Mark Dawoud Date: 07/29/2014
Article title: Factors associated with sealant outcome in 2 pediatric dental clinics: A multivariate hierarchical analysis
Authors: Nathan G. West, DMD; Melina A. Ilief-Ala, DMD; Joanna M. Douglass, BDS, DDS and James I. Hagadorn, MD, MS
Journal: Pediatric Dentistry Volume 33 Jul/Aug 2011
Type of Article: retrospective study
Main Purpose: To determine whether placement of one-time sealants placed by pediatric dental residents or dental students have different outcomes.
Overview of method of research: Records were taken from 2 inner-city pediatric dental clinics. The charts of 203 children, ranging from 6-10 years old, had a total of 481 sealants on permanent first molars. The patients had at least 2 years of follow-up. Patients in the study were treated by a pediatric dental resident or by a dental student.
Findings: Univariate analysis revealed longer follow-up and younger age were associated with sealant failure. A history of caries reduced the protective effect of increased age. Operator type (resident vs. student), child behavior and isolation technique were not associated with sealant failure.
Summary: 1) No significant association between a resident or student was found with sealant failure. 2) Sealant failure was associated with caries history prior to sealant placement, longer duration of follow-up, and age of child were significantly associated with sealant failure. 3) The type of isolation and patient behavior were not significantly associated with sealant failure.