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Article: Exploring four-handed delivery and retention of resin-based sealants.

Griffin, Susan O / Jones, Kari / Gray, Shellie Kolavic / Malvitz, Dolores M / Gooch, Barbara F

Journal of the American Dental Association (1939)

2007  Volume 139, Issue 3, Page(s) 281–9; quiz 358

Abstract: ... with increased sealant retention.: Clinical implications: Using four-handed delivery to place resin-based ... Conclusions: For this group of studies, four-handed delivery of autopolymerized sealants was associated ... the authors used available data to explore the likelihood that four-handed delivery increased sealant ...

Abstract Background: To date, no trials have been published that examine whether four-handed delivery of dental sealants increases their retention and effectiveness. In the absence of comparative studies, the authors used available data to explore the likelihood that four-handed delivery increased sealant retention.
Methods: The authors examined data regarding the retention of autopolymerized resin-based sealants from studies included in systematic reviews of sealant effectiveness. The explanatory variable of primary interest was the presence of a second operator. To examine the unique contribution of four-handed delivery to sealant retention, the authors used linear regression models.
Results: Eleven of the 36 studies from systematic reviews met explicit criteria and were included in this analysis. The high level of heterogeneity among studies suggested that multivariate analysis was the correct approach. According to the regression model, the presence of a second operator increased retention by 9 percentage points.
Conclusions: For this group of studies, four-handed delivery of autopolymerized sealants was associated with increased sealant retention.
Clinical implications: Using four-handed delivery to place resin-based sealants may increase retention.
MeSH term(s) Cariostatic Agents/administration & dosage ; Child ; Dental Assistants/statistics & numerical data ; Dental Bonding ; Humans ; Linear Models ; Pit and Fissure Sealants ; Resin Cements
Chemical Substances Cariostatic Agents ; 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.2008.0157
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