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DXD Admin from Singapore asked a question

Are teeth sealants recommended? Why do dentists in Singapore not mention them?

What are some recommendations regarding sealants for teeth at the back? Why do dentists not inform patients about this?

DOCTOR’S ANSWER (2)
Dr Joanne Lam
Dentist
Singapore
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Dr Joanne Lam
Dentist
Singapore
Answered on Fri Jan 26 2018 03:10:24 GMT+0000 (UTC)

Hi Joyce,

Sealants act as a preventive role to prevent decay in the ‘grooves’ and ‘pits’ of the tooth. You could think of it like a layer on the tooth that prevents the entry of plaque, bacteria and fermentable food (eg sugars, starches) into the fissures.

“What are some recommendations regarding sealants for teeth at the back?”

However placing sealants is not necessary for every single patient. The general indications of sealants are mainly for:

  1. Patients with high caries risk (ie they either have multiple decay in their teeth, or have a past history of multiple teeth decay in their baby/adult teeth)
  2. Patients with special healthcare needs (rationale being they may not be able to upkeep their oral hygiene as well)
  3. Teeth with deep grooves that are difficult to clean well

...

0 440 views 0 Doctors agree Fri Jan 26 2018 03:10:24 GMT+0000 (UTC)
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Dr Kenneth Tan
Dentist
Singapore
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Dr Kenneth Tan
Dentist
Singapore
Answered on Thu Feb 08 2018 13:58:57 GMT+0000 (UTC)

Hi!

Generally teeth sealants aka pit and fissure sealants are not indicative for all patients. Why is that so? There are several factors that would predispose a patient to possibly needing them: 

1. Patients who are at a high risk of developing decay. 

These are patients who likely are having poor oral hygiene or have a history of the ease of developing decay. For kids, the best indicator would be that if their deciduous/baby teeth are already showing signs of decay.

2. Patients who are medically compromised

Patients who are possibly taking a lot of medications for their systemic diseases or patients who have undergone or undergoing chemotherapy/radiotherapy might have their saliva production slowed down and that would predispose them to a higher chance of developing decay.

3. Anatomy and position of...

0 423 views 0 Doctors agree Thu Feb 08 2018 13:58:57 GMT+0000 (UTC)
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