Shreezal G C, Naveen Adhikari
Decomposing inequality in Maternal and Child Health (MCH) services in Nepal
BMC public health
aim present observational study assess effect number timing placing fissure sealants fs caries prevalence elementary school children reallife conditions methods oral health data 7 10yearold elementary school children n505 attending 4 consecutive annual checkups 2004 2009 extracted public health service database number intact fs number teeth affected caries scored according standard 1997 results 349 pupils least one 10 4 fs children without fs higher dental caries rate compared peers fs 02 dt04 dmft vs 01 dt02 dmft pupils 4 fs showed lowest number teeth caries 0 dt0 dmft children early application fs lower dcomponent children later missing application 01 dt vs 02 dt pupils less 4 fs higher risk developing caries permanent dentition compared peers 4 fs 436 conclusion fs effective caries preventive measure reallife conditions early application sealing 4 molars optimize prevention caries permanent dentition