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When teeth are developing, depressions and grooves form in the chewing
surfaces of the enamel. These features are called pits and fissures. They are
impossible to keep clean, because the bristles of a toothbrush cannot reach
into them. By forming a think covering over the pits and fissures, sealants keep
out plaque and food, and thus decrease the risk of decay.

Although children receive significant benefits from sealants, adults can also be at risk
for pit and fissure decay and thus be candidates for sealants.

Each tooth takes only a few minutes to seal and no anesthetic is necessary. First,
the teeth that will be sealed are cleaned. The chewing surfaces are then etched
(roughened) with a weak acidic solution to help the sealant adhere to the teeth.
Finally, the sealant is brushed on the tooth enamel and allowed to harden. Some
sealants need a special curing light to help them harden, others do not.

When the sealant is applied, finger-like strands penetrate the pits and fissures
of the tooth enamel. Although the sealant cannot be seen with the naked eye,
the protective effect of these strands continues. As a result, it may be several
years before another application of sealant is needed. Sealants will be checked
during regular visits to determine if reapplication is necessary.
The American Dental Association recognizes that sealants can play an important role
in the prevention of tooth decay. When properly applied and maintained, they can
successfully protect the chewing surfaces of teeth from decay.
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