Pit and Fissure Sealants: A Caries Preventive Tool

ISBN: 3659128546

Author: Marya, Charu Mohan

Condition: New

For more than 30 years, pit and fissure sealants have been recommended for caries prevention, along with good oral hygiene, optimal fluoridation, and healthy dietary habits. To be effective in the prevention of pit and fissure caries, a sealant must truly seal, i.e. it must completely keep out fermentable food substrates. The pits and fissures are approximately eight times as vulnerable for dental caries as the smooth surfaces. In practice, the benefit of sealing should be considered locally and specified guidelines for clinicians should be used. As part of the evidence-based approach to care, these clinical recommendations should be integrated with the practitioners professional judgment and the patients needs and preferences. This review demonstrates that there is some degree of latitude in operator preferences for sealant placement and material selection. Sealants should be placed as part of an overall prevention strategy based on assessment of caries risk.