By Amber Auger RDH, MPH
When it comes to preventing tooth decay, dental sealants play a primary role. The pits and fissures of the teeth account for 80% to 90% of the total caries in permanent teeth and 44% in primary teeth.1 Selecting a sealant material that has proper integration with the tooth will prevent open margins, chipping, and the need for resealing. The goal of prevention is to preserve the enamel of the tooth, without having to re-treat.
Sealant Longevity
The effectiveness of the sealant is directly related to how long the sealant is retained in the mouth.2 While most resin-based materials have a high retention rate, they can be challenging to use in the moist environment. Additionally, most resin-based pit and fissure sealants contain Bis-GMA, which is not moisture tolerant.2 Therefore, selecting a sealant material that is hydrophilic (moisture-tolerant) will provide the optimal retention.
Retention Rates
Researchers estimate that 5% to 10% of sealants require repair or replacement annually.1 This poses a concern for patients that do not have the resources to be evaluated yearly, as a compromised sealant could increase the risk of chipping and microleakage. Therefore, selecting a sealant material that is long lasting and integrates with the tooth is essential to the prevention of tooth decay. When Embrace Wetbond Pit & Fissure Sealant was tested, studies demonstrated that 95% of the sealants maintained uniform marginal integrity and 100% of the teeth were caries-free 2 years after the initial placement.2
Effectiveness of Embrace WetBond Pit & Fissure Sealant
The main objective of a sealant is to protect the deep grooves and fissures from tooth decay. The traditional sealant contains Bis-GMA and requires a totally dry enamel surface, which is virtually impossible when working with pediatric patients. Embrace WetBond Pit & Fissure Sealant is a unique, moisture-tolerant resin-based sealant that contains no Bis-GMA and no Bisphenol A.2 Embrace is wet-bonding, tooth-integrating, provides better retention, a superior marginal seal, and increased fluoride release.3
Incorporating preventive materials that are designed to work in the moist oral environment, with superior integration, moisture-tolerance, and fluoride release is critical for providing the highest quality of care. Avoiding retreatments will not only preserve the enamel but also provide greater patient trust in the provider. Embrace Pit & Fissure Sealant is designed to work with the natural oral environment to preserve enamel and promote oral health.
About Amber Auger, RDH, MPH
Amber Auger, RDH, MPH, is a hygienist with experience in multiple clinical settings, including facilities abroad. Amber obtained a master’s degree in public health from the University of New England and a bachelor’s in dental hygiene from the University of New Haven. She holds a part-time position at an elite dental office in Boston, and is chief of clinical technology for Jameson Management. Amber Auger is a key opinion leader for several dental companies, speaker and published author, and can be contacted at amberaugerrdh.com.