The aim of the present study was to evaluate the long-term results of a sys
tematic fissure sealing programme of the occlusal surfaces of newly erupted
permanent first molars. All 15-year-olds (n=815) who had been regularly tr
eated at seven Public Dental Service clinics in Jonkoping County, Sweden, s
ince the eruption of their permanent first molars participated in the study
. Data on fissure sealing and restorative treatment were extracted from the
dental records of the patients. When the patients were 15 years of age, it
was found that 6% of the original 2456 sealed occlusal permanent first mol
ars had received Class lr restorations. Seventy-eight per cent of the remai
ning 2322 sealed occlusal surfaces were judged to be caries-free by the chi
ld's ordinary dentist. This long-term retrospective study indicates that a
structured fissure sealing programme is of great benefit for oral health.