Sealant or coating agent (with or without fluoride release) applied to teeth with fixed appliances vs No sealant (control/no treatment): White spot lesions assessed by laser fluorescence (DIAGNOdent)
- Population
- Patients of any age (11-40 years) receiving comprehensive/fixed orthodontic treatment with fixed appliances
- Intervention
- Sealant or coating agent (with or without fluoride release) applied to teeth with fixed appliances
- Comparison
- No sealant (control/no treatment)
- Outcome
- White spot lesions assessed by laser fluorescence (DIAGNOdent)
White spot lesions were also measured by laser fluorescence in 3 sealant-vs-no-sealant studies, but no meta-analysis was possible due to incompatible reporting.
What each review found
Include earlier review versions| Finding | Effect | Studies | GRADE certainty |
|---|---|---|---|
Sealant or coating agent (with or without fluoride release) applied to teeth with fixed appliances vs No sealant (untreated control teeth) White spot lesions assessed by laser fluorescence (DIAGNOdent) · Patients of any age (11-40 years) receiving comprehensive/fixed orthodontic treatment with fixed appliances · Patients undergoing fixed (multibracket) orthodontic appliance treatment; clinical/dental setting; analysis at tooth level White spot lesions were also measured by laser fluorescence in 3 sealant-vs-no-sealant studies, but no meta-analysis was possible due to incompatible reporting. Efficacy of sealants and bonding materials during fixed orthodontic treatment to prevent enamel… (2021) All outcomes | Laser fluorescence (DIAGNOdent) was assessed in 3 studies comparing sealant vs no sealant, but meta-analysis could not be performed because results were presented parametrically or non-parametrically without the… | 3 studies | GRADE not reported |
Findings are shown side by side, never pooled across reviews.
The reviews
| Review | Searched up to | Included studies | AMSTAR 2 |
|---|---|---|---|
| Efficacy of sealants and bonding materials during fixed orthodontic treatment to prevent enamel demineralization: a systematic review and… 2021 All outcomes | Not specified (no date restriction on language or year) | 24 | 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.
- Efficacy of resin-modified glass ionomer cement varnish in the prevention of white spot lesions during comprehensive orthodontic… · 2015 · included by 1 of these review
- In vivo effectiveness of enamel sealants around orthodontic brackets · 2013 · 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.