The sealant restoration: indications, success and clinical technique.

Author: Hassall DC, Mellor AC.

Source: British Dental Journal.

Year: 2001

Comment:

The researchers conclude, "Dentist concerns regarding the reported success of sealant restorations appear to be largely unsupported by longevity studies. Possible fears over incomplete caries removal also appear to be unwarranted, with caries appearing not to progress beneath intact sealants. Potential problems regarding the marginal shrinkage of composites and recurrent caries may be addressed by using glass ionomer in the technique. The costeffectiveness of the procedure may be influenced by the re-introduction of a fee-for-service element into the capitation payment system for children’s dentistry."

Abstract / Excerpt:

“In this paper we have considered the available literature which demonstrates that sealant restorations perform at least as well as amalgam restorations and are more conservative. Success depends on retention of the overlying sealant and if this is fully retained it is unlikely that any residual caries will progress. The diagnosis of occlusal caries and indications for sealant restorations are discussed and the clinical technique is described. We have concluded that sealant restorations are the optimum restoration in small and discrete occlusal cavities.”

Citation:

Hassall DC, Mellor AC. Restorative dentistry: The sealant restoration: indications, success and clinical technique. British Dental Journal. 2001; 191(7): 358-362.