Evidence map›Paper›PMID 39692926›Full record

ArticleClinical oral investigations2024

Effectiveness of fissure sealants in 8- to 10-year-olds with and without molar-incisor hypomineralization (MIH) - results from a cross-sectional epidemiological study.

Felicitas Zöllner, Karl-Ferdinand Fresen, Ramy Gaballah, Helen Schill, Vinay Pitchika, Stefanie Amend, Norbert Krämer, Jan Kühnisch

Abstract read
In one paragraph

Article in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Penetration depth and enamel hardness effects of resin infiltrate and fissure sealant in MIH-affected molars: An in-vitro comparison.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    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

8 authors.

Felicitas ZöllnerDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.
Karl-Ferdinand FresenDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.
Ramy GaballahDepartment of Paediatric Dentistry, Medical Centre for Dentistry, University Medical Center Gießen and Marburg, Justus-Liebig-Universität Gießen, Gießen, Germany.
Helen SchillDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.
Vinay PitchikaDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.
Stefanie AmendDepartment of Paediatric Dentistry, Medical Centre for Dentistry, University Medical Center Gießen and Marburg, Justus-Liebig-Universität Gießen, Gießen, Germany.
Norbert KrämerDepartment of Paediatric Dentistry, Medical Centre for Dentistry, University Medical Center Gießen and Marburg, Justus-Liebig-Universität Gießen, Gießen, Germany.
Jan KühnischDepartment of Conservative Dentistry and Periodontology, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany. jan.kuehnisch@med.uni-muenchen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis cross-sectional study aimed to investigate the use, quality, and caries-preventive effects of fissure sealants (FSs) in 8- to 10-year-olds with and without molar-incisor hypomineralization (MIH). MATERIALS AND

methodsA total of 5,418 children (2,692 males, 2,726 females) were examined via standard instruments (dental mirrors, CPI probes, adequate lighting, mobile examination tables, and air syringes) and methods for the recording of caries (DMFT index, WHO method) and FSs. The classification of MIH followed the recommendations of the European Academy of Pediatric Dentistry (EAPD). Statistical analysis included descriptive analysis and mixed-effects logistic regression models.

results59.0% of all children had at least one FS; this percentage was 57.8% in the MIH group. The proportions of fully intact sealants and minimal, moderate, or nearly complete loss of retention were 31.7%, 48.3%, 16.8%, and 3.2%, respectively. The mean caries experience was low, at 0.2 DMFT in the whole population. Lower DMFT means were registered in individuals with FSs without MIH (0.1) and with MIH (0.1). The regression analysis revealed a significant caries-protective effect of FSs and MIH in relation to the overall caries burden. In addition, the caries-protective effect was greater in individuals with fully retained sealants (aOR 0.269) than in those with minimal (aOR 0.346), moderate (aOR 0.567) or nearly complete loss of retention (aOR 0.721).

conclusionThis study documented the comparable use, quality, and caries-preventive effects of FSs in individuals and permanent molar with and without MIH. CLINICAL RELEVANCE: FSs are caries protective in children with and without MIH.

Indexed as

Dental CariesDental Enamel HypoplasiaDMF IndexPit and Fissure SealantsChildCross-Sectional StudiesEpidemiologic StudiesFemaleHumansMaleMolar HypomineralizationPit and Fissure SealantsCross-sectional studyDental cariesEnamel hypomineralizationEpidemiologyFissure sealant

Identifiers

PMID39692926
PMCPMC11655578

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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.