I know I don’t like the primer/sealant in-one products. I use a prophy jet ahead, it can remove stain and has revealed caries.

I like conceal f. It it fluoride releasing. I use prophy jet or plain pumice on surfaces, etch, apply sealant (I use a micro brush to make sure it’s covering all puts and fissures), light cure 20 seconds, check adherence and bite.

I have actually worked in an office that if anything over 10 but under 20 on the diagnodent came up the doctors would take a bur a do what they referred to as a “fissureotomy” which basically they just took the but through the pits and fissures lightly and removed a small amount of tooth structure. We still prepped the teeth w/ pumice and then etched like normal

For best retention keeping the area dry is a must, which is often hard with little wiggly patients. Having an assistant when placing sealants is a big help as well. Instead of “pushing” the sealant material around, “pull” it. That’s what my doctor does (he really enjoys placing sealants for some reason!).

I LOVE placing sealants but dont get to do it often.. I pumice, rinse/dry, acid etch (10s), rinse/ dry til chalky white, place sealant and spread with explorer and cure! I always use cotton rolls under the tongue and cheek protectors and a bite block if needed.. im not sure what my office is using now but I liked the 3M material

I also like doing sealants, and we are finally getting some time to put them in hygiene instead of with the doctor! I think using a bite block is an absolute must, unless the patient won’t tolerate it. I usually do them by myself, although I can usually get an assistant if I need one. I pumice, etch, rinse, dry, place sealant and cure. My docs use prime and bond between the etch and the sealant, which I am not used to doing, but have been trying it. I will be curious to see when my sealant patients come back if the sealants are still there! All my years of doing sealants without the prime and bond, the sealants nearly always stayed on(unless they were contaminated with saliva). I have used Ultraseal XT Plus sealant for close to 20 years and I love it! The tip has a tiny brush at the end which it awesome for spreading the sealant.

Link: https://www.ultradent.com/en-us/Dental-Products-Supplies/Prevent-Hygiene/Pit-and-Fissure-Sealants/UltraSeal-XT-plus/Pages/default.aspx