{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,23]],"date-time":"2025-08-23T00:05:29Z","timestamp":1755907529201,"version":"3.44.0"},"reference-count":47,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,12,13]],"date-time":"2024-12-13T00:00:00Z","timestamp":1734048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dental Hygiene"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study aimed to analyse the 2010\u20132018 cohort data of the National Health Insurance Service to examine the association between applying sealants in the first molars of children and their early dental impairment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Based on the two\u2010level mixed effect model (individual four teeth), the study participants were divided into two groups: those with sealants on all four first molars and those without sealants to determine the association between sealants and early impairment. We analysed teeth that had undergone extraction or canal filling to determine early impairment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The rate of early impairment in the first molars was approximately 7.4 times lower in the sealant group (0.65%) than in the non\u2010sealant group (4.83%). Early impairment of first molars was higher in females, medically cared for and in rural populations. It was also higher in the maxillary first molars (3.7%) than in the mandibular first molars (3.49%), in more rural areas, and in lower household income groups. In generalised linear mixed models, first molars with sealants were 14.9% less likely to have early impairment than those without sealants (<jats:italic>p<\/jats:italic>\u2009=\u20090.000).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The study findings suggest that applying sealants on the first molars is important to prevent early dental caries development and prolong the functional integrity of first molars. In addition, we found that maxillary first molars were more susceptible to early impairment than mandibular first molars, even when sealant was applied.<\/jats:p><\/jats:sec>","DOI":"10.1111\/idh.12896","type":"journal-article","created":{"date-parts":[[2024,12,14]],"date-time":"2024-12-14T00:48:21Z","timestamp":1734137301000},"page":"466-472","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Sealant and Early Impairment of First Molars in 6\u201314\u2010Year\u2010Olds: A 9\u2010Year Follow\u2010Up Using South Korean Cohort Data"],"prefix":"10.1111","volume":"23","author":[{"given":"Han\u2010A","family":"Cho","sequence":"first","affiliation":[{"name":"Department of Dental Hygiene Shinhan University  Uijeongbu\u2010si Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4058-2186","authenticated-orcid":false,"given":"Bo\u2010Young","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Dental Hygiene, College of Medical and Health Sciences Cheongju University  Cheongju Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hosung","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Social and Humanity in Dentistry, School of Dentistry Wonkwang University  Iksan Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,13]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.11149\/jkaoh.2015.39.3.174"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000019061"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.11149\/jkaoh.2013.37.2.103"},{"key":"e_1_2_11_5_1","first-page":"1035","article-title":"Health Condition of First Permanent Molars in Year 1977 and 2007 in Children in Istria (Croatia)","volume":"34","author":"Legovi\u0107 I.","year":"2010","journal-title":"Collegium Antropologicum"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/children10010061"},{"key":"e_1_2_11_7_1","first-page":"183","article-title":"Child Oral Health\u2010Related Quality of Life (COHQoL), Enamel Defects of the First Permanent Molars and Caries Experience Among Children in Western Australia","volume":"30","author":"Arrow P.","year":"2013","journal-title":"Community Dental Health"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1590\/0103\u20106440201600990"},{"key":"e_1_2_11_9_1","first-page":"39","article-title":"The Distribution of Caries on Different Tooth Surfaces at Varying Levels of Caries\u2014A Compilation of Data From 18 Previous Studies","volume":"9","author":"McDonald S. 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