Shadowing Case 6: Seal In That Tooth!

12/1/23

Today, an 11-year-old patient came in with a fast-growing second molar. To prevent cavities to form in the newly formed tooth during cavity-prone years, Dr. Kwon decided to place a sealant.

After placing the isolite to vacuum out excess saliva and debris, the dentist applied an acid solution that etched the surface of the tooth, slightly. The etched surface would help the sealant to bind/attach to the surface of the tooth. The sealant was then ready to be placed. It was a liquid coating placed over the tooth. The dentists then cured the coating until it was hardened. Then Dr. Kwon used articulating paper to ensure the shape of the tooth was suitable for the patient's bite.

Visually edited model of tooth with sealant

What is a sealant?

Sealant is a coating on top of the surface of the tooth acting as a barrier from food and bacteria. It prevents cavities and minor infections by acting as a "sticker" around the tooth.

For who are sealants for?

Sealants are usually applied to children and youth, especially when they grow their new permanent molars (like today's patient). They may also be used on baby teeth, over grooves that are difficult to clean.

Pros of sealants

- reduces cavities

- painless procedure, especially beneficial for children

-shields teeth from bacteria and small food particles in crevices difficult to reach through just brushing and flossing

Cons of sealants

-Cannot be utilized for severe cases including deep tooth decay, cavities, and infections

-If the sealant is resin-based, high concentration of BPA. BPA functions alike estrogens which may potentially cause side-effects

-Intensive brushing may weaken sealants and can be ineffective

-Temporary: sealants last around 5 years and must be replaced from time to time

How can you manage your sealants?

-Avoid sticky and hard foods that can potentially erode or damage your sealants. This includes chewy candy, popcorn, and jerky snacks

-Make sure you have routine checkups with your dentist, to ensure your sealant is in proper condition

Sources:

https://my.clevelandclinic.org/health/treatments/10912-sealants

https://www.portraitdentaledmonton.com/pros-and-cons-of-dental-sealants/#:~:text=The%20Cons%20of%20Dental%20Sealants&text=If%20a%20sealant%20is%20improperly,increase%20the%20chances%20of%20failure.

Oral health is FOR.ALL!