Part 8: The use of pit and fissure sealants
in preventing caries in the permanent dentition of children.
Although only limited data are available regarding the prevalence of pit and fissure sealants
in Puerto Rican children, the "Administracion de Seguros de Salud de Puerto Rico", the agency that monitors the Health Reform Program, estimated an increase in dental sealant utilization in the first permanent molars of 8 year olds, from 2% in 1992 to 8% in 1998 (12).
Pit and fissure sealants
for preventing dental decay in the permanent teeth of children and adolescents.
7% complete retention 10 years after one single application of pit and fissure sealants
2,3,4) In this context, use of pit and fissure sealants
as an adjunct to oral health care strategies and fluoride therapy in preventing dental caries would be worthwhile.
By the mid 1970s, the American Dental Association (ADA) Council on Dental Materials and Devices had reviewed the status of pit and fissure sealants
and published its supportive opinions.
Success with pit and fissure sealants
is very dependent on technique.
EAPD guidelines for the use of pit and fissure sealants
The Importance of Pit and Fissure Sealants
in Caries Prevention
Clinical evaluation of a medium-filled flowable restorative material as a pit and fissure sealant
Jensen OE, Billings RJ, Featherstone JD: Clinical evaluation of FluroShield pit and fissure sealant
64] Amalgam restorations sealed with a pit and fissure sealant
exhibited significantly less microleakage and superior marginal integrity.
It is recommended that tactile detection of occlusal caries should be discontinued, and the probe used only to clean the pits and fissures gently for more accurate visual detection, or prior to pit and fissure sealant
The following services are available for $15 (free for CLC students with ID): teeth cleaning, X-rays, fluoride application, and pit and fissure sealants
7% of subjects had restorations and only 1% received pit and fissure sealants
, thus highlighting the need for preventive treatment.