How to clean the tooth surface before sealant application Critical Summary Prepared by: Paul Farsai DMD; Sergio Uribe DDS; Kate Vig BDS, MS, FDS, Dorth 

A Critical Summary of:

A comparison of the effects of toothbrushing and handpiece prophylaxis on retention of sealants

Kolavic Gray S, Griffin SO, Malvitz DM, Gooch BF. Journal of the American Dental Association. 2009;140(1):38-46

Published Date: 7/16/2010

This summary is published in the Journal of the American Dental Association and can be accessed at :-


  • Systematic Review Conclusion:

    Sealant retention after tooth surface cleaning with toothbrush prophylaxis was similar to that associated with handpiece prophylaxis.

  • Critical Summary Assessment:

    A review considering the best available evidence compared two surface-cleaning methods and found no difference in long term (five-year) sealant retention. Higher rates of retention were evident in the toothbrush prophylaxis groups at the end of the first year after sealant placement.

  • Evidence Quality Rating:


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