Beauchamp Jean, Caufield Page W, Crall James J, Donly Kevin J, Feigal Robert, Gooch Barbara, Ismail Amid, Kohn William, Siegal Mark, Simonsen Richard
Department of Cariology and Comprehensive Care, New York University, College of Dentistry, 345 East 4th Street, Room 1024, New York, NY 10009, USA.
Dent Clin North Am. 2009 Jan;53(1):131-47, x. doi: 10.1016/j.cden.2008.09.003.
This article presents evidence-based clinical recommendations for use of pit-and-fissure sealants developed by an expert panel convened by the American Dental Association (ADA) Council on Scientific Affairs. The panel addressed the following clinical questions. Under what circumstances should sealants be placed to prevent caries? Does placing sealants over early (noncavitated) lesions prevent progression of the lesion? Are there conditions that favor the placement of resin-based versus glass ionomer cement sealants in terms of retention or caries prevention? Are there any techniques that could improve sealants' retention and effectiveness in caries prevention? Staff of the ADA Division of Science conducted a MEDLINE search to identify systematic reviews and clinical studies published after the identified systematic reviews.
本文介绍了由美国牙科协会（ADA）科学事务委员会召集的专家小组制定的基于证据的窝沟封闭剂临床使用建议。该小组讨论了以下临床问题。在哪些情况下应使用封闭剂预防龋齿？在早期（非龋洞）病变上使用封闭剂是否能防止病变进展？就保留率或预防龋齿而言，是否存在有利于使用树脂基封闭剂而非玻璃离子水门汀封闭剂的情况？是否有任何技术可以提高封闭剂的保留率及其预防龋齿的有效性？ADA科学部的工作人员进行了MEDLINE检索，以识别已发表的系统评价以及在已识别的系统评价之后发表的临床研究。
