 Sealants and Prevention
Good oral hygiene is essential to decay prevention. Good oral
hygiene means, in large part, not letting foodstuffs remain in the mouth for long. This
goal can be accomplished by appropriate food selection and through Brushing and Flossing.
Unfortunately, there are often deep pits and grooves on the chewing surfaces of certain
teeth which cannot be effectively reached during either brushing or flossing. For these
areas it makes sense to prevent food material from getting into these crevices. The dental
materials used to make this possible are called, appropriately enough, sealants.
How Do Sealants Work?
A sealant is a thin covering over those tiny imperfections in
teeth which trap food and plaque. Sealants can be clear or appropriately tinted to assist
identification after being applied to the pits and grooves. They are usually applied to
the back teeth which are most decay prone.
Isn't Fluoride Adequate Protection?
Fluoride is effective in preventing decay on the
smooth surfaces of the teeth. It is far less effective, however in the tiny areas to which
sealants would be applied. Sealants are recommended for all children with deep grooves in
back teeth. They are particularly appropriate for first permanent (6 year) molars since
these teeth are notorious for deep pit and groove development and erupt during more cavity
prone ages.
How Long Do Sealants Last?
Sealants are normally effective for several years. They cannot be
properly examined with just the naked eye. Your dentist will monitor the state of the
sealants over the years and let you know if and when they should be redone. Longevity of
sealants greatly depends upon eating habits. Chewing ice, hard popcorn kernels and
"sticky" candies often results in less retention time of sealants.
What is the Process?
- Cleaning of the teeth to be sealed.
- Etching (roughening) of the tooth surface so
that the sealant will adhere better.
- Application of the sealant material which quickly hardens.
Sealants can be very effective in preventing more
costly dental procedures in the future. |