Effectiveness Review
Analytic Framework
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When starting an effectiveness review, the systematic review team develops an analytic framework. The analytic framework illustrates how the intervention approach is thought to affect public health. It guides the search for evidence and may be used to summarize the evidence collected. The analytic framework often includes intermediate outcomes, potential effect modifiers, potential harms, and potential additional benefits.
Economic Review
No content is available for this section.
The number of studies and publications do not always correspond (e.g., a publication may include several studies or one study may be explained n several publications).
Effectiveness Review
Bravo M, Baca P, Llodra JC, Osorio E. A 24-month study comparing sealant and fluoride varnish in caries reduction on different permanent first molar surfaces. J Public Health Dent 1997;57(3):184-6.
Bravo M, Llodra JC, Baca P, Osorio E. Effectiveness of visible light fissure sealant (Delton) versus fluoride varnish (Duraphat); 24-tnonth elinieal trial, Cotntnunity. Dent Oral Epidetniol 1996;24:42-6.
Bravo M, Montero J, Bravo JJ, Baca P, Llodra JC. Sealant and fluoride varnish in caries: a randomized trial. J Dent Res 2005;84(12):1138-43.
Klein SP, Bohannan HM, Bell RM, Disney JA, Foch CB, Graves RC. The cost and effectiveness of school-based preventive dental care. American Journal of Public Health 1985;75:382-91.
Siegal MD, Detty AMR. Do school-based dental sealant programs reach higher risk children? Journal of Public Health Dentistry 2010;70:181–7.
Siegal MD, Detty AMR. Targeting school-based dental sealant programs: who is at “higher risk?” Journal of Public Health Dentistry 2010;70:140–7.
Siegal MD, Miller DL, Moffat D, Kim S, Goodman P. Impact of targeted, school-based dental sealant programs in reducing racial and economic disparities in sealant prevalence among schoolchildren —Ohio, 1998–1999. MMWR 2001;50(34):736-8.
Economic Review
Arrow P. Cost minimization analysis of two occlusal caries preventive programmes. Community Dental Health 2000;17:85-91.
Bertrand E, Mallis M, Bui NM, Reinharz D. Cost-effectiveness simulation of a universal publicly funded sealants application program. J Public Health Dent 2011;71(1):38-45
Bhuridej P, Kuthy RA, Flach SD, Heller KE, Dawson DV, Kanellis MJ, Damiano PC. Four-year cost-utility analyses of sealed and nonsealed first permanent molars in Iowa Medicaid-enrolled children. J Public Health Dent 2007 Fall;67(4):191-8.
Calderone JJ, Mueller LA. The cost of sealant application in a state dental disease prevention program. J Public Health Dent 1983;43:249–54.
Dasanayake AP, Li Y, Kirk K, Bronstein J, Childers NK. Restorative cost savings related to dental sealants in Alabama Medicaid children. Pediatr Dent 2003;25(6):572-6.
Garcia AI. Caries incidence and costs of prevention programs. J Public Health Dent 1989;49(5 spec no):259–71.
Griffin SO, Griffin PM, Gooch BF, Barker LK. Comparing the costs of three sealant delivery strategies. Journal of Dental Research 2002;81(9):641-5.
Klein SP, Bohannan HM, Bell RM, Disney JA, Foch CB, Graves RC. The cost and effectiveness of school-based preventive dental care. Am J Public Health 1985;75:382–91.
Mariño R, Fajardo J, Morgan M. Cost-effectiveness models for dental caries prevention programmes among Chilean schoolchildren. Community Dent Health 2012 Dec;29(4):302-8.
Morgan MV, Crowley SJ, Wright C. Economic evaluation of a pit and fissure dental sealant and fluoride mouthrinsing program in two nonfluoridated regions of Victoria, Australia. J Public Health Dent 1998;58:19–27.
Quinonez RB, Downs SM, Shugars D, Christensen J, Vann WF Jr. 2005 Spring;65(2):82-9. Assessing cost-effectiveness of sealant placement in children. J Public Health Dent 2005;65(2):82-9.
Scherrer CR, Griffin PM, Swann JL. Public health sealant delivery programs: optimal delivery and the cost of practice acts. Med Decis Making 2007c;27(6):762-71.
Weintraub JA, Stearns SC, Burt BA, Beltran E, Eklund SA. A retrospective analysis of the cost-effectiveness of dental sealants in a children's health center. Soc Sci Med 1993;36(11):1483-93.
Weintraub JA, Stearns SC, Rozier G, et al. Treatment outcomes and costs of dental sealants among children enrolled in Medicaid. Am J Public Health 2001;91:1877-81.
Effectiveness Review
Four bibliographic databases were searched through October 2012: OHG Register, CENTRAL, MEDLINE, and EMBASE. The databases searched covered publications in biomedical and behavioral sciences. Search strategies were adjusted to each database, based on controlled and uncontrolled vocabularies and search software. The types of documents searched in the databases included journal articles, books, book chapters, reports, conference papers, and dissertations. In addition, the bibliographies of all reviewed articles were used to identify any further literature.
OHG Trial Register
"pit and fissure sealant*" OR pit-and-fissure-sealant* OR (fissure* AND seal*) OR "resin seal*" OR "dental seal*" OR "tooth seal*" OR "enamel seal*" OR (("glass ionomer*" OR glass-ionomer* OR resin*) AND seal*)
AND
(caries or decay or deminerali* or reminerali* or carious or cavit* or (teeth and lesion*) or (tooth and lesion*) or (dental and lesion*)) AND (school* and (program* or campaign* or curricul* or train* or teach*))
CENTRAL
- MeSH descriptor Tooth demineralization explode all trees
- (caries in All Text or carious in All Text)
- (teeth in All Text and (cavit* in All Text or caries in All Text or carious in All
- Text or decay* in All Text or lesion* in All Text or deminerali* in All Text or reminerali* in All Text) )
- (tooth in All Text and (cavit* in All Text or caries in All Text or carious in All
- Text or decay* in All Text or lesion* in All Text or deminerali* in All Text or reminerali* in All Text) )
- (dental in All Text and (cavit* in All Text or caries in All Text or carious in All
- Text or decay* in All Text or lesion* in All Text or deminerali* in All Text or
- reminerali* in All Text) )
- (enamel in All Text and (cavit* in All Text or caries in All Text or carious in All
- Text or decay* in All Text or lesion* in All Text or deminerali* in All Text or
- reminerali* in All Text) )
- (dentin in All Text and (cavit* in All Text or caries in All Text or carious in All
- Text or decay* in All Text or lesion* in All Text or deminerali* in All Text or reminerali* in All Text) )
- (root* in All Text and (cavit* in All Text or caries in All Text or carious in All Text or decay* in All Text or lesion* in All Text or deminerali* in All Text or reminerali* in All Text) )
- MeSH descriptor Dental plaque this term only
- ( (teeth in All Text or tooth in All Text or dental in All Text or enamel in All Text
- or dentin in All Text) and plaque in All Text)
- MeSH descriptor Dental health surveys explode all trees
- ("DMF Index" in All Text or "Dental Plaque Index" in All Text)
- (#1 or #2 or #3 or #4 or #5 or #6 or #7 or #8 or #9 or #10 or #11 or #12)
- MeSH descriptor Pit and fissure sealants this term only
- (fissure in All Text near/6 seal* in All Text)
- (dental in All Text near/3 sealant* in All Text)
- (resin* in All Text near/4 sealant* in All Text)
- (compomer* in All Text near/4 sealant* in All Text)
- (composite* in All Text near/4 sealant* in All Text)
- MeSH descriptor Glass ionomer cements explode all trees
- MeSH descriptor Resins, synthetic explode all trees
- ("glass ionomer*" in All Text or glassionomer* in All Text or glass-ionomer* in
- (#20 or #21 or #22)
- sealant* in All Text
- (#23 and #24)
- (#14 or #15 or #16 or #17 or #18 or #19 or #25)
- (#13 and #26)
- MeSH descriptor Schools this term only
- ( (school in All Text near/5 program* in All Text) or (school in All Text near/5
- campaign* in All Text) or (school in All Text near/5 train* in All Text) or (school* in All Text near/5 teach* in All Text) or (school in All Text near/5 curricul* in All Text) )
- (#28 or #29)
- (#13 and #30)
- (#31 or #27)
MEDLINE via OVID
- exp TOOTH DEMINERALIZATION/
- (caries or carious).mp.
- (teeth adj5 (cavit$ or caries$ or carious or decay$ or lesion$ or deminerali$ or reminerali$)).mp.
- (tooth adj5 (cavit$ or caries$ or carious or decay$ or lesion$ or deminerali$ or reminerali$)).mp.
- (dental adj5 (cavit$ or caries$ or carious or decay$ or lesion$ or deminerali$ or reminerali$)).mp.
- (enamel adj5 (cavit$ or caries$ or carious or decay$ or lesion$ or deminerali$ or reminerali$)).mp.
- (dentin$ adj5 (cavit$ or caries$ or carious or decay$ or lesion$ or deminerali$ or reminerali$)).mp.
- (root$ adj5 (cavit$ or caries$ or carious or decay$ or lesion$ or deminerali$ or reminerali$)).mp.
- Dental plaque/
- ((teeth or tooth or dental or enamel or dentin) and plaque).mp.
- exp DENTAL HEALTH SURVEYS/
- ("DMF Index" or "Dental Plaque Index").mp.
- or/1-12
- "Pit and Fissure Sealants"/
- (fissure$ adj6 seal$).mp.
- (dental adj3 sealant$).mp.
- (resin$ adj4 sealant$).mp.
- (compomer$ adj4 sealant$).mp.
- (composite$ adj4 sealant$).mp.
- exp Glass Ionomer Cements/
- exp Resins, synthetic/
- ("glass ionomer$" or glassionomer$ or glass-ionomer$).mp.
- 20 or 21 or 22
- sealant$.mp.
- 23 and 24
- 14 or 15 or 16 or 17 or 18 or 19 or 25
- 13 and 26
- Schools/
- (school$ adj5 (program$ or campaign$ or curricul$ or train$ or teach$)).mp
- 28 or 29
- 30 and 13
- 27 or 31
- case reports.pt.
- Comment/
- Letter/
- Editorial/
- or/33-36
- 32 not 37
- exp animals/ not humans.sh.
- 38 not 39
EMBASE via OVID
- exp DENTAL CARIES/
- (caries or carious).mp.
- (teeth adj5 (cavit$ or caries$ or carious or decay$ or lesion$ or deminerali$ or
- (tooth adj5 (cavit$ or caries$ or carious or decay$ or lesion$ or deminerali$ or
- (dental adj5 (cavit$ or caries$ or carious or decay$ or lesion$ or deminerali$ or reminerali$)).mp.
- (enamel adj5 (cavit$ or caries$ or carious or decay$ or lesion$ or deminerali$ or reminerali$)).mp.
- (dentin$ adj5 (cavit$ or caries$ or carious or decay$ or lesion$ or deminerali$
- (root$ adj5 (cavit$ or caries$ or carious or decay$ or lesion$ or deminerali$ or
- TOOTH PLAQUE/
- ((teeth or tooth or dental or enamel or dentin) and plaque).mp.
- ("DMF Index" or "Dental Plaque Index" or "Dental Health Survey$").mp.
- or/1-11
- "Fissure Sealant"/
- (fissure$ adj6 seal$).mp.
- (dental adj3 sealant$).mp.
- (resin$ adj4 sealant$).mp.
- (compomer$ adj4 sealant$).mp.
- (composite$ adj4 sealant$).mp.
- Glass Ionomer/
- exp Resins/
- ("glass ionomer$" or glassionomer$ or glass-ionomer$).mp.
- 19 or 20 or 21
- sealant$.mp.
- 22 and 23
- 13 or 14 or 15 or 16 or 17 or 18 or 24
- 12 and 25
- School/
- (school$ adj5 (program$ or campaign$ or curricul$ or train$ or teach$)).mp.
- 27 or 28
- 12 and 29
- 30 or 26
- exp animals/
- exp human/
- 33 not 32
- 31 and 34
Economic Review
No content is available for this section.
Ahovuo-Saloranta A, Forss H, Walsh T, Hiiri A, Nordblad A, Mäkelä M, Worthington HV. (2013) Sealants for preventing dental decay in the permanent teeth. 'Cochrane Database of Systematic Reviews 2013', Issue 3. Art. No.: CD001830. DOI: 10.1002/14651858.CD001830.pub4