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In Germany, the application of resin-based pits and fissures sealants on the occlusal surfaces of permanent molars is part of individual prophylaxis for children and adolescents between six and 18 years. The individual prophylaxis is covered by the Statutory Health Insurance since 1993. The report addresses questions on medical effectiveness, cost-effectiveness, as well as ethical, social, and legal implications of pit and fissure sealants in preventing dental caries for children and adolescents at high caries risk. The results of the studies indicate a protective effect of pit and fissure sealants, particularly for children and adolescents at high caries risk. Additionally, the economic evaluation suggests a tendency for cost savings in this group. Nevertheless, a general expansion of the intervention cannot be recommended. All studies show a risk of bias in favour of pit and fissure sealing and a limited transferability to the German health care system. Studies included in the economic evaluation revealed methodological flaws. Both the economic models and primary studies do not provide reliable results. [ABSTRACT FROM AUTHOR]

Einleitung: Die Interventionsmaßnahme „fit für pisa“ ergänzt während der gesamten 4-jährigen Grundschulzeit die obligatorischen zwei Schulstunden Sport/Woche durch drei weitere Sportstunden an fünf Grundschulen in Göttingen. Die von 2007-2010 BMBF-geförderte Evaluationsstudie soll Aufschluss darüber geben, inwieweit sich ein quantitativ gesteigerter und qualitativ verbesserter Sportunterricht auf Gesundheit und Bewegungsverhalten von Schülern nachhaltig auswirkt. [ABSTRACT FROM AUTHOR]