Evaluation of initial caries score and caries incidence in a public health sealant program: a retrospective study.
OBJECTIVE
The purpose of this study was to investigate the relationship between: (1) children's caries score (dmft, DMFT) at the time of sealant placement; and (2) "success" (measured as being caries-free) of that tooth at follow-up visits.


METHODS
An existing database of over 38,000 sealants (10,038 children) placed between 1997 and 2002 by the Jefferson County Health Department's Community Based Sealant Program, Birmingham, Ala, was used in the analysis. Only children returning for followup visits after the initial placement of the sealants were included in this study, resulting in 6,452 sealants (2,097 children). Logistic regression analysis was performed to determine the differences in sealant success between children with a dmft score of 0 vs a dmft score of >0 at baseline, and a DMFT score of 0 vs a DMFT score of >0 at baseline.


RESULTS
In the permanent and primary dentitions, those who had no caries at the time of sealant placement (dmft/DMFT=0) had a significantly higher success of sealants during years 1 to 5 compared to those with a caries score of greater than 0 (dmft/DMFT>0; P<.023, P<.002, respectively).


CONCLUSIONS
Children with previous caries experience may be at a higher risk for sealant "failure" (measured as caries on a tooth surface previously sealed) after 1 year and, therefore, may require more diligent sealant maintenance.
Makhija
Sonia K
SK
Department of Diagnostic Sciences, University of Alabama School of Dentisty, Birmingham, USA. smakhija@uab.edu
Childers
Noel K
NK
Lauten
Johnson
J
Dorantes
Carlos E
CE
Chafin
Teri
T
Dasanayake
Ananda P
AP
D000293:Adolescent; D001741:Black or African American; D002648:Child; D002675:Child, Preschool; D004245:DMF Index; D003731:Dental Caries / Q000517:prevention & control*; D003793:Dental Restoration, Permanent; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008963:Molar / Q000473:pathology; D010895:Pit and Fissure Sealants / Q000627:therapeutic use*; D011636:Public Health Dentistry; D012189:Retrospective Studies; D014094:Tooth, Deciduous / Q000473:pathology; D016896:Treatment Outcome
D010895:Pit and Fissure Sealants