{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T08:01:35Z","timestamp":1780732895764,"version":"3.54.1"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Public Health Dent"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study examined the effects of dental sealant insurance coverage on trends in pit and fissure sealant (PFS) use, decayed, missing, and filled teeth (DMFT) rates, and filled teeth (FT) rates among Korean adolescents, using data from the Korean Youth Risk Behavior Survey (2005\u20132024) and the Korean National Health and Nutrition Examination Survey (2007\u20132015).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from participants aged 12\u201318\u2009years were analyzed. The proportion of PFS use referred to the proportion of respondents who answered \u201cyes\u201d to the question \u201cHave you received PFS in the past 12 months?\u201d in the survey. DMFT and FT were classified based on oral examination criteria from 2007 to 2015. Statistical analyses were conducted using Joinpoint regression (version 4.8.0.1) and PROC SURVEYLOGISTIC in SAS 9.4 to estimate the annual percent change (APC), odds ratios, and 95% confidence intervals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      PFS use increased until 2018 (APC\u2009=\u2009+1.5%) and declined slightly thereafter until 2024, whereas DMFT and FT rates decreased from 2007 to 2015. Dental sealant insurance coverage was significantly associated with higher PFS use and lower DMFT and FT rates (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Dental sealant insurance coverage effectively improved oral health and reduced dental caries among Korean adolescents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jphd.70052","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T03:22:47Z","timestamp":1773199367000},"page":"213-219","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trends in Pit and Fissure Sealant Use and Decayed, Missing, and Filled Teeth Rates Among Korean Adolescents After Including Dental Sealants Under Insurance Coverage"],"prefix":"10.1111","volume":"86","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6013-1034","authenticated-orcid":false,"given":"Mina","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Dental Hygiene, The Graduate School Yonsei University  Wonju Gangwon\u2010do South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7234-9226","authenticated-orcid":false,"given":"So\u2010Jung","family":"Mun","sequence":"additional","affiliation":[{"name":"Department of Dental Hygiene, College of Software and Digital Healthcare Convergence Yonsei University  Wonju Gangwon\u2010do South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7578-782X","authenticated-orcid":false,"given":"Sun\u2010Young","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Dental Hygiene, College of Software and Digital Healthcare Convergence Yonsei University  Wonju Gangwon\u2010do South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3367-5894","authenticated-orcid":false,"given":"Han\u2010Na","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Dental Hygiene, College of Software and Digital Healthcare Convergence Yonsei University  Wonju Gangwon\u2010do South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3725-8868","authenticated-orcid":false,"given":"Jung Yun","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Dental Hygiene, College of Software and Digital Healthcare Convergence Yonsei University  Wonju Gangwon\u2010do South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8698-3380","authenticated-orcid":false,"given":"Hiejin","family":"Noh","sequence":"additional","affiliation":[{"name":"Department of Dental Hygiene, College of Software and Digital Healthcare Convergence Yonsei University  Wonju Gangwon\u2010do South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"World Health Organization \u201cPrevention and Treatment of Dental Caries With Mercury\u2010Free Products and Minimal Intervention [Internet] \u201d(World Health Organization: 2022) https:\/\/www.who.int\/publications\/i\/item\/9789240046184."},{"issue":"7","key":"e_1_2_10_3_1","article-title":"Pit and Fissure Sealants for Preventing Dental Decay in Permanent Teeth","volume":"7","author":"Ahovuo\u2010Saloranta A.","year":"2017","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_10_4_1","unstructured":"Washington State Health Care Authority \u201cDental\u2010Related Services Program Billing Guide [Internet] \u201d(Olympia (WA) Washington State Health Care Authority: 2021) 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Sealant to Prevent Children's Dental Caries Will Be Covered by Insurance From December [Internet] \u201d(Seoul (KR) Ministry of Health and Welfare: 2009) https:\/\/www.mohw.go.kr\/board.es?mid=a10503010100&bid=0027&act=view&list_no=223789&tag=&nPage=969."},{"key":"e_1_2_10_9_1","unstructured":"Ministry of Health and Welfare \u201cInsurance Coverage for Pit and Fissure Sealant to Prevent Children's Dental Caries Will Be Expanded From October 1 [Internet] \u201dSeoul (KR) Ministry of Health and Welfare: 2012) https:\/\/www.mohw.go.kr\/board.es?mid=a10503010100&bid=0027&tag=&act=view&list_no=274572&cg_code=."},{"key":"e_1_2_10_10_1","unstructured":"E. 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