[Criteria for a judicious indication for the application of pit and fissure sealants].
The caries reducing effect of the application of pit and fissure sealants has been demonstrated by several studies. It remains however a matter of debate, if every newly erupted fissure has to be sealed. From this article it becomes clear that the decision for sealing depends on several factors as there are: the general health status of the patient, the socio-economic situation, the responsibility of the child for his/her own hygiene, the motivation of the patient, the caries history of the patient: his/her dietary habits, fluoride-use and regular six-month recalls. The motivation of the practitioner and his/her knowledge of fissure caries (including morphology and caries susceptibility) are also very important. So, an individual application after giving the matter a careful thought is recommended and proposing general rules is not possible. Finally an attempt is made to suggest some guidelines.
Martens
L
L
Van Grunsven
M
M
De Craene
L
L
D002648:Child; D003731:Dental Caries / Q000517:prevention & control*; D006304:Health Status; D006801:Humans; D009042:Motivation; D009910:Oral Hygiene; D010377:Pediatric Dentistry / Q000592:standards; D010895:Pit and Fissure Sealants / Q000008:administration & dosage*; D012959:Socioeconomic Factors
D010895:Pit and Fissure Sealants
Critères pour une indication judicieuse du scellement des puits et fissures.