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Sealants failing? Help

I have been placing a lot of sealants in the past 6 months (mostly adults). They are coming back for their 6mrcs with half or all of them gone! I don’t know what I am doing wrong. I even use bond-my boss has told me to do this. I only did sealants on extracted teeth in school so my experience was limited but now that I’ve been placing them so often I thought I had the isolation, steps, etc down. Sometimes I am told to place them on wisdom teeth which is very hard to access/keep dry. I usually get no assistance. Any tips/advice?



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1 Answer

It’s hard to say what is making the sealants you are placing fail. Besides keeping a dry field, you may be placing too much sealant material and due to the patients’ occlusion, they are being worn away. I’ve also read that sealants on newly erupted teeth hold the best. Here are some links to articles with sealant tips that may be of some help to you:
 
http://www.dentaleconomics.com/articles/print/volume-99/issue-3/departments/ask-dr-christensen/ask-dr-christensen.html
 
http://www.rdhmag.com/articles/print/volume-23/issue-9/feature/sealed.html
 
https://www.speareducation.com/spear-review/2014/03/five-key-criteria-for-sealant-success
 
http://www.dentistrytoday.com/ce-articles/351

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