Talk:Dental sealant

This article should mention that a team of researchers in Spain reported that some dental sealants can release xenoestrogens, which are compounds that mimic estrogen. Subsequent studies in the US have found that US-manufactured sealants don't release the same chemicals, but that some release related chemicals. For more information, see the article "What parents should know about estrogen-like compounds in dental materials" in the Journal of Pediatric Dentistry, Jan-Feb 2000. —Preceding unsigned comment added by 4.228.114.186 (talk • contribs) 06:42, April 27, 2005


 * In response to this discussion, I think a section on Dental sealants and Bisphenol A with the appropriate references would address the issue of estrogen mimicking compounds associated with this dental procedure. I can start a new section titled:  Dental sealants & Bisphenol A--4tiggy (talk) 22:28, 15 July 2011 (UTC)

Greed not health is more important that is why sealants are not applied "When correctly applied, dental sealants are nearly 100% effective in preventing dental caries on treated teeth. Despite this, and the fact that dental sealants have been widely available since the early 1970s, it is estimated currently that fewer than 20% of the population have dental sealants." —Preceding unsigned comment added by 24.187.27.18 (talk • contribs) 22:26, June 4, 2006

The two sources appear to conflict: "Teeth sealants last longer than four years for more than half of the children and young people who have them done. During this time the risk of cavities in the sealed teeth is about halved. The resins applied as sealants these days are generally believed to be reasonably safe, although some people have had allergic reactions to them." from 1

"When the sealants are applied correctly they are nearly 100% effective in preventing dental caries." from 2 —Preceding unsigned comment added by Bob135 (talk • contribs) 06:27, July 16, 2007

They dissolve in ethanol, like drinking alcohol? — Omegatron 06:41, 28 July 2007 (UTC)

I take great issue with this statement: "When the sealants are applied correctly they are nearly 100% effective in preventing dental caries." Can some please provide the research where patients have had sealants placed on their teeth, and then 5-10 years later have them completely removed and the teeth are in good shape? I cannot find this data and I am not convinced it exists. It seems irresponsible to say sealants are effective without backup data. From my own personal experience: I had dental sealants placed on my teeth as a young adult in my mid-20s. Recently, in my 30s, I saw a new dentist who suggested that they be removed. He explained that he has seen more harm than good with sealants over the years (and in fact he refuses to use them in his practice). Basically, he explained they have to be perfectly put into the mouth with no moisture, bacteria, etc. underneath otherwise that "bad stuff" will be trapped in and will start the decay process. Secondly, and more likely, the sealants fail over time - even in small, undetectable ways - and bacteria, food, etc. can seep in and again the decay process starts. I also learned in my research that a dentist cannot detect if there is decay under a sealant either by xray or by laser - quite simply, the sealant has to be removed to determine what is lurking underneath. I had extensive decay under every tooth (8!) that had a sealant - and am finding more of my friends experiencing the same exact thing as me. I don't want others to be misinformed. (And I had been going to a dentist every 6 months faithfully for years - and no problem was detected until I went to a new dentist who was skeptical of sealants). How should this be handled on a page like this? People need more facts in order to make solid decisions for themselves. Llcavall 19:28, 27 October 2007 (UTC)


 * Laurel -- please identify yourself.  DRosenbach  ( Talk 00:56, 25 October 2007 (UTC)

A company, Pentron Clinical Technologies, was added to the external links. I am removing this, as the company has no mention nor nothing to do with the articleLlcavall (talk) 19:41, 17 February 2008 (UTC)

Possibly missed information
Yesterday, I went to the dentist to get my teeth sealed. From my N2O induced stupor, here is what I remember. First, some material was ground away. Then an etching agent was applied and removed. Lastly, two chemicals were applied and exposed to UV light. Maybe this will help someone find a place to start looking for information. 173.24.181.55 (talk) 15:16, 9 December 2009 (UTC) This indicates that Some dentists make the application of sealants harder than need be. Sealants applied under chewing pressure easily seal deeper inside pits and fissures of all upper and lower back teeth on one side of the mouth at once saving chair time and patient distress. —Preceding unsigned comment added by Supertooth (talk • contribs) 11:07, 22 April 2010 (UTC)

Not enough positive backup regarding Bisphenol. It was said that the ADA made a statement but didn't say what the statement was. Made a few edits as suggested above BOHFGM (talk) 07:25, 24 April 2014 (UTC)

wikify ?
the main subtopic of this article, called 'dental sealants' is written as a FAQ, there's nothing wrong with it ? — Preceding unsigned comment added by Porcofederal (talk • contribs) 18:37, 1 October 2011 (UTC)
 * It could definitley use a rewrite.-- Metalhead94 TC 17:18, 11 October 2011 (UTC)

some content copied from cdc.gov
hi. it seems that a lot of this article is directly copied from cdc.gov. since it is a us government website, im not sure this is a copyright violation, but shouldnt the cdc site be given credit somewhere in the article? i think ive seen in other articles something along the lines of "some of this article was taken from the 1911 britannica", and it seems like a similar thing could be done here. -badmachine 19:45, 12 November 2011 (UTC)

Suggested edits
Added a photo I took of a tooth before and after the application of a fissure sealant BOHFGM (talk) 02:21, 23 May 2014 (UTC)

To add information regarding the review and maintenance of fissure sealants Smarken (talk) 06:23, 18 March 2014 (UTC)

Other preventive factors: Diet and Oral Hygiene
More informtation to be addedd Smarken (talk) 01:43, 23 April 2014 (UTC)

Effectiveness
Sealants are accepted as an effective preventive method for caries and as long as the sealant remains adhered to the tooth caries can be prevented. It is for this reason that sealant success is now measured by the length of time a sealant remains on the tooth, rather than the decay experienced in sealed and unsealed teeth. The ability of a pit and fissure sealant to prevent dental caries is highly dependent on its ability to retain on the tooth surface. The most common reason for sealant failure is salivary contamination during sealing placement. Other factors include clinician inexperience, lack of client operation, and less effective sealant material used.

Smarken (talk) 01:08, 23 April 2014 (UTC)

Longevity
'''Materials and retention rates: GIC v’s Resin. '''

On the basis of limited evidence both materials are equally acceptable in caries prevention, however retention rates between GIC and Resin have been shown to differ. Resin has been shown to be the superior product for retention. A 2 year clinical trial comparing GIC and Resin for fissure sealants demonstrated that the GIC had a total loss rate of 31.78% in contrast to the resin which had a total loss rate of 5.96% The study did acknowledge that GIC had its therapeutic advantages other than retention, this included the benefit of fluoride release and its use on partially erupted teeth.

Enhancing Retention Various factors can help contribute to the retention of fissure sealants. These include:

° Isolation of teeth from saliva ° Placing sealants on fully erupted teeth as there is no gingival tissue on the crown ° Good operator techniques ° Preparation of the fissure by cleaning out plaque and debris prior to placement

--Smarken (talk) 10:06, 9 April 2014 (UTC)

References to follow. Smarken (talk) 06:19, 18 March 2014 (UTC)

Maintenance

Fissure sealants should be reviewed annually to ensure that they are retained in the fissures of the teeth. One of the major causes to the loss of sealants in the first year is salivary contamination. Therefore it is important to have adequate isolation during the placement of sealants.

References to follow --Smarken (talk) 10:06, 9 April 2014 (UTC)

More information needed in regards to the history of fissure sealants. Orrogers (talk) —Preceding undated comment added 06:44, 19 January 2014 (UTC)

More information needed in regards to the procedure involved with fissure sealants. BOHFGM (talk) 02:33, 2 December 2013 (UTC)

More information needed in regards to defining wise food choices to avoid dental caries Smarken (talk) 02:34, 2 December 2013 (UTC)

More information needed in regards to indications for dental sealants Hankusb11 (talk) 02:37, 2 December 2013 (UTC)

Addition of an introduction section, containing more information is needed Hankusb11 (talk) 05:01, 3 January 2014 (UTC)

Suggested edit to the indications of dental sealants. Indications for the use of fissure seal are individual patients or teeth that are at high risk of dental caries. This includes patients with a history of dental caries, deep retentive pits and fissures, early signs of decay, poor plaque control, and enamel defects. reference: Beauchamp J.,Caufield P.W.,Crall J.J., Donly K., Feigal R., Gooch B., Ismail A., Kohn W., SiegalM. & Simonsen R.(2008) Evidence-based clinical recommendations for the use of pit-and-fissure sealants: A report of the American Dental Association Council on Scientific Affairs. JADA, Vol. 139 Sa2lehmann (talk) 04:13, 11 January 2014 (UTC)

Proposed Topics
I would like to include a section about the history of fissure sealants and their revolution over past decades Orrogers (talk) 10:57 11 April 2014 (UTC)

I would like to propose the following topics to be covered on this page:


 * 1) Maintenance of fissure seals
 * 2) Materials used for fissure seals

Smarken (talk) 09:48, 21 January 2014 (UTC)

Materials are spoken about in two different headings on this page. I hyperlinked GIC and resin materials under the 'clinical procedure' heading for those wanting more information BOHFGM (talk) 09:40, 22 May 2014 (UTC)

I would like to include in the introduction section about what fissure sealants are used for and who is able to place them Hankusb11 (talk) 09:25, 27 March 2014 (UTC)

Filled vs un filled resins Adding information surrounding filled and unfilled resin material for fissure sealants--Smarken (talk) 10:14, 9 April 2014 (UTC)

Contraindications Adding information on the reason why fissure seals should not be placed. Fissure seals should not be placed on: Azarpazhooh A, Main PA. Pit and Fissure Sealants in the Prevention of Dental Caries in Children and Adolescents: A Systematic Review. Journal of the Canadian Dental Association. 2008;74(2). Sa2lehmann (talk) 00:36, 10 April 2014 (UTC)
 * Teeth with cavitated carious lesions
 * Partially erupted teeth
 * Patients with low caries risk

Effectiveness
Sealants are accepted as an effective preventive method for caries and as long as the sealant remains adhered to the tooth caries can be prevented. It is for this reason that sealant success is now measured by the length of time a sealant remains on the tooth, rather than the decay experienced in sealed and unsealed teeth. The ability of a pit and fissure sealant to prevent dental caries is highly dependent on its ability to retain on the tooth surface. The most common reason for sealant failure is salivary contamination during sealing placement. Other factors include clinician inexperience, lack of client operation, and less effective sealant material used.

Smarken (talk) 02:16, 23 April 2014 (UTC)

Dental sealants what are they? I think this section has been covered in the rest of the page. ie introduction and longevity. I propose the section to be deleted. 149.144.112.235 (talk) 23:56, 29 April 2014 (UTC)

Proposition of change of headings, Application before effectiveness and logevity Sa2lehmann (talk) 08:13, 22 May 2014 (UTC)

Undue weight given to BPA related content
There is too much discussion of BPA. It is not actually present in any dental sealant, although potentially some of its derivatives may be. Such content belongs on the main BPA article. Since all position statements of national dental organizations are saying there is no risk, I feel a few sentences within the section about resin based sealants is sufficient. Matthew Ferguson (talk) 19:14, 19 July 2015 (UTC)

Too much "how to" content
There is too much content which reads like a how to manual for placing sealants. The readership are are a general encyclopedia audience not dental students. I will move such how to content to a wikiversity page leaving a link in this section for those who are interested in this info to easily access. Matthew Ferguson (talk)

Here is the WikiVersity page you probably meant. https://en.wikiversity.org/wiki/Fissure_sealants

--ee1518 (talk) 11:07, 26 December 2019 (UTC)

Merge with Dental material
It is proposed to merge this article to Dental material. That article is too small and this article contains more information. But that article is used for cross-language links, some of which are articles about dental sealants. — Preceding unsigned comment added by 37.144.38.37 (talk) 08:00, 18 November 2022 (UTC)
 * Oppose, on the grounds that the topics seem to be important enough, and the articles sufficiently developed, to warrant separate coverage. I also note that the templates seem to be pointing in the wrong direction (given the case made above). Klbrain (talk) 14:03, 4 June 2023 (UTC)
 * Closing, given the uncontested objection and no support. Klbrain (talk) 09:36, 8 August 2023 (UTC)

History of Teeth Blackening
I came to this article from Teeth blackening, which is a method of teeth preservation, like a sealant, that was practiced before modern medicine. Shouldn’t this be mentioned or at least linked here? Dianaemiko (talk) 12:49, 12 April 2023 (UTC)