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Sealants for preventing and arresting pit-and-fissure occlusal caries in primary and permanent molars  John T. Wright, DDS, MS, Malavika P. Tampi, MPH,

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Presentation on theme: "Sealants for preventing and arresting pit-and-fissure occlusal caries in primary and permanent molars  John T. Wright, DDS, MS, Malavika P. Tampi, MPH,"— Presentation transcript:

1 Sealants for preventing and arresting pit-and-fissure occlusal caries in primary and permanent molars  John T. Wright, DDS, MS, Malavika P. Tampi, MPH, Laurel Graham, MLS, Cameron Estrich, MPH, James J. Crall, DDS, MS, ScD, Margherita Fontana, DDS, PhD, E. Jane Gillette, DDS, Brian B. Nový, DDS, Vineet Dhar, BDS, MDS, PhD, Kevin Donly, DDS, MS, Edmond R. Hewlett, DDS, Rocio B. Quinonez, DMD, MS, MPH, Jeffrey Chaffin, DDS, MPH, MBA, MHA, Matt Crespin, MPH, RDH, Timothy Iafolla, DMD, MPH, Mark D. Siegal, DDS, MPH, Alonso Carrasco-Labra, DDS, MSc, PhD(c)  The Journal of the American Dental Association  Volume 147, Issue 8, Pages e18 (August 2016) DOI: /j.adaj Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

2 Figure 1 Flowchart of the screening and study selection process.
The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

3 Figure 2 Risk of bias summary: review authors’ judgments about each risk of bias item for each included study. +: Low risk of bias. −: High risk of bias. ?: Unclear risk of bias. The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

4 eFigure 1 Forest plot of comparison. 1. Sealants versus nonuse of sealants, outcome: 1.1 Caries incidence (2-3 years). CI: Confidence interval. IV: Inverse-variance. SE: Standard error. The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

5 eFigure 2 Forest plot of comparison. 1. Sealants versus nonuse of sealants, outcome: 1.2 Caries incidence (4-7 years). CI: Confidence interval. IV: Inverse-variance. SE: Standard error. The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

6 eFigure 3 Forest plot of comparison. 1. Sealant versus nonuse of sealant, outcome: 1.3 Caries incidence (7 years or more). CI: Confidence interval. IV: Inverse-variance. SE: Standard error. The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

7 eFigure 4 Forest plot of comparison. 2. Sealants versus fluoride varnishes, outcome: 2.1 Caries incidence (2-3 years). CI: Confidence interval. IV: Inverse-variance. SE: Standard error. The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

8 eFigure 5 Forest plot of comparison. 2. Sealants versus fluoride varnishes, outcome: 2.2 Caries incidence (4-7 years). CI: Confidence interval. IV: Inverse-variance. SE: Standard error. The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

9 eFigure 6 Forest plot of comparison. 2. Sealants versus fluoride varnishes, outcome: 2.3 Caries incidence (7 years or more). CI: Confidence interval. IV: Inverse-variance. SE: Standard error. The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

10 eFigure 7 Forest plot of comparison 3. Overall: Glass ionomer sealants versus resin-based sealants, outcome: 3.1 Caries incidence (2-3 years). CI: Confidence interval. IV: Inverse-variance. SE: Standard error. The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

11 eFigure 8 Forest plot of comparison. 3. Overall: Glass ionomer sealants versus resin-based sealants, outcome: 3.2 Caries incidence (4-7 years). CI: Confidence interval. IV: Inverse-variance. SE: Standard error. The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

12 eFigure 9 Forest plot of comparison. 3. Overall: Glass ionomer sealants versus resin-based sealants, outcome: 3.4 Lack of retention (2-3 years). CI: Confidence interval. IV: Inverse-variance. SE: Standard error. The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

13 eFigure 10 Forest plot of comparison: 3. Overall: Glass ionomer sealants versus resin-based sealants, outcome: 3.5 Lack of retention (4-7 years). CI: Confidence interval. IV: Inverse-variance. SE: Standard error. The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

14 eFigure 11 Forest plot of comparison. 4. Glass ionomer sealants versus resin-modified glass ionomer sealants, outcome: 4.1 Caries incidence (2-3 years). CI: Confidence interval. GI: Glass ionomer. IV: Inverse-variance. SE: Standard error. The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

15 eFigure 12 Forest plot of comparison. 4. Glass ionomer sealants versus resin-modified glass ionomer sealants, outcome: 4.4 Lack of retention (2-3 years). CI: Confidence interval. GI: Glass ionomer. IV: Inverse-variance. SE: Standard error. The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

16 eFigure 13 Forest plot of comparison. 5. Resin-modified glass ionomer sealants versus polyacid-modified resin sealants, outcome: 5.1 Caries incidence (2-3 years). CI: Confidence interval. GI: Glass ionomer. IV: Inverse-variance. SE: Standard error. The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

17 eFigure 14 Forest plot of comparison. 5. Resin-modified glass ionomer sealants versus polyacid-modified resin sealants, outcome: 5.2 Lack of retention (2-3 years). CI: Confidence interval. GI: Glass ionomer. IV: Inverse-variance. SE: Standard error. The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

18 eFigure 15 Forest plot of comparison. 6. Polyacid-modified resin sealants versus resin-based sealants, outcome: 6.1 Caries incidence (2-3 years). CI: Confidence interval. IV: Inverse-variance. SE: Standard error. The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions

19 eFigure 16 Forest plot of comparison. 6. Polyacid-modified resin sealants versus resin-based sealants, outcome: 6.2 Lack of retention (2-3 years). CI: Confidence interval. IV: Inverse-variance. SE: Standard error. The Journal of the American Dental Association  , e18DOI: ( /j.adaj ) Copyright © 2016 American Academy of Pediatric Dentistry and American Dental Association Terms and Conditions


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