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?
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:
- 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)
- Patients with special healthcare needs (rationale being they may not be able to upkeep their oral hygiene as well)
- Teeth with deep grooves that are difficult to clean well
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...