Evidence map›Paper›PMID 19193239›Full record

ArticleBMC oral health2009

Pit and fissure sealants in dental public health - application criteria and general policy in Finland.

Sari Kervanto-Seppälä, Ilpo Pietilä, Jukka H Meurman, Eero Kerosuo

Abstract read
In one paragraph

Article in BMC oral health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Trial
  2. Article
  3. Fissure sealants or fluoride varnish? Factors associated with choice of management method for occlusal caries in Public Dental Service in Norway.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2022
    Article
  4. Article
  5. Article
  6. Fissure sealants or fluoride varnish? Routines and attitudes among dental health personnel in Norway.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2019
    Article
  7. Article
  8. Article
  9. Article
  10. Attitudes, knowledge and utilization of fissure sealants among Greek dentists: a national survey.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2010
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sari Kervanto-SeppäläInstitute of Dentistry, University of Helsinki, Helsinki, Finland. sari.kervanto-seppala@helsinki.fi
Ilpo Pietilä
Jukka H Meurman
Eero Kerosuo

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPit and fissure sealants (sealants) are widely used as a non-operative preventive method in public dental health in Finland. Most children under 19 years of age attend the community-organized dental health services free of charge. The aims of this study were to find out to what extent sealants were applied, what the attitudes of dental professionals towards sealant application were, and whether any existing sealant policies could be detected among the health centres or among the respondents in general. The study evaluated changes that had taken place in the policies used during a ten year period (1991-2001).

methodsA questionnaire was mailed to each chief dental officer (CDO) of the 265 public dental health centres in Finland, and to a group of general dentists (GDP) applying sealants in these health centres, giving a total of 434 questionnaires with 22 questions. The response rate was 80% (N = 342).

resultsA majority of the respondents reported to application of sealants on a systematic basis for children with increased caries risk. The criteria for applying sealants and the actual strategies seemed to vary locally between the dentists within the health centres and between the health centres nationwide. The majority of respondents believed sealants had short- and long-term effects. The overall use of sealants decreased towards the end of the ten year period. The health centres (N = 28) choosing criteria to seal over detected or suspected enamel caries lesion had a DMFT value of 1.0 (SD +/- 0.49) at age 12 (year 2000) compared to a value of 1.2 (SD +/- 0.47) for those health centres (N = 177) applying sealants by alternative criteria (t-test, p < 0.05).

conclusionThere seems to be a need for defined guidelines for sealant application criteria and policy both locally and nationwide. Occlusal caries management may be improved by shifting the sealant policy from the traditional approach of prevention to interception, i.e. applying the sealants over detected or suspected enamel caries lesions instead of sealing sound teeth.

Identifiers

PMID19193239
PMCPMC2646714

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.