| Longevity of materials for pit and fissure sealing-Results from a meta-analysis. | |
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MedLine Citation:
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PMID: 22137936 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE: This meta-analysis investigates the clinical retention of pit and fissure sealants in relation to observation time and material type. DATA, SOURCES AND STUDY SELECTION: A search in the MEDLINE, EMBASE and CENTRAL databases identified 2944 abstracts (published prior to 9/30/2011), of which 485 clinical publications were analyzed in detail. A total of 146 articles included information about sealant retention, with a minimum observation time of 2years. These publications were analyzed to determine the retention rates of the various materials studied (UV-light-, light- and auto-polymerizing resin-based sealants, fluoride-releasing materials, compomers, flowable composites and glass-ionomer-cement-based sealants). The meta-analysis used random effects models for longitudinal logistic regression and Bayesian statistics. RESULTS: As part of the systematic review, 98 clinical reports and 12 field trial reports were identified. Auto-polymerizing sealants had the longest observation time (up to 20years) and were found to have a 5-year retention rate of 64.7% (95%CI=57.1-73.1%), which was estimated from the meta-analysis model. Resin-based light-polymerizing sealants and fluoride-releasing products showed similar 5-year retention rates (83.8%, 95%CI=54.9-94.7% and 69.9%, 95%CI=51.5-86.5%, respectively) for completely retained sealants. In contrast to these high retention rates, poor retention rates were documented for UV-light-polymerizing materials, compomers and glass-ionomer-cement-based sealants (5-year retention rates were <19.3%). Retention rates for UV-light-polymerizing materials, compomers and glass-ionomer-cement-based sealants were classified as inferior. CONCLUSIONS VERSUS SIGNIFICANCE: The results of this meta-analysis suggested that resin-based sealants can be recommended for clinical use. The faster and less error-prone clinical application of light-polymerizing materials, however, makes them the preferred choice for daily dental practice. |
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Authors:
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Jan Kühnisch; Ulrich Mansmann; Roswitha Heinrich-Weltzien; Reinhard Hickel |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-12-2 |
Journal Detail:
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Title: Dental materials : official publication of the Academy of Dental Materials Volume: - ISSN: 1879-0097 ISO Abbreviation: - Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-5 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508040 Medline TA: Dent Mater Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians-University of Munich, Munich, Germany. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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