Fissure Sealants
“The professional application of dental sealants onto the chewing surfaces of teeth is an important caries-preventive measure that complements the use of fluoride… their use in combination, has the potential of virtually eliminating dental caries in all children.” – U.S. Surgeon General’s Report.
- What are fissure sealants?
- When should a tooth be sealed?
- Which teeth should be sealed?
1. What are fissure sealants?
- Fissure sealants are plastic coatings that help to prevent tooth decay when applied to the chewing surfaces of teeth.
- The chewing surfaces of the molar and pre-molar permanent teeth are pitted and grooved with lines and fissures, which are difficult to clean. Decay-causing bacteria thrive in these areas.
- When a fissure sealant is placed into these grooves and fissures, it shields them from plaque and food particles. This reduces the risk of decay.
- The sealant is applied to a dry tooth and is then chemically bonded to it.
- It is a painless and quick treatment. No local anaesthetic is needed.
- Sealants are tooth-coloured and are quite unobtrusive.
- They can last for many years.
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2. When should a tooth be sealed?
- A tooth should be sealed soon after it has erupted.
- A newly erupted tooth is not yet fully calcified (hardened) and is susceptible to decay.
- The sooner it can be protected by a fissure sealant, the better.
- These sealants will be checked by your dentist every six months, as part of the professional oral care program.
- Sealants can be repaired or replaced if necessary.
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3. Which teeth should be sealed?
- The permanent molars are usually the teeth to be sealed.
- Where pre-molar teeth are deeply grooved or pitted, they should also be treated.
- As much as 90% of all dental caries in schoolchildren occurs in pits and fissures. The teeth at highest risk by far are the permanent first and second molars.
- Baby teeth are not usually treated in this way. However, if the baby teeth are very decayed, it is a sign that the child is susceptible to tooth decay.
The permanent teeth should then be sealed as soon as possible after they erupt.
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