Pit fissure sealant application updating technique

For many of these children, effective caries preventive techniques are available which can reduce substantially their experience of this disease.Although rates of dental caries in children have declined, a substantial minority remain susceptible to the disease and there is significant variation in risk among those who remain susceptible.However, among those with some experience of decay DMFT values ranged from 1 to 11 with a mean close to 3.0.This indicates that in this population a substantial minority remain susceptible to decay and that there is significant variation in the risk of disease among those who remain susceptible.The majority of caries in children occurs in pits and fissures These preventive methods can be easily applied in dental practice and there is a substantial body of research evidence with respect to their effectiveness.For example, systematic reviews have been published for fluoride gel, fluoride varnish, chlorhexidine, pit-and-fissure sealants and dental health education.

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This paper reviews evidence concerning the use of pit and fissure sealants in preventing caries in the permanent dentition of children.While the evidence with respect to some sealant types and application techniques is incomplete, systematic reviews have clearly demonstrated that sealants are an effective preventive technology when used in high risk children, and that with proper application techniques long-term retention rates can be achieved.

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