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CDC-Sponsored Expert Work Group Publishes Updated Recommendations for School-Based Sealant Programs

Posted on Saturday, Nov. 28th 2009 8:00 AM by Dental Plan Review in Dental Help, General News, Hygiene, Technology No Comments »

The recommendations were developed by a work group of experts in the fields of caries prevention and treatment, oral epidemiology, and evidence-based reviews. The work group also included representatives from professional dental organizations.

The expert work group examined new evidence on:

  • The effectiveness of sealants in preventing new decay and progression of early decay
  • Methods to assess decay
  • Sealant placement techniques
  • Scientific reviews of program practices

Based on this evidence, the following recommendations are provided for practitioners in school-based programs:

  • Seal pit-and-fissure tooth surfaces that are sound or have early decay, prioritizing first and second permanent molars.
  • Use visual assessment to differentiate surfaces with the earliest signs of tooth decay from more advanced lesions.
  • X-rays are not needed solely for sealant placement.
  • A toothbrush can be used to help clean the tooth surface before acid etching.
  • When resources allow, have an assistant help the dental professional place sealants.
  • Provide sealants to children even if follow-up examinations for every child cannot be guaranteed.

These recommendations are designed to guide practices of state and community public health programs for planning, implementing, and evaluating school-based sealant programs, as well as to complement the American Dental Association Council on Scientific Affairs’ evidence-based clinical recommendations for sealant use* pdf logo (PDF–245K) published in 2008.

Preventing Dental Caries Through School-Based Sealant Programs: Updated Recommendations and Review of Evidence,”* Journal of the American Dental Association, November 2009, provides guidance to school-based sealant programs.

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Posted on Saturday, Nov. 28th 2009 8:00 AM | by Dental Plan Review | in Dental Help, General News, Hygiene, Technology | No Comments »

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