Question · asked by 1 review
ART sealant using high-viscosity glass ionomer (press-finger technique) vs Resin-based sealant: Development of carious lesions on sealed occlusal pits and fissures
At 48 months, no statistically significant difference was found between HVGIC and resin-based sealants (RR 0.62, 95% CI 0.31 to 1.21); evidence ungraded and at high risk of bias.
What each review found
Current versions only| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
High-viscosity glass-ionomer cement (HVGIC) fissure sealant placed by press-finger technique vs Resin-based fissure sealant Development of carious lesions on sealed occlusal pits and fissures · Children with fully erupted permanent first molar teeth (mean age about 6 to 8 years) · 48 months, School- and clinic-based pediatric dental settings (Syria, Brazil, China, Turkey) At 48 months, no statistically significant difference was found between HVGIC and resin-based sealants (RR 0.62, 95% CI 0.31 to 1.21); evidence ungraded and at high risk of bias. Caries-Preventive Effect of High-Viscosity Glass Ionomer and Resin-Based Fissure Sealants on Permanent… (2016) All outcomes | RR 0.62 [0.31, 1.21] | 2 studies · 1007 evaluated sealed teeth participants | GRADE not reported |
High-viscosity glass-ionomer cement (HVGIC) fissure sealant placed by press-finger technique vs Resin-based fissure sealant Development of carious lesions on sealed occlusal pits and fissures · Children with fully erupted permanent first molar teeth (mean age about 6 to 8 years) · 60 months, School- and clinic-based pediatric dental settings (Syria, Brazil, China, Turkey) At 60 months, HVGIC sealants showed a borderline significant reduction in carious lesions versus resin-based sealants (RR 0.29, 95% CI 0.09 to 0.95; RD -0.07, 95% CI -0.14 to -0.01); evidence ungraded and at high risk of bias. Caries-Preventive Effect of High-Viscosity Glass Ionomer and Resin-Based Fissure Sealants on Permanent… (2016) All outcomes | RR 0.29 [0.09, 0.95] | 2 studies · 205 evaluated sealed teeth participants | GRADE not reported |
High-viscosity glass-ionomer cement (HVGIC) fissure sealant placed by press-finger technique vs Resin-based fissure sealant Development of carious lesions on sealed occlusal pits and fissures · Children with fully erupted permanent first molar teeth (mean age about 6 to 8 years) · 36 months, School- and clinic-based pediatric dental settings (Syria, Brazil, China, Turkey) At 36 months, no statistically significant difference was found between HVGIC and resin-based sealants (RR 0.90, 95% CI 0.49 to 1.67); evidence ungraded and at high risk of bias. Caries-Preventive Effect of High-Viscosity Glass Ionomer and Resin-Based Fissure Sealants on Permanent… (2016) All outcomes | RR 0.90 [0.49, 1.67] | 3 studies · 600 evaluated sealed teeth participants | GRADE not reported |
High-viscosity glass-ionomer cement (HVGIC) fissure sealant placed by press-finger technique vs Resin-based fissure sealant Development of carious lesions on sealed occlusal pits and fissures · Children with fully erupted permanent first molar teeth (mean age about 6 to 8 years) · 24 months, School- and clinic-based pediatric dental settings (Syria, Brazil, China, Turkey) At 24 months, HVGIC and resin-based fissure sealants showed no statistically significant difference in caries on sealed permanent molars (RR 1.36, 95% CI 0.66 to 2.78); evidence ungraded and at high risk of bias. Caries-Preventive Effect of High-Viscosity Glass Ionomer and Resin-Based Fissure Sealants on Permanent… (2016) All outcomes | RR 1.36 [0.66, 2.78] | 4 studies · 1742 evaluated sealed teeth participants | GRADE not reported |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Caries-Preventive Effect of High-Viscosity Glass Ionomer and Resin-Based Fissure Sealants on Permanent Teeth: A Systematic Review of… 2016 All outcomes | Not specified in main text (per-database search dates in S1 File, Section A) | 7 | Critically Low / Critically Low |
Studies behind the findings
The primary studies the full-text reviews tie to this outcome. Reviews with headline outcomes only do not list them here.
- Caries-preventive Effect of Supervised Toothbrushing and Sealants. · 2015 · included by 1 of these review
- Do light cured ART conventional high-viscosity glass-ionomer sealants perform better than resin-composite sealants: a 4-year randomized… · 2014 · included by 1 of these review
- Glass ionomer ART sealant and fluoride-releasing resin sealant in fissure caries prevention--results from a randomized clinical trial. · 2014 · included by 1 of these review
- Caries-preventive effect of sealants produced with altered glass-ionomer materials, after 2 years. · 2012 · included by 1 of these review
- Effectiveness of a glass ionomer cement used as a pit and fissure sealant in recently erupted permanent first molars. · 2009 · included by 1 of these review
- Comparison of caries prevention with glass ionomer and composite resin fissure sealants. · 2009 · included by 1 of these review
- Caries-preventive effect of a one-time application of composite resin and glass ionomer sealants after 5 years. · 2006 · included by 1 of these review
How reviews are matched to this question
Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.