CC BY 4.0 · Journal of Health and Allied Sciences NU 2024; 14(04): 441-447
DOI: 10.1055/s-0043-1775589
Review Article

Generating Evidence Through Meta-Analysis on Awareness among Parents Regarding Pit and Fissure Sealant as a Preventive Dental Treatment

Kabir S. Dash
1   Department of Public Health Dentistry, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India
,
1   Department of Public Health Dentistry, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India
,
Ladusingh Rajpurohit
1   Department of Public Health Dentistry, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India
,
Sonal Kale
2   Independent Researcher, Pune, Maharashtra, India
,
Sneha Kalpe
1   Department of Public Health Dentistry, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India
,
Priyanka Kharat
1   Department of Public Health Dentistry, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India
› Author Affiliations

Abstract

Dental caries is a global burden for oral health. Pit and fissure sealants applied in childhood can help prevent caries; however, knowledge and awareness among parents regarding the prophylactic benefit of dental sealants are uncertain. This review was conducted with an aim to assess the awareness of parents toward pit and fissure sealants globally. A bibliographic search in the biomedical databases was conducted from inception till December 2022 with no restrictions on the language. The quality assessment of the studies was performed using the quality assessment checklist for analytical cross-sectional studies. The search found 12 eligible publications that were included in the review. Intraexaminer reliability Cohen's kappa (κ = 0.96) was assessed between two reviewers who independently screened, extracted data from included studies, and assessed risk of bias. Ten studies were found to have high risk while two had low risk of bias. The knowledge and awareness among parents regarding dental sealants ranged from 10.4 to 71%. The pooled data of 12 studies showed the overall knowledge of parents toward pit and fissure sealant to be 29%. Parents are found to be aware and supportive toward the usage of dental sealant as a caries preventive agent for their children. However, the level of awareness regarding pit and fissure sealant in this review varied from low to high which was not dependent on the parent's level of education, and overall awareness was found to be poor. Moreover, majority of the studies had high risk of bias. Future studies should strive for better methodological standards to avoid bias.

Ethical Approval

This review has obtained institutional research committee approval.




Publication History

Article published online:
15 November 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Colombo S, Paglia L. Dental sealants. Part 1: prevention first. Eur J Paediatr Dent 2018; 19 (01) 80-82
  • 2 Pandey P, Nandkeoliar T, Tikku AP, Singh D, Singh MK. Prevalence of dental caries in the Indian population: a systematic review and meta-analysis. J Int Soc Prev Commun Dent 2021; 11 (03) 256-265
  • 3 Beauchamp J, Caufield PW, Crall JJ. et al; American Dental Association Council on Scientific Affairs. Evidence-based clinical recommendations for the use of pit-and-fissure sealants: a report of the American Dental Association Council on Scientific Affairs. J Am Dent Assoc 2008; 139 (03) 257-268
  • 4 Holmgren C, Gaucher C, Decerle N, Doméjean S. Minimal intervention dentistry II: part 3. Management of non-cavitated (initial) occlusal caries lesions–non-invasive approaches through remineralisation and therapeutic sealants. Br Dent J 2014; 216 (05) 237-243
  • 5 Beltrán-Aguilar ED, Barker LK, Canto MT. et al; Centers for Disease Control and Prevention (CDC). Surveillance for dental caries, dental sealants, tooth retention, edentulism, and enamel fluorosis–United States, 1988-1994 and 1999-2002. MMWR Surveill Summ 2005; 54 (03) 1-43
  • 6 Daly B, Batchelor P, Treasure ET, Watt R. Essential Dental Public Health. 2nd ed.. Oxford University Press; London, England: 2013
  • 7 Hashim K, Rehman K, Rasool G. Awareness of parents about dental diseases and their prevention in children. Pak Oral Dental J 2009; 29: 93-98
  • 8 Saldūnaitė K, Bendoraitienė EA, Slabšinskienė E, Vasiliauskienė I, Andruškevičienė V, Zūbienė J. The role of parental education and socioeconomic status in dental caries prevention among Lithuanian children. Medicina (Kaunas) 2014; 50 (03) 156-161
  • 9 Crall JJ, Donly KJ. Dental sealants guidelines development: 2002-2014. Pediatr Dent 2015; 37 (02) 111-115
  • 10 Gurunathan D, Moses J, Arunachalam SK. Knowledge, attitude, and practice of mothers regarding oral hygiene of primary school children in Chennai, Tamil Nadu, India. Int J Clin Pediatr Dent 2018; 11 (04) 338-343
  • 11 Kaur S, Telgi RL, Tandon V, Kaur R, Bhattacharyya S. Parents outlook on preventive dental modalities for their children in Udham Singh Nagar, India. J Educ Health Promot 2019; 8: 60
  • 12 Lakshmanan L, Gurunathan D. Parents' knowledge, attitude, and practice regarding the pit and fissure sealant therapy. J Family Med Prim Care 2020; 9 (01) 385-389
  • 13 Deep A, Thomas AM, Singh N. Parental knowledge and attitude toward pit and fissure sealants and fluoride therapy in children: a questionnaire study. CHRISMED J Health Res 2020; 7: 202-205
  • 14 Sabbagh HJ, Alghamdi DS, Almutairi WM, Alshahrani SA, Alghamdi AS. Knowledge and practices for early childhood caries prevention among parents of the children visiting King Abdulaziz University Pediatric Dental Clinics, Kingdom of Saudi Arabia. J Contemp Dent 2019; 2: 53-58
  • 15 Zakirulla M, Mustafa MM, Ravi KS, Alwabel YS, Aldayel MA, Alshareef WS. Knowledge of mothers about use of fissure sealant therapy and professional fluoride therapy among children in Saudi Arabia. Trop J Pharm Res 2019; 18: 2189-2195
  • 16 Almalki SA, Almutairi MS, Alotaibi AM, Almutairi AS, Albudayri LM, Almutairi RZ. Parental attitude and awareness toward preventive dentistry in Riyadh, Saudi Arabia: a cross-sectional study. J Pharm Bioallied Sci 2021; 13 (Suppl. 01) S257-S262
  • 17 Duguma FK, Zemed B. Assessment of Knowledge, Attitude and Practice (KAP) of parents towards childhood dental caries attending pediatrics and dental clinic at ALERT Center, Addis Ababa, Ethiopia, January 2018. Adv Dent Oral Health 2019; 11: 29-42
  • 18 Hussein AS, Abu-Hassan MI, Schroth RJ, Ghanim AM. Parent's perception on the importance of their children's first dental visit (a cross-sectional pilot study in Malaysia). J Oral Res 2013; 1: 17-25
  • 19 Mafeni JO, Messer LB. Parental knowledge and attitudes towards pit and fissure sealants. Aust Dent J 1994; 39 (03) 172-180
  • 20 Baradaran Nakhjavani Y, Forutan S, Baradaran Nakhjavani F. Mothers' knowledge about fluoride therapy and fissure sealants. J Oral Health Oral Epidemiol 2013; 2: 1-5
  • 21 Nair BG, Singh S. Parental perspectives on self-care practices and dental sealants as preventive measures for dental caries. S Afr Dent J 2016; 71 (04) 156-160
  • 22 Junger ML, Griffin SO, Lesaja S, Espinoza L. Awareness among US adults of dental sealants for caries prevention. Prev Chronic Dis 2019; 16: E29
  • 23 Al Mutairi MA. Parental comprehension about use of fissure sealants and fluorides in their children and effects on oral health of the children. J Dent Res 2020; 2: 1010