Abstract
This paper reviews the literature and discusses the latest updates on the use of pit and fissure sealants. It demonstrates the effectiveness of pit and fissure sealants in preventing caries and the management of early carious lesions. It compares the use of different sealant materials and their indications. It describes the application technique for sealants. It also reviews the cost-effectiveness of sealants as a preventive strategy. From this review and after the discussion of recently published studies on pit and fissure sealants, it is evident that sealants are effective in caries prevention and in preventing the progression of incipient lesions. It is therefore recommended that pit and fissure sealant be applied to high-caries-risk children for optimum cost-effectiveness. It is a highly sensitive technique that needs optimum isolation, cleaning of the tooth surface, etching, and the application of a thin bonding layer for maximum benefit. Recall and repair, when needed, are important to maximize the effectiveness of such sealant use.
Highlights
Dental caries is a multifactorial disease caused by alteration in the composition of the bacterial biofilm, leading to an imbalance between the demineralization and remineralization processes and manifested by the formation of caries lesions in primary and permanent dentitions [1]
When resin is incorporated with glass ionomer, it is called a resin-modified glass ionomer (RMGI)
Thirty-nine molar pairs were included in the trial. Both types of sealants had no significant difference in their retention rates; the marginal staining was significantly higher for resin-based sealants (RBSs)
Summary
Dental caries is a multifactorial disease caused by alteration in the composition of the bacterial biofilm, leading to an imbalance between the demineralization and remineralization processes and manifested by the formation of caries lesions in primary and permanent dentitions [1]. 6–11, and 58% of children, aged 12–19, were diagnosed with dental caries in their permanent teeth When comparing this data to the earlier survey of 1999–2004, an overall decline in the prevalence of caries in primary teeth and a slight decrease in the caries percentage in permanent teeth was noticed [2,3] (Table 1). This decrease was not found to be uniform across different age groups or consistent with sociodemographic status and different tooth surface sites. The aim of this paper was to review the literature regarding the latest updates on the use of pit and fissure sealants on primary and permanent molars in children and adolescents
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