AAPD Reference Manual 2022-2023
CLINICAL PRACTICE GUIDELINES: PIT AND FISSURE SEALANTS
EVIDENCE PROFILE: POLYACID-MODIFIED RESIN SEALANTS COMPARED WITH RESIN-BASED SEALANTS IN PIT-AND- FISSURE OCCLUSAL SURFACES IN CHILDREN AND ADOLESCENTS *
sTable 6.
QUALITY ASSESSMENT No. of Studies
Study Design Risk of Bias Inconsistency Indirectness
Imprecision Other Considerations
&DULHV LQFLGHQFH IROORZ XS UDQJH \ ‡ 5DQGRPL]HG WULDOV
6HULRXV §
1RW VHULRXV
1RW VHULRXV
9HU\ VHULRXV ¶
1RQH
&DULHV LQFLGHQFH IROORZ XS UDQJH \ QRW UHSRUWHG —** — — &DULHV LQFLGHQFH IROORZ XS UDQJH \ RU PRUH QRW UHSRUWHG — — —
—
—
—
—
—
—
—
—
/DFN RI UHWHQWLRQ IROORZ XS UDQJH \ 5DQGRPL]HG WULDOV
6HULRXV §
6HULRXV ††
1RW VHULRXV
6HULRXV ‡‡
1RQH
/DFN RI UHWHQWLRQ IROORZ XS UDQJH \ QRW UHSRUWHG — — — /DFN RI UHWHQWLRQ IROORZ XS UDQJH \ RU PRUH QRW UHSRUWHG — — —
—
—
—
—
—
—
—
—
PATIENTS (N)
EFFECT
QUALITY IMPORTANCE
3RO\DFLG PRGL¿HG resin sealants
Resin-based sealants †
Relative odds ratio FRQ¿GHQFH interval)
Absolute FRQ¿GHQFH LQWHUYDO
#
WR
PRUH SHU IHZHU PRUH PRUH SHU IHZHU PRUH PRUH SHU PRUH IHZHU
9HU\ ORZ
&ULWLFDO
—
—
—
—
—
—
—
—
—
–
IHZHU SHU IHZHU PRUH
9HU\ ORZ
,PSRUWDQW
—
—
—
—
—
—
—
—
—
—
* Sources: Gungor and colleagues s22 and Pardi and colleagues. s18 * * Dashes indicate data not available. † The percentages (30% and 70%) indicate the control group baseline risk (caries prevalence). †† Unexplained heterogeneity ( P <.00001, I 2 =97%). ‡ The studies only reported the outcome in patients who were caries-free. No subgroup analysis was conducted. ‡‡ 95% confidence interval suggests a large benefit and a large harm (95% confidence interval, 88% reduction-521% increase). § The 2 studies were classified as "unclear" risk of bias for the domain "allocation concealment". ¶ 95% confidence interval suggests a large benefit and a large harm (95% confidence interval, 52% reduction-114% increase). # 1of 2 studies reported being conducted in water-fluoridated communities.
220
THE REFERENCE MANUAL OF PEDIATRIC DENTISTRY
Made with FlippingBook flipbook maker