Techniques for assessing tooth surfaces in school-based sealant programs

Margherita Fontana, Domenick Zero, Eugenio D. Beitrán-Aguilar, Shellie Kolavic Gray

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background. The authors reviewed the evidence supporting current guidelines for the detection of cavitated carious lesions. Currently, cavitation is the point at which sealants are not placed in school-based programs. Types of Studies Reviewed. The authors did not perform a formal systematic review. However, they examined existing systematic reviews of caries detection and diagnosis, including those presented at the 2001 National Institutes of Health Consensus Conference on Management of Caries, published evidence related to the International Caries Detection and Assessment System criteria and other peer-reviewed publications. Where the authors found ambiguity or uncertainty in the evidence, they consulted with fellow members of an expert work group. Results. Visual examination is appropriate and adequate for caries assessment before placing sealants. The clinician should not use an explorer under force. Radiographs are not indicated solely for the placement of sealants, and the use of magnification and caries detection devices is not necessary to determine cavitation. Clinical Implications. This report focuses on tooth assessment, in particular the detection of carious lesion cavitation in school-based sealant programs. These recommendations must be balanced with the dentist's expertise, available treatment options, the patient's preferences and access to care.

Original languageEnglish (US)
Pages (from-to)854-860
Number of pages7
JournalJournal of the American Dental Association
Volume141
Issue number7
StatePublished - Jul 2010

Fingerprint

Tooth
Patient Preference
National Institutes of Health (U.S.)
Dentists
Uncertainty
Publications
Guidelines
Equipment and Supplies
Therapeutics

Keywords

  • Assessment
  • Caries
  • Cavitated lesions
  • Detection
  • Noncavitated lesions
  • Occlusal surfaces
  • Sealants

ASJC Scopus subject areas

  • Dentistry(all)
  • Medicine(all)

Cite this

Techniques for assessing tooth surfaces in school-based sealant programs. / Fontana, Margherita; Zero, Domenick; Beitrán-Aguilar, Eugenio D.; Gray, Shellie Kolavic.

In: Journal of the American Dental Association, Vol. 141, No. 7, 07.2010, p. 854-860.

Research output: Contribution to journalArticle

Fontana, M, Zero, D, Beitrán-Aguilar, ED & Gray, SK 2010, 'Techniques for assessing tooth surfaces in school-based sealant programs', Journal of the American Dental Association, vol. 141, no. 7, pp. 854-860.
Fontana, Margherita ; Zero, Domenick ; Beitrán-Aguilar, Eugenio D. ; Gray, Shellie Kolavic. / Techniques for assessing tooth surfaces in school-based sealant programs. In: Journal of the American Dental Association. 2010 ; Vol. 141, No. 7. pp. 854-860.
@article{25d2af3f27924eea982b9ba5426c366d,
title = "Techniques for assessing tooth surfaces in school-based sealant programs",
abstract = "Background. The authors reviewed the evidence supporting current guidelines for the detection of cavitated carious lesions. Currently, cavitation is the point at which sealants are not placed in school-based programs. Types of Studies Reviewed. The authors did not perform a formal systematic review. However, they examined existing systematic reviews of caries detection and diagnosis, including those presented at the 2001 National Institutes of Health Consensus Conference on Management of Caries, published evidence related to the International Caries Detection and Assessment System criteria and other peer-reviewed publications. Where the authors found ambiguity or uncertainty in the evidence, they consulted with fellow members of an expert work group. Results. Visual examination is appropriate and adequate for caries assessment before placing sealants. The clinician should not use an explorer under force. Radiographs are not indicated solely for the placement of sealants, and the use of magnification and caries detection devices is not necessary to determine cavitation. Clinical Implications. This report focuses on tooth assessment, in particular the detection of carious lesion cavitation in school-based sealant programs. These recommendations must be balanced with the dentist's expertise, available treatment options, the patient's preferences and access to care.",
keywords = "Assessment, Caries, Cavitated lesions, Detection, Noncavitated lesions, Occlusal surfaces, Sealants",
author = "Margherita Fontana and Domenick Zero and Beitr{\'a}n-Aguilar, {Eugenio D.} and Gray, {Shellie Kolavic}",
year = "2010",
month = "7",
language = "English (US)",
volume = "141",
pages = "854--860",
journal = "Journal of the American Dental Association",
issn = "0002-8177",
publisher = "American Dental Association",
number = "7",

}

TY - JOUR

T1 - Techniques for assessing tooth surfaces in school-based sealant programs

AU - Fontana, Margherita

AU - Zero, Domenick

AU - Beitrán-Aguilar, Eugenio D.

AU - Gray, Shellie Kolavic

PY - 2010/7

Y1 - 2010/7

N2 - Background. The authors reviewed the evidence supporting current guidelines for the detection of cavitated carious lesions. Currently, cavitation is the point at which sealants are not placed in school-based programs. Types of Studies Reviewed. The authors did not perform a formal systematic review. However, they examined existing systematic reviews of caries detection and diagnosis, including those presented at the 2001 National Institutes of Health Consensus Conference on Management of Caries, published evidence related to the International Caries Detection and Assessment System criteria and other peer-reviewed publications. Where the authors found ambiguity or uncertainty in the evidence, they consulted with fellow members of an expert work group. Results. Visual examination is appropriate and adequate for caries assessment before placing sealants. The clinician should not use an explorer under force. Radiographs are not indicated solely for the placement of sealants, and the use of magnification and caries detection devices is not necessary to determine cavitation. Clinical Implications. This report focuses on tooth assessment, in particular the detection of carious lesion cavitation in school-based sealant programs. These recommendations must be balanced with the dentist's expertise, available treatment options, the patient's preferences and access to care.

AB - Background. The authors reviewed the evidence supporting current guidelines for the detection of cavitated carious lesions. Currently, cavitation is the point at which sealants are not placed in school-based programs. Types of Studies Reviewed. The authors did not perform a formal systematic review. However, they examined existing systematic reviews of caries detection and diagnosis, including those presented at the 2001 National Institutes of Health Consensus Conference on Management of Caries, published evidence related to the International Caries Detection and Assessment System criteria and other peer-reviewed publications. Where the authors found ambiguity or uncertainty in the evidence, they consulted with fellow members of an expert work group. Results. Visual examination is appropriate and adequate for caries assessment before placing sealants. The clinician should not use an explorer under force. Radiographs are not indicated solely for the placement of sealants, and the use of magnification and caries detection devices is not necessary to determine cavitation. Clinical Implications. This report focuses on tooth assessment, in particular the detection of carious lesion cavitation in school-based sealant programs. These recommendations must be balanced with the dentist's expertise, available treatment options, the patient's preferences and access to care.

KW - Assessment

KW - Caries

KW - Cavitated lesions

KW - Detection

KW - Noncavitated lesions

KW - Occlusal surfaces

KW - Sealants

UR - http://www.scopus.com/inward/record.url?scp=77954917295&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77954917295&partnerID=8YFLogxK

M3 - Article

C2 - 20592405

AN - SCOPUS:77954917295

VL - 141

SP - 854

EP - 860

JO - Journal of the American Dental Association

JF - Journal of the American Dental Association

SN - 0002-8177

IS - 7

ER -