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Sealing pits and fissures of permanent molars in children and adolescents is effective in controlling dental caries

Svetlana Tikhonova, DMD, MSc, PhD .


Systematic Review Conclusion

Sealants to prevent occlusal caries in permanent molars are recommended, but the benefits in different caries risk populations and types of sealants have yet to be established.

Critical Summary Assessment

Resin-based sealants in permanent molars reduces risk of experiencing caries up to 48 months compared with permanent molars without sealants; however, after longer follow-up, the quantity and quality of the evidence is reduced.

Evidence Quality Rating

Good Evidence

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

Critical Summary Publication Date:


These summaries are not intended to, and do not, express, imply, or summarize standards of care, but rather provide a concise reference for dentists to aid in understanding and applying evidence from the referenced systematic review in making clinically sound decisions as guided by their clinical judgment and by patient needs. American Dental Association © 2019