Fogorvosi szemle, 2008 (101. évfolyam, 1-6. szám)
2008-08-01 / 4. szám
146 FOGORVOSI SZEMLE ■ 101. évf. 4. sz. 2008. 47. Simonsen RJ: Glass ionomer as fissure sealant - a critical review. Public Health Dent 1996; 56: 146-149. 48. Simonsen RJ: Preventive resin restoration and sealants in light of current evidence. Dent Clin North Am 2005; 49: 815-823. 49. Siegal MD, Farquar CL Bouchard JM: Dental sealants. Who needs them? Public Health Reports 1997; 112: 98-106. 50. Szőke J, Petersen PE: Evidence for dental caries decline among children in an East European country (Hungary). Community Dent Oral Epidemiol2000; 28: 155-160. 51. Welbury R, Raadal M, Lygidakis NA: EAPD guidelines for the use of pit and fissure sealants. EurJ Paed Dent 2004; 5: 179-184. 52. Wendt LK, Koch G, Birkhed D: On the retention and effectiveness of fissure sealant in permanent molars after 15-20 years: a cohort study. Comm Dent Oral Epidemiol 2001 ; 29: 302-307. 53. Zahnärztliche Zentralstelle Qualitätssicherung im Institute der Deutschen Zahnärzte: Fissurenversiegelung. Leitlinie. Köln. 2006. 54. Vrbic V: Retention of a fluoride-containing sealant on primary and permanent teeth 3 years after placement. Quintessence Int 1999; 30: 825-828. 55. Weintraub JA, Stearns SC, Rozier RG, Huang CC: Treatment outcomes and costs of dental sealants among children enrolled in Medicaid. Am J Public Health 2001 ; 91: 1877-1881. 56. www.whocollab.od.mah.se/euro/hungary 57. Zimmer S: Pro and contra fissure sealing. Gesundheitswesen 1996; 58: 622-625. Dr. Szőke J: Fissure sealing A review The aim of this review is to give an overview of 50 years experience of fissure sealing and draw conclusions about the applicability and effectiveness of the method. Another purpose is to provide a summary of the relevant scientific evidence that will assist clinicians with their decision-making process. A fissure sealant is a material that is placed in the pits and fissures of teeth in order to prevent the development and/or to arrest of initial caries progression. Sealants, by providing a physical barrier, inhibit microorganisms and food particles from collecting in pits and fissures. Sealants are highly effective in preventing dental caries in pits and fissures of teeth when applied by trained operators. Sealant should be placed on pits and fissures of children’s and adolescents’ permanent teeth when it is determined that the tooth or the patient is at risk of developing caries. Fissure sealing can be recommended as a caries preventive measure. Whilst there is a good evidence to support the inclusion of fissure sealants as part of a preventive programme from the dental team, a number of related issues need to be considered. In areas of high caries prevalence it has been shown that treatment costs can actually be reduced by sealing susceptible surfaces, usually the occlusal surfaces of first permanent molars. Fissure sealing was introduced and first investigated in the years 1960-1970. During the past decades, evidence-based approaches have developed concerning the effectiveness of this primary and secondary preventive measure. It is generally accepted that the effectiveness of sealants for caries prevention depends on long-term retention. Resin-based sealants are the first choice of material for dental sealants. Glass-ionomer cement may be used as an interim preventive agent. Whilst cost-effectiveness is an important consideration, from an ethical standpoint the protection of oral health should not be viewed purely in economic terms. The oral health care professional should monitor and reapply sealants as needed to maximize effectiveness. Key words: primary prevention method, caries prevention, pits and fissures, fissure sealing, children and adolescents Pályázati felhívás 2008. október 16. és 18. között Marosvásárhelyen (Románia) rendezzük meg a VII. Danubius Nemzetközi és a XII. Magyar Nemzeti Arc-, Állcsont és Szájsebészeti közös kongresszusát. A Dr. Béres Károly Alapítvány az itt elhangzó 35 év alatti előadók legjobb előadásait díjazni fogja. I. díj 50 000 Ft II. díj 30 000 Ft III. díj 20 000 Ft Az előadásokat az ott megválasztott zsűri fogja elbírálni. Dr. Szabó György egyetemi tanár, a Dr. Béres Károly Alapítvány kuratóriumának elnöke
