Time of development of occlusal and proximal lesions: implications for fissure sealants.

Abstract:

:Analysis of surface and tooth-specific data from NHANES I and HHANES shows that the pattern of dental caries differs greatly from tooth to tooth and surface to surface. Occlusal caries precedes all other types, and increases most rapidly and to the highest levels in the molars. Caries on the proximal surfaces comes later. For sealants to be of value, they must reduce the need for restorations. Therefore, the value of sealants will be determined by the balance between high enough levels of potential caries on occlusal surfaces to give them something to prevent, and low levels of, or sufficiently delayed, proximal lesions to prevent the loss of the otherwise saved occlusal surface. The data presented demonstrate that as of the time of NHANES I, the number of permanent molars that could have had surfaces saved from restoration, at least for a number of years, appears to be sufficient to warrant widespread use of sealants on those teeth. More recent data (HHANES) suggest that the current decline in caries prevalence is likely to reduce the value of sealants in the short run because there are fewer occlusal lesions in young children, but may increase the value of sealants in the long run because proximal caries in older children and adults is also declining.

journal_name

J Public Health Dent

authors

Eklund SA,Ismail AI

doi

10.1111/j.1752-7325.1986.tb03119.x

subject

Has Abstract

pub_date

1986-04-01 00:00:00

pages

114-21

issue

2

eissn

0022-4006

issn

1752-7325

journal_volume

46

pub_type

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