Non-Cochrane · intervention · PM41799998
Comparative Evaluation of the Retention Rates of Composite Resin Pit and Fissure Sealants Placed on Permanent Molars Treated with Air Abrasion and Acid Etching: A Systematic Review and Meta-analysis of Randomized Controlled Trials.
Raut Vishal, Sharma Deepak, Jain Ashish K, et al. · International journal of clinical pediatric dentistry · 2026 · PubMed · doi:10.5005/jp-journals-10005-3402
Findings
Population Patients with permanent molars requiring pit and fissure sealants
1 finding
| Air abrasion enamel preparation before composite resin sealant placement | Acid etching enamel preparation before composite resin sealant placement | Sealant retention rate At least 1 year follow-up · Clinical · Overall | Log OR -0.727 [-2.055, 0.602] Moderate 3 studies |
Included primary studies 6
Open in Studies| Study | Year | Also included by | Outcomes it informs here | Trial data |
|---|---|---|---|---|
| Bendinskaite 2010 A five years clinical evaluation of sealed occlusal surfaces of molars. PMID:21063138 | 2010 | this review only | Sealant retention rate | not extracted yet |
| Deepika 2023 Comparison of the Retention Rates of Pit and Fissure Sealants Placed on First Permanent Molars Treated with Air Abrasion and Acid Etching:… DOI:10.7860/jcdr/2023/62942.18551 | 2023 | this review only | Sealant retention rate | not extracted yet |
| Kanellis 2000 A Comparison of Sealant Placement Techniques and 12‐month Retention Rates DOI:10.1111/j.1752-7325.2000.tb03293.x | 2000 | this review only | Sealant retention rate | not extracted yet |
| Kanellis 2000 A comparison of sealant placement techniques and 12-month retention rates. PMID:10734618 | 2000 | this review only | Sealant retention rate | not extracted yet |
| Yazici 2006 A two-year clinical evaluation of pit and fissure sealants placed with and without air abrasion pretreatment in teenagers DOI:10.14219/jada.archive.2006.0052 | 2006 | this review only | not stated | not extracted yet |
| Yazici 2006 A two-year clinical evaluation of pit and fissure sealants placed with and without air abrasion pretreatment in teenagers. PMID:17012719 | 2006 | this review only | not stated | not extracted yet |
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Patients with permanent first molars requiring pit-and-fissure sealants | Permanent molars; children and adolescents aged 6-17 years (n=743 across 4 trials) |
| Intervention | Air abrasion for enamel preparation prior to sealant placement | Air abrasion (one trial: air abrasion followed by acid etching) |
| Comparison | Acid etching for enamel preparation | Acid etching |
| Outcomes | Retention rate of sealants, failure rates, and clinical success | Sealant retention at 1 year (log OR; 3 trials pooled) |
| Study designs | Randomized controlled trials | RCTs: 2 split-mouth, 2 parallel or unspecified (n=4) |
| Timing | Follow-up of at least 1 year | 1 year |
AMSTAR 2 items
Two independent extractors rated each item. Their ratings are shown side by side because they have not been reconciled yet. The overall rating follows Shea et al. 2017: one critical flaw gives Low, more than one gives Critically Low.
| Item | Extractor A | Extractor B | Agree |
|---|---|---|---|
| 1Research question includes PICO components | Yes | Yes | yes |
| 2Protocol established before the reviewcritical | Partial Yes | Partial Yes | yes |
| 3Choice of study designs explained | No | No | yes |
| 4Comprehensive literature searchcritical | No | No | yes |
| 5Study selection in duplicate | Yes | Yes | yes |
| 6Data extraction in duplicate | Yes | Yes | yes |
| 7List of excluded studies with reasonscritical | No | No | yes |
| 8Included studies described in detail | Partial Yes | Partial Yes | yes |
| 9Risk of bias assessed satisfactorilycritical | RCT: Yes · NRSI: N/A | NRSI: N/A · RCT: Yes | no |
| 10Funding of included studies reported | No | No | yes |
| 11Appropriate meta-analysis methodscritical | RCT: Yes · NRSI: N/A | NRSI: N/A · RCT: Yes | no |
| 12Impact of risk of bias on the pooled results | No | No | yes |
| 13Risk of bias accounted for in interpretationcritical | No | No | yes |
| 14Heterogeneity explained | Yes | Yes | yes |
| 15Publication bias investigatedcritical | No | No | yes |
| 16Conflicts of interest reported | Yes | Yes | yes |
| Overall | Critically Low | Critically Low | yes |