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What are Dental Sealants? 4 Common Signs You Need a Dental Sealant

Tooth decay remains one of the most common chronic conditions affecting both children and adults worldwide. Despite regular brushing and flossing, the deep grooves and pits on tooth surfaces can harbor harmful bacteria and food particles that lead to cavities.

Dental sealants offer a proven preventive solution that has been protecting teeth for over 40 years. These thin protective coatings create an effective barrier against decay-causing bacteria, making them an invaluable tool in maintaining long-term oral health.

Understanding Dental Sealants

A dental sealant is a thin, plastic coating painted onto the chewing surfaces of teeth, primarily molars and premolars. This protective layer bonds quickly into the depressions and grooves of teeth, creating a smooth protective shield that keeps food particles and bacteria from settling into these cavity-prone areas. The sealant material is typically clear or slightly tinted, making it virtually invisible when talking or smiling.

4 Types of Dental Sealants

  • Glass Ionomer Sealants: Made from glass particles and organic acid, these sealants release fluoride over time, providing additional protection against tooth decay. They’re particularly beneficial for teeth that haven’t fully erupted and may be difficult to keep dry during application.
  • Resin-Based Sealants: The most common type, these sealants are made from a special plastic material that strongly bonds to the tooth surface. They’re highly durable and can last several years with proper care.
  • Polyacid-Modified Resin Sealants: A hybrid between glass ionomer and resin-based sealants, these combine the fluoride-releasing properties of glass ionomer with the durability of resin materials.
  • Composite Resin Sealants: Similar to tooth-colored filling materials, these sealants offer excellent durability and can be color-matched to the natural tooth surface for optimal aesthetics.

4 Common Signs You Need a Dental Sealant

Deep Pits and Fissures

Deep grooves and depressions in teeth, particularly molars, create natural hiding spots for bacteria and food debris. These areas are often difficult to clean effectively with regular brushing alone. When teeth have particularly deep fissures, dental professionals often recommend sealants as a preventive measure, even if no decay is present.

High Cavity Risk

Some individuals are naturally more susceptible to tooth decay due to genetics, medication use, or medical conditions that affect saliva production. A dental sealant provides an additional layer of protection for these high-risk patients, helping prevent cavity formation in vulnerable areas.

Early Enamel Changes

When dental professionals detect early signs of enamel demineralization but haven’t yet discovered actual cavity formation, they may recommend dental sealants as an intervention. This preventive approach can halt the progression of early decay and protect the tooth from further damage.

Post-Restoration Protection

After receiving a filling or other restoration, some patients benefit from having a dental sealant applied to protect the surrounding tooth surface. This additional barrier helps prevent future decay around the edges of the restoration and extends its longevity.

Who Should Get Dental Sealants?

Before getting a dental sealant, consulting with a qualified dental professional is essential. Dentists thoroughly examine the teeth to determine if sealants are the best preventive option based on factors like tooth anatomy, decay risk, and overall oral health. They also assess whether existing decay needs treatment before sealant application, ensuring the most effective long-term protection.

5 Ideal Candidates for a Dental Sealant

  • Children and Teenagers: Young patients between ages 6-14 are prime candidates for dental sealants, as this is when permanent molars first emerge. Early protection during these cavity-prone years can prevent decay and costly treatments later.
  • Adults with Healthy Molars: While typically applied in childhood, adults with deep grooves in their teeth and no existing decay can benefit from dental sealants to prevent future cavities.
  • Individuals with Deep Tooth Grooves: People whose teeth have particularly deep pits and fissures that trap food easily are excellent candidates, regardless of age.
  • Patients with Limited Dexterity: Those who struggle with thorough brushing due to physical limitations can gain extra protection through sealants.
  • High-Risk Decay Patients: Individuals with a history of frequent cavities or medical conditions affecting oral health can benefit from the additional protection sealants provide.

4 Contraindications and Alternative Treatments

  • Active Tooth Decay: Sealants cannot be applied over existing cavities. Alternative: Treat the decay with an appropriate restoration such as a dental filling or a crown, then consider sealants for remaining healthy surfaces.
  • Severely Worn or Damaged Teeth: Teeth with significant wear patterns or structural damage may not hold sealants effectively. Consider dental bonding or crowns for comprehensive protection.
  • Cracked or Fractured Teeth: Sealants won’t adhere properly to cracked surfaces. Repair the crack with bonding or a dental crown before considering sealants for other teeth.
  • Deep Periodontal Disease: Active gum disease can affect the success of sealant application. Treat the periodontal condition first through deep cleaning and proper oral hygiene.

What Happens When You Get a Dental Sealant?

  1. Thorough Cleaning: The dentist carefully cleans the tooth surface using specialized tools to remove any plaque, food debris, or stains. This ensures optimal sealant adhesion.
  2. Surface Preparation: An etching solution is applied to roughen the tooth surface microscopically, creating a better bonding surface for the dental sealant material.
  3. Isolation and Drying: The tooth is isolated using cotton rolls or a dental dam and thoroughly dried. Keeping the area completely dry is crucial for proper sealant bonding.
  4. Sealant Application: The liquid dental sealant material is carefully painted onto the tooth surface, flowing into all pits and grooves to create a protective barrier.
  5. Curing Process: A special blue light is used to harden the sealant material, typically taking only 30-60 seconds per tooth.
  6. Final Check: The dentist verifies the sealant’s hardness and coverage, checking bite alignment and making any necessary adjustments.
  7. Post-Application Instructions: The patient receives guidance on caring for their newly sealed teeth, including when they can eat and drink, and how to maintain the sealants.
  8. Follow-up Schedule: A monitoring plan is established to check the dental sealant integrity during regular dental visits, typically every 6 months.

4 Benefits of Getting a Dental Sealant

Cavity Prevention

A dental sealant creates an impenetrable barrier against harmful bacteria and food debris that cause tooth decay. This protective shield is particularly effective on the chewing surfaces of back teeth, where most cavities typically form. Studies show that sealants can reduce the risk of decay in molars by up to 80% in the first two years after application.

Cost-Effective Prevention

Prevention through dental sealants costs significantly less than treating cavities with fillings, crowns, or other restorative procedures. One dental sealant can protect a tooth for several years, making it a smart investment in long-term oral health. The initial cost of sealants is often covered by dental insurance, especially for children.

Quick and Painless Protection

Unlike many dental procedures, getting a dental sealant requires no drilling, anesthesia, or recovery time. The entire process takes just a few minutes per tooth and can be completed during a routine dental visit. Patients can immediately return to their normal activities, including eating and drinking.

Long-Lasting Results

When properly maintained, dental sealants can effectively protect teeth for up to 10 years. Regular dental check-ups allow dentists to monitor the condition of sealants and reapply them if necessary. This long-term protection is especially valuable during cavity-prone years in childhood and adolescence.

7 Tips for Maintaining Your Dental Sealant

  • Practice Regular Oral Hygiene: Brush teeth twice daily with fluoride toothpaste and floss at least once daily to maintain overall oral health and extend sealant life.
  • Use Proper Brushing Technique: Brush all tooth surfaces gently but thoroughly, paying special attention to the chewing surfaces where sealants are applied.
  • Avoid Hard Foods: Minimize consumption of extremely hard foods like ice or hard candy that could damage the dental sealant material.
  • Schedule Regular Check-ups: Visit the dentist every six months for professional cleaning and to check sealant integrity.
  • Report Any Changes: Contact your dentist if you notice any chips, cracks, or unusual feelings in sealed teeth.
  • Maintain a Healthy Diet: Limit sugary and acidic foods that can weaken tooth enamel and potentially affect sealant longevity.
  • Use a Soft-bristled Toothbrush: Replace your toothbrush every 3-4 months to ensure effective cleaning without damaging sealants.

Conclusion

Dental sealants represent one of the most effective preventive measures available in modern dentistry. Their ability to protect vulnerable tooth surfaces from decay, combined with their longevity and cost-effectiveness, makes them an invaluable tool in maintaining optimal oral health.

Ready to protect your teeth with dental sealants? Schedule an appointment with Sand Lake Dental today. Our experienced team will evaluate your needs and help you make the best decision for your oral health. Follow us on Facebook and Instagram for more dental tips, updates, and special offers to keep your smile bright and healthy.