4.1 Sealant Material Selection

Sealant Materials Attributes

Programs should select dental sealant materials with the following attributes:

  • Materials should have high retention rates. Although documentation of effectiveness in published clinical trials is preferred, such documentation is not available for many sealant materials, especially those new to the market.
  • Materials should self-adjust rapidly through normal occlusion (For more information, see "Filled vs. Unfilled Materials.")
  • Materials should be reasonably priced.
  • Materials should require minimal armamentarium and equipment maintenance.
  • Materials should be easily detected on visual assessment, both at time of placement and at follow-up.
  • Materials should have a relatively short application time (while maintaining high retention rates).
  • Materials should allow adequate control of working characteristics, particularly setting time and flow.

OOH follows ADA evidence-based clinical recommendations for dental sealants. The American Dental Association's and the American Association of Pediatric Dentistry's article, "Evidence-Based Clinical Practice Guideline for the Use of Pit-and-Fissure Sealants," was unable to provide specific recommendations on the relative merits of one type of sealant material over the others. Based on these findings, OOH does not recommend one type of sealant material over another.