{1 - 24} GreyGrey
{25 - 49} GreenGreen
{50 - 499} BlueBlue
{500 - 4999} OrangeOrange
{5000 - 24999} RedRed
{25000+} BlackBlack

Please confirm that you would like to report this for an admin to review.


Sealants

My new boss wants me to advocate sealants to increase production. I really had very limited experience with sealants in school. Anytime there is a deep groove or staining in grooves I am pushed to suggest sealants. Do all teeth that have these characteristics need sealants? Maybe it’s lack of experience but I’ve been finding that If the grooves aren’t real deep or if there aren’t pits, I’m adding sealant where it’s not needed and then the patients bite feels off. Any tips or suggestions?



Confirm that you would like to Remove Email Alerts for your question. You cant undo this and you will not be able to re-subscribe.


1 Answer

The recommendation of the placement of sealants is based on tooth morphology (deep pits and fissures), status of the eruption, caries history, and future caries risk. I don’t believe that staining alone should be a reason for sealants, because like you mentioned, if the occlusal surfaces have well coalesced pits and fissures they are most likely at low caries risk and need not be sealed and may not have great retention rates. The doctor has the ultimate diagnosis for if sealants need placed and if you are placing sealants that fall out due to shallow pits and fissures, the doctor will be losing production over sealant repair appointments. Further, the doctor should be diagnosing sealants based on need and not “to increase production.” If you are going to continue to work at that office, you need to be comfortable with the standard of care and recommendations given. Otherwise, unfortunately, there’s probably not much you can do to change the doctor’s diagnosis.

Confirm that you would like to select this answer as the "Best Answer" to your question. This will bring this answer to to top and be highlighted as "Best Answer". You can always change this if a better answer is given.


You must be Logged In to Answer this Question

Already a Member, Log In
Not a member yet? Sign Up

Search

Categories

Like Kara RDH on Facebook!