Naaman Reem, El-Housseiny Azza A, Alamoudi Najlaa
Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, 21589 Jeddah, Saudi Arabia.
Pediatric Dentistry Department, Faculty of Dentistry, Alexandria University, 21526 Alexandria, Egypt.
Dent J (Basel). 2017 Dec 11;5(4):34. doi: 10.3390/dj5040034.
This paper reviews the literature and discusses the latest updates on the use of pit and fissure sealants. It demonstrates the effectiveness of pit and fissure sealants in preventing caries and the management of early carious lesions. It compares the use of different sealant materials and their indications. It describes the application technique for sealants. It also reviews the cost-effectiveness of sealants as a preventive strategy. From this review and after the discussion of recently published studies on pit and fissure sealants, it is evident that sealants are effective in caries prevention and in preventing the progression of incipient lesions. It is therefore recommended that pit and fissure sealant be applied to high-caries-risk children for optimum cost-effectiveness. It is a highly sensitive technique that needs optimum isolation, cleaning of the tooth surface, etching, and the application of a thin bonding layer for maximum benefit. Recall and repair, when needed, are important to maximize the effectiveness of such sealant use.
本文回顾了相关文献，并讨论了窝沟封闭剂使用方面的最新进展。它展示了窝沟封闭剂在预防龋齿和早期龋损管理中的有效性。比较了不同封闭剂材料的使用及其适应证。描述了封闭剂的应用技术。还回顾了封闭剂作为一种预防策略的成本效益。通过本次回顾以及对最近发表的关于窝沟封闭剂研究的讨论，很明显封闭剂在预防龋齿和防止早期病变进展方面是有效的。因此，建议对患龋风险高的儿童应用窝沟封闭剂，以实现最佳成本效益。这是一项高度敏感的技术，需要最佳的隔离、牙齿表面清洁、酸蚀以及应用薄粘结层以获得最大益处。必要时进行复查和修复对于使这种封闭剂的使用效果最大化很重要。
