Indications:
· Tooth with high caries risk, susceptible tooth morphology (deep grooves, fissures, pits), and poor oral hygiene
Contraindications:
· Tooth that cannot be adequately isolated
· Tooth with decay into dentin
· Uncooperative Patient
Procedure
1. Clean tooth well with pumice or toothbrush. Get start check.
2. Mouth prop placed. Isolate with rubber dam. Cotton Roll isolation can be used only with the Resident or Attending’s permission. Alternate option such as Isolite system is available.
3. Etch for 20 Seconds
4. Rinse well, dry to chalky white
5. Apply bonding agent
6. Cure for 15 seconds
7. Apply sealant only in grooves, not onto cusp tips or walls. Seal all grooves, including buccal and lingual grooves, and the groove associated with a prominent Cusp of Carabelli on permanent maxillary first molars (and some primary maxillary second molars)
a. Application of sealant materials can be facilitated by using:
i. Microbush
ii. Sealant application tip
iii. Dycal instrument
iv. Dental probe
8. Cure for minimum 40 seconds, wipe cured surface with gauze/ cotton roll, evaluate for full cure and retention with explorer
9. Remove rubber dam, mouth prop, any gauze or cotton rolls and check occlusion - adjust as needed with a medium round bur