The first dental sealant to be placed in
Ceramic fillings is usually on the fissure of the first permanent molar tooth, once the chewing surface of the tooth has erupted completely beyond the gum. This tooth grows in behind the baby teeth. If the chewing (occlusal) surfaces of these teeth are sealed, the dental sealant will help protect the tooth. Except for the wisdom teeth, which come through much later, the molars and premolars continue to erupt until eleven-thirteen years of age and the chewing surfaces of these teeth can be sealed after they have erupted beyond the gum.
The potential to develop pit and fissure decay begins early in life, so children and teenagers are obvious candidates. But some adults at high risk of decay can benefit from dental sealants as well. Your dentist can tell you if you would benefit from dental sealants.
Firstly the tooth surface is thoroughly cleaned with a paste and rotating brush by your dentist or hygienist.
Next the tooth is washed with water and dried. Then a solution that is acidic is placed on the fissured area of the tooth’s chewing surface for a number of seconds before being rinsed off. This creates small microscopic areas and a fine rougher surface than the surrounding tooth enamel, that can be seen with a microscope. The rough surface and microscopic areas enable the dental sealant to attach to the tooth.
After the tooth is dried again, the liquid dental sealant is placed on the tooth and hardened. Dental sealants are hardened by using a light that hardens the dental sealant, or sometimes by using a two-component dental sealant that sets without using a light.
Once the dental sealant has hardened it becomes a hard plastic varnish coating, and you can chew on the tooth again.