Evidence map›Paper›PMID 42449383›Full record

ArticleBMC oral health2026

Knowledge and practice of pit and fissure sealants: A comparative study of both students and teachers in two schools.

Jing Chen, Min Zhang, Lan Li, Cor van Loveren, Jiyao Li, Xuedong Zhou, Lei Cheng, Dongmei Deng

Abstract readComparative Study
In one paragraph

Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Jing Chen *State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases &Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, 610041, China.
Min Zhang *State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases &Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, 610041, China.
Lan LiState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases &Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, 610041, China.
Cor van LoverenDepartment of Preventive Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Jiyao LiState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases &Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, 610041, China. jiyaoliscu@163.com.
Xuedong ZhouState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases &Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, 610041, China.
Lei ChengState Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases &Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, 610041, China. chenglei@scu.edu.cn.
Dongmei DengDepartment of Preventive Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, Netherlands.

Funding

Health Commission of Sichuan Province 23LCYJ016Postgraduate Education Reform Project of Sichuan Province YJGXM24-C127Sichuan University Graduate Education Teaching Reform Research Project GSSCU2023036Sichuan University Graduate Education Teaching Reform Research Project GSSCU2023116
6 · The paper itself

Abstract

backgroundPit and fissure sealant is an effective caries preventive measure, yet their global utilization in dental practice remains low. Limited knowledge of updated guidelines and technical advances, along with insufficient sealant education may contribute to this issue. This study explored the knowledge and practice of students and teachers regarding sealant use at two schools.

methodsThis cross-sectional survey invited participants from West China School of Stomatology (WCSS) and Academic Centre for Dentistry Amsterdam (ACTA) to complete a questionnaire either on site or electronically. The questionnaire covered awareness of national guidelines, clinical experience, decision-making and sealant application procedures. Data were analyzed using Chi-squared or Fisher's exact tests. Statistical significance was set at P < 0.05 and multiple comparisons were adjusted using the Bonferroni correction.

resultsA total of 85 students and 25 teachers from WCSS, along with 87 students and 30 teachers from ACTA, completed the questionnaire. Over 60% of the participants reported familiarity with the national sealant guideline or advisory, with no significant differences in awareness between teachers and students within the same school or between the two schools. For clinical decision-making, most participants from both schools (> 80%) considered caries risk in sealant application decisions. ACTA participants consider sealant application until later stage of caries (Sound-Enamel cavitied lesions), whereas WCSS participants favored applying sealants at earlier stages (Sound-Opaque). Differences of clinical procedures were also detected between schools. Abrasive paste was preferred by ACTA participants, while toothpaste was chosen by more WCSS teachers and students (P < 0.001). WCSS respondents used cotton rolls for saliva control, while ACTA participants preferred rubber dam isolation (P < 0.001). Fewer WCSS students considered glass ionomer cement as the sealing materials compared to their teachers (P < 0.001) and the ACTA students (P = 0.005).

conclusionsThis cross-section survey study revealed that in both schools, teachers and students successfully integrated caries risk into sealant decision-making. Agreement on the overall principles of sealant placement was observed; however, some discrepancies were identified in specific indications and procedural details. These observed differences suggest a need for further alignment of sealant guidelines and the operational reginal standards of detailed clinical procedures.

Indexed as

Health Knowledge, Attitudes, PracticePit and Fissure SealantsStudents, DentalChinaCross-Sectional StudiesDental CariesFemaleHumansMaleSurveys and QuestionnairesPit and Fissure SealantsDental cariesDental educationPreventionSealants

Identifiers

PMID42449383
PMCPMC13647790

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.