† The guideline panel suggests that clinicians should take into account the likelihood of experiencing lack of retention when choosing the type of sealant material most appropriate for a specific patient and clinical scenario. For example, in situations in which dry isolation is difficult, such as a tooth that is not fully erupted and has soft tissue impinging on the area to be sealed, then a material that is more hydrophilic (for example, glass ionomer) would be preferable to a hydrophobic resin-based sealant. On the other hand, if the tooth can be isolated to ensure a dry site and long-term retention is desired, then a resin-based sealant may be preferable.
Use of Pit-and-Fissure Sealants
October 1, 2016
External Publication Status
Country of Publication
This article presents evidence-based clinical recommendations for the use of pit-and-fissure sealants on the occlusal surfaces of primary and permanent molars in children and adolescents. A guideline panel convened by the American Dental Association (ADA) Council on Scientific Affairs and the American Academy of Pediatric Dentistry conducted a systematic review and formulated recommendations to address clinical questions in relation to the efficacy, retention, and potential side effects of sealants to prevent dental caries; their efficacy compared with fluoride varnishes; and a head-to-head comparison of the different types of sealant material used to prevent caries on pitsand-fissures of occlusal surfaces.
Target Patient Population
Child and Adlescents
Female, Male, Adolescent, Child
Health Care Settings
Childcare center, Outpatient, School
Dentist, dental other, dentist pediatric dentistrydentist, dental other, nurse, nurse practitioner, physician, physician assistant
D003731 - Dental Caries, D010895 - Pit and Fissure Sealants
Pit and fissure sealants, fluori
PEDIATRIC DENTISTRY V 38 / NO 5 SEP / OCT 16