2008 recommendations on the use of pit-and-fissure sealants on the occlusal surfaces of primary and permanent molars. The authors conducted a systematic search in MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and other sources to identify randomized controlled trials reporting on the effect of sealants (available on the U.S. market) when applied to the occlusal surfaces of primary and permanent molars. The authors used the Grading of Recommendations Assessment, Development, and Evaluation approach to assess the quality of the evidence and to move from the evidence to the decisions.
    Results: The guideline panel formulated 3 main recommendations. They concluded that sealants are effective in preventing and arresting pit-and-fissure occlusal carious lesions of primary and permanent molars in children and adolescents compared with the nonuse of sealants or use of fluoride varnishes. They also concluded that sealants could minimize the progression of non-cavitated occlusal carious lesions (also referred to as initial lesions) that receive a sealant. Finally, based on the available limited evidence, the panel was unable to provide specific recommendations on the relative merits of 1 type of sealant material over the others. Conclusions and practical implications: These recommendations are designed to inform practitioners during the clinical decision-making process in relation to the prevention of occlusal carious lesions in children and adolescents. Clinicians are encouraged to discuss the information in this guideline with patients or the parents of patients. The authors recommend that clinicians re-orient their efforts toward increasing the use of sealants on the occlusal surfaces of primary and permanent molars in children and adolescents.
    MeSH term(s) Adolescent ; Child ; Dental Care for Children/methods ; Dental Care for Children/standards ; Dental Caries/prevention & control ; Evidence-Based Dentistry ; Humans ; Molar ; Pediatric Dentistry/standards ; Pit and Fissure Sealants/standards ; Pit and Fissure Sealants/therapeutic use
    Chemical Substances Pit and Fissure Sealants
    Language English
    Publishing date 2016-10
    Publishing country United States
    Document type Journal Article ; Practice Guideline
    ZDB-ID 604709-9
    ISSN 1942-5473 ; 0164-1263
    ISSN (online) 1942-5473
    ISSN 0164-1263
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Evidence-based Clinical Practice Guideline for the Use of Pit-and-Fissure Sealants.

    Pediatric dentistry

    2016  Volume 38, Issue 5, Page(s) 120–136

    Abstract: ... panel convened by the American Dental Association (ADA) Council on Scientific Affairs and the American ... Background: This article presents evidence-based clinical recommendations for the use ... of pit-and-fissure sealants on the occlusal surfaces of primary and permanent molars in children and adolescents. A guideline ...

    Abstract Background: This article presents evidence-based clinical recommendations for the use of pit-and-fissure sealants on the occlusal surfaces of primary and permanent molars in children and adolescents. A guideline panel convened by the American Dental Association (ADA) Council on Scientific Affairs and the American Academy of Pediatric Dentistry conducted a systematic review and formulated recommendations to address clinical questions in relation to the efficacy, retention, and potential side effects of sealants to prevent dental caries; their efficacy compared with fluoride varnishes; and a head-to-head comparison of the different types of sealant material used to prevent caries on pits-and-fissures of occlusal surfaces.
    Types of studies reviewed: This is an update of the ADA 2008 recommendations on the use of pit-and-fissure sealants on the occlusal surfaces of primary and permanent molars. The authors conducted a systematic search in MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and other sources to identify randomized controlled trials reporting on the effect of sealants (available on the U.S. market) when applied to the occlusal surfaces of primary and permanent molars. The authors used the Grading of Recommendations Assessment, Development, and Evaluation approach to assess the quality of the evidence and to move from the evidence to the decisions.
    Results: The guideline panel formulated 3 main recommendations. They concluded that sealants are effective in preventing and arresting pit-and-fissure occlusal carious lesions of primary and permanent molars in children and adolescents compared with the nonuse of sealants or use of fluoride varnishes. They also concluded that sealants could minimize the progression of non-cavitated occlusal carious lesions (also referred to as initial lesions) that receive a sealant. Finally, based on the available limited evidence, the panel was unable to provide specific recommendations on the relative merits of 1 type of sealant material over the others. Conclusions and practical implications: These recommendations are designed to inform practitioners during the clinical decision-making process in relation to the prevention of occlusal carious lesions in children and adolescents. Clinicians are encouraged to discuss the information in this guideline with patients or the parents of patients. The authors recommend that clinicians re-orient their efforts toward increasing the use of sealants on the occlusal surfaces of primary and permanent molars in children and adolescents.
    Language English
    Publishing date 2016-10-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604709-9
    ISSN 1942-5473 ; 0164-1263
    ISSN (online) 1942-5473
    ISSN 0164-1263
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Evidence-based clinical practice guideline on nonrestorative treatments for carious lesions: A report from the American Dental Association.

    Slayton, Rebecca L / Urquhart, Olivia / Araujo, Marcelo W B / Fontana, Margherita / Guzmán-Armstrong, Sandra / Nascimento, Marcelle M / Nový, Brian B / Tinanoff, Norman / Weyant, Robert J / Wolff, Mark S / Young, Douglas A / Zero, Domenick T / Tampi, Malavika P / Pilcher, Lauren / Banfield, Laura / Carrasco-Labra, Alonso

    Journal of the American Dental Association (1939)

    2018  Volume 149, Issue 10, Page(s) 837–849.e19

    Abstract: Background: An expert panel convened by the American Dental Association Council on Scientific ... based clinical recommendations for the arrest or reversal of noncavitated and cavitated dental ... Affairs and the Center for Evidence-Based Dentistry conducted a systematic review and formulated evidence ...

    Abstract Background: An expert panel convened by the American Dental Association Council on Scientific Affairs and the Center for Evidence-Based Dentistry conducted a systematic review and formulated evidence-based clinical recommendations for the arrest or reversal of noncavitated and cavitated dental caries using nonrestorative treatments in children and adults.
    Types of studies reviewed: The authors conducted a systematic search of the literature in MEDLINE and Embase via Ovid, Cochrane CENTRAL, and Cochrane database of systematic reviews to identify randomized controlled trials reporting on nonrestorative treatments for noncavitated and cavitated carious lesions. The authors used the Grading of Recommendations Assessment, Development and Evaluation approach to assess the certainty in the evidence and move from the evidence to the decisions.
    Results: The expert panel formulated 11 clinical recommendations, each specific to lesion type, tooth surface, and dentition. Of the most effective interventions, the panel provided recommendations for the use of 38% silver diamine fluoride, sealants, 5% sodium fluoride varnish, 1.23% acidulated phosphate fluoride gel, and 5,000 parts per million fluoride (1.1% sodium fluoride) toothpaste or gel, among others. The panel also provided a recommendation against the use of 10% casein phosphopeptide-amorphous calcium phosphate.
    Conclusions and practical implications: Although the recommended interventions are often used for caries prevention, or in conjunction with restorative treatment options, these approaches have shown to be effective in arresting or reversing carious lesions. Clinicians are encouraged to prioritize use of these interventions based on effectiveness, safety, and feasibility.
    MeSH term(s) Adult ; American Dental Association ; Child ; Dental Caries ; Evidence-Based Dentistry ; Humans ; Pit and Fissure Sealants ; Randomized Controlled Trials as Topic ; Tooth, Deciduous ; United States
    Chemical Substances Pit and Fissure Sealants
    Language English
    Publishing date 2018-09-21
    Publishing country England
    Document type Journal Article ; Systematic Review
    ZDB-ID 220622-5
    ISSN 1943-4723 ; 0002-8177 ; 1048-6364
    ISSN (online) 1943-4723
    ISSN 0002-8177 ; 1048-6364
    DOI 10.1016/j.adaj.2018.07.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Evidence-based clinical practice guideline for the use of pit-and-fissure sealants: A report of the American Dental Association and the American Academy of Pediatric Dentistry.

    Wright, John T / Crall, James J / Fontana, Margherita / Gillette, E Jane / Nový, Brian B / Dhar, Vineet / Donly, Kevin / Hewlett, Edmond R / Quinonez, Rocio B / Chaffin, Jeffrey / Crespin, Matt / Iafolla, Timothy / Siegal, Mark D / Tampi, Malavika P / Graham, Laurel / Estrich, Cameron / Carrasco-Labra, Alonso

    Journal of the American Dental Association (1939)

    2016  Volume 147, Issue 8, Page(s) 672–682.e12

    Abstract: ... panel convened by the American Dental Association (ADA) Council on Scientific Affairs and the American ... Background: This article presents evidence-based clinical recommendations for the use ... of pit-and-fissure sealants on the occlusal surfaces of primary and permanent molars in children and adolescents. A guideline ...

    Abstract Background: This article presents evidence-based clinical recommendations for the use of pit-and-fissure sealants on the occlusal surfaces of primary and permanent molars in children and adolescents. A guideline panel convened by the American Dental Association (ADA) Council on Scientific Affairs and the American Academy of Pediatric Dentistry conducted a systematic review and formulated recommendations to address clinical questions in relation to the efficacy, retention, and potential side effects of sealants to prevent dental caries; their efficacy compared with fluoride varnishes; and a head-to-head comparison of the different types of sealant material used to prevent caries on pits and fissures of occlusal surfaces.
    Types of studies reviewed: This is an update of the ADA 2008 recommendations on the use of pit-and-fissure sealants on the occlusal surfaces of primary and permanent molars. The authors conducted a systematic search in MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and other sources to identify randomized controlled trials reporting on the effect of sealants (available on the US market) when applied to the occlusal surfaces of primary and permanent molars. The authors used the Grading of Recommendations Assessment, Development, and Evaluation approach to assess the quality of the evidence and to move from the evidence to the decisions.
    Results: The guideline panel formulated 3 main recommendations. They concluded that sealants are effective in preventing and arresting pit-and-fissure occlusal carious lesions of primary and permanent molars in children and adolescents compared with the nonuse of sealants or use of fluoride varnishes. They also concluded that sealants could minimize the progression of noncavitated occlusal carious lesions (also referred to as initial lesions) that receive a sealant. Finally, based on the available limited evidence, the panel was unable to provide specific recommendations on the relative merits of 1 type of sealant material over the others.
    Conclusions and practical implications: These recommendations are designed to inform practitioners during the clinical decision-making process in relation to the prevention of occlusal carious lesions in children and adolescents. Clinicians are encouraged to discuss the information in this guideline with patients or the parents of patients. The authors recommend that clinicians reorient their efforts toward increasing the use of sealants on the occlusal surfaces of primary and permanent molars in children and adolescents.
    MeSH term(s) Adolescent ; Child ; Dental Caries/prevention & control ; Evidence-Based Dentistry ; Fluorides, Topical/therapeutic use ; Humans ; Molar ; Pit and Fissure Sealants/therapeutic use
    Chemical Substances Fluorides, Topical ; Pit and Fissure Sealants
    Language English
    Publishing date 2016-07-29
    Publishing country England
    Document type Journal Article ; Practice Guideline
    ZDB-ID 220622-5
    ISSN 1943-4723 ; 0002-8177 ; 1048-6364
    ISSN (online) 1943-4723
    ISSN 0002-8177 ; 1048-6364
    DOI 10.1016/j.adaj.2016.06.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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