Evidence map›Paper›PMID 39890648›Full record

ArticleClinical oral investigations2025

Effectiveness of dental sealant under insurance coverage in South Korea.

Bokyung Shin, Woo-Ri Lee, Bo-Ah Lee

Abstract read
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In one paragraph

Article in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Bokyung ShinDepartment of Conservative Dentistry, Section of Dentistry, Seoul National University Bundang Hospital, 82, Gumi-ro 173 beon-gil, Bundang-gu, Seongnam, South Korea.
Woo-Ri LeeDepartment of Research and Analysis, National Health Insurance Service Ilsan Hospital, 100, Ilsan-ro, Ilsandong- gu, Goyang, South Korea.
Bo-Ah LeeDepartment of Periodontology, National Health Insurance Service Ilsan Hospital, 100, Ilsan-ro, Ilsandong-gu, Goyang, 10444, South Korea. balee@nhimc.or.kr.

Funding

NATIONAL HEALTH INSURANCE SERVICE ILSANHOSPITAL NHIMC-2023-PR-015
6 · The paper itself

Abstract

objectivesThis study aimed to investigate the effectiveness of a national population-based dental sealant in South Korea. MATERIALS AND

methodsThis nationwide, population-based cohort study involved all children in South Korea aged 6-7 years who received sealants from 2010 to 2011 and were followed up for 10 years using the Korea National Health Insurance Service (NHIS) database. After 1:2 propensity score matching, 857,723 children were selected for analysis. During the 10-year follow-up, the permanent first molars of the participants were assessed for caries-related treatments (pulpotomy and pulp capping, root canal treatment, and tooth extraction) using multilevel Cox proportional hazards models. The risk of caries-related treatment was lower in the sealant treatment group than in the control group.

resultsThe hazard ratios (HRs) for caries-related treatments among participants were 0.59 (95% confidence interval [CI] 0.57-0.61) for pulpotomy and pulp capping, 0.57 (95% CI 0.55-0.58) for root canal treatment, and 0.29 (95% CI 0.27-0.32) for tooth extraction. This large-scale nationwide cohort study indicated that the sealant treatment in children aged 6-7 years significantly reduced the risk of caries-related treatments (pulpotomy and pulp capping, endodontic treatment, and tooth extraction) by at least 40% during the 10-year follow-up period.

conclusionSealant treatment in children reduced the caries risk during the 10-year follow-up. CLINICAL RELEVANCE: The results demonstrate the effectiveness of the insurance policy for dental sealants.

Indexed as

Dental CariesInsurance CoveragePit and Fissure SealantsChildCohort StudiesFemaleHumansMaleRepublic of KoreaTreatment OutcomePit and Fissure SealantsBig dataChildrenDental cariesPrimary preventionSealants

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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.