Taking care of your smile
Dental
Sealants
What are dental
sealants?
The
term dental sealant refers to a plastic the dentist bonds to the grooves
of the chewing surfaces of teeth to prevent dental caries.
Why
are dental sealants placed on teeth?
Dental caries is caused by a whitish film that accumulates on teeth,
known as dental plaque. The longer plaque remains in contact with
the tooth surface the higher the risk of producing a carious cavity.
The idea of toothbrushing is to remove ans deorganize plaque, but
some teeth due to their anatomy are harder to clean than others. Some
teeth, especially molars, are harder to clean because the grooves
of the chewing surface, the "pits and fissures" are narrow
and deep and the toothbrush bristles do not remove all the plaque,
increasing the risk of caries.The dentist can fight this situation
by bonding a plastic on these grooves. The result is that the tooth
surface is now flatter and smoother, and there are no areas where
the bristles cannot clean.
At
what age should sealants be placed?
Most sealants are placed in children. When placing the sealants, the
dentist should keep the tooth surface dry, this means that at least
the chewing surface should be erupted (outside the gum) and also that
the patient has and age in which there could be some degree of cooperation.The
specific age in which this combination of events is given may vary
from child to child.
Which
teeth should have sealants?
Tooth anatomy has much influence on the decision to seal or not,
deciduous (baby) teeth are generally flatter and smoother than permanent
teeth. Teeth more commonly in need of sealants are the molars. But
each case should be analized personally.
Should
sealants be placed always?
Not necessarily, after an examination, the dentist will inform you
which is more appropiate for your child. The tooth anatomy, the amount
of dental plaque and the history of fluoride treatments should be
considered before placing sealants.
How
long do sealants last?
Sealant longevity is variable. Any sealnt that has lasted 3 to 5 years
in the mouth should be considered succesful. It si common to see sealants
in adults that were placed during childhood. However, a sealant that
falls off or fractures befiore 3 to 5 years should not be considered
a failure. Any time that the sealant stays on the tooth is tiem that
the tooth was protected. It is important to check sealant integrity
periodically.