Dental Sealants

  • Soraya Coelho Leal
  • Kelly M. S. Moreira
  • José Carlos P. Imparato


Sealing pit and fissures that are prone to develop a carious lesion (preventive sealants) or those that already present signs of an enamel carious lesion (therapeutic sealants) is a common preventive measure used in dentistry to control dental caries. In terms of material, resin-based and glass-ionomer cements are most frequently used. In this chapter sealants indications and their caries-preventive effect will be presented. The use of adhesive systems aiming to improve resin-based sealants retention will be discussed.


Sealants Glass-ionomer cement Dental caries Prevention 


  1. 1.
    Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 310 acute chronic diseases and injuries, 1990–2015: a systematic analysis for the global burden of disease study 2015. Lancet. 2016;388(10053):1545–02.CrossRefGoogle Scholar
  2. 2.
    Kassebaum NJ, Bernabé E, Dahlya M, Bhandari B, Murray CJ, Marcenes W. Global burden of untreated caries: a systematic review and metaregression. J Dent Res. 2015;94(5):650–8.CrossRefGoogle Scholar
  3. 3.
    Leal SC, Bronkhorst EM, Fan M, Frencken JE. Untreated dentin lesions: impact on children’s quality of life. Caries Res. 2012;46(2):102–6.Google Scholar
  4. 4.
    Batista MJ, Perianes LB, Hilgert JB, Hugo FN, Souza Mda L. The impacts of oral health on quality of life in working adults. Braz Oral Res. 2014;28:S1806-83242014000100249.Google Scholar
  5. 5.
    Keys PH. The infectious and transmissible nature of experimental dental caries. Findings and implications. Arch Oral Biol. 1960;1:304–20.CrossRefGoogle Scholar
  6. 6.
    Fejerskov O. Concepts of dental caries and their consequences for understanding the disease. Community Dent Oral Epidemiol. 1997;25(1):5–12.CrossRefGoogle Scholar
  7. 7.
    Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet. 2007;369(9555):51–9.CrossRefGoogle Scholar
  8. 8.
    Marthaler TM. Changes in dental caries 1953–2003. Caries Res. 2004;38(3):204–11.CrossRefGoogle Scholar
  9. 9.
    Carvalho JC. Caries process on occlusal surfaces: evolving evidence and understanding. Caries Res. 2014;48(4):339–46.CrossRefGoogle Scholar
  10. 10.
    Ahovuo-Saloranta A, Forss H, Hiiri A, Nordblad A, Mäkelä M. Pit and fissue sealants versus fluoride varnishes for preventing dental decay in permanent teeth of children and adolescents. Cochrane Database Syst Rev. 2016;18:CD003067.Google Scholar
  11. 11.
    Splieth CH, Ekstrand KR, Alkilzy A, Clarkson J, Meyer-Lueckel H, Martignon S, Paris S, Pitts NB, Ricketts DN, van Loveren C. Sealants in dentistry: outcomes of the ORCA Saturday afternoon symposium 2007. Caries Res. 2010;44(1):3–13.CrossRefGoogle Scholar
  12. 12.
    Frencken JE, Peters MC, Manton DJ, Leal SC, Gordan VV, Eden E. Minimal intervention dentistry fro managing dental caries – a review. Report of a FDI task group. Int Dent J. 2012;62(5):223–43.CrossRefGoogle Scholar
  13. 13.
    Schwendicke F, Jägger A, Paris S, Hsu LY, Tu YK. Treating pit-and-fissure caries: a systematic review and network meta-analysis. J Dent Res. 2015;94(4):522–33.CrossRefGoogle Scholar
  14. 14.
    Govindaiah S, Bhoopathi V. Dental sealants; dentists; attitudes; evidence-based knowledge; preventive dentistry. J Am Dent Assoc. 2014;145(8):849–55.CrossRefGoogle Scholar
  15. 15.
    O’Donnell JA, Modesto A, Oakley M, Polk DE, Valappil B, Spallek H. Sealants and dental caries: insights into dentists behaviors regarding implementation of clinical practice recommendations. J Am Dent Assoc. 2013;144(4):e24–30.CrossRefGoogle Scholar
  16. 16.
    Handelman SL, Buonocore MG, Schoute PC. Progress on the effect of a fissure sealant on bacteria in dental caries. J Am Dent Assoc. 1973;87(6):1189–91.CrossRefGoogle Scholar
  17. 17.
    Handelman SL, Washburn F, Wopperer P. Two-year report of sealant effect on bacteria in dental caries. J Am Dent Assoc. 1976;93(5):967–70.CrossRefGoogle Scholar
  18. 18.
    Borges BC, de Souza Borges J, Braz R, Montes MA, de Assunryo Pinheiro IV. Arrest of non-cavitated dentinal occlusal caries by sealing pits and fissures: a 36-month, randomised controlled clinical trial. Int Dent J. 2012;62(2):251–5.CrossRefGoogle Scholar
  19. 19.
    Fontana M, Platt JA, Eckert GJ, Gonzin adCabezas C, Yoder K, Zero DT, Ando M, Soto-Rojas AE, Peters MC. Monitoring of sound and carious surfaces under sealants over 44 months. J Dent Res. 2014;93(11):1070–5.CrossRefGoogle Scholar
  20. 20.
    Hesse D, Bonifácio CC, Mendes MF, Braga MM, Imparato JCP, Raggio DP. Sealing versus partial caries removal in primary molars: a randomized clinical trial. BMC Oral Health. 2014;14:58.CrossRefGoogle Scholar
  21. 21.
    Carlsson A, Petersson M, Twetman S. 2-year clinical performance of fluoride-containing fissure sealant in young schoolchildren at caries risk. Am J Dent. 1997;10(3):115–9.PubMedGoogle Scholar
  22. 22.
    Rajtboriraks D, Nakornchai S, Bunditsing P, Surarit R, Iemjarem P. Plaque and saliva fluoride levels after placement of fluoride releasing pit and fissure sealants. Pediatr Dent. 2004;26(1):63–6.PubMedGoogle Scholar
  23. 23.
    Sidhu S, Nicholson JW. A review of glass-ionomer cements for clinical dentistry. J Funct Biomater. 2016;7(3):16.CrossRefGoogle Scholar
  24. 24.
    Forsten L. Short- and long-term fluoride release from glass ionomers. Scand J Dent Res. 1991;99:241–5.PubMedGoogle Scholar
  25. 25.
    Frencken JE, Makoni F, Sithole WD. Atraumatic restorative treatment and glass ionomer sealants in a school oral health programme in Zimbabwe: evaluation after 1 year. Caries Res. 1996;30:428–33.CrossRefGoogle Scholar
  26. 26.
    Liu BY, Xiao Y, Chu CH, Lo EC. Glass ionomer ART sealant and fluoride-releasing resin sealant in fissure caries prevention – results from a randomized clinical trial. BMC Oral Health. 2014;19:54.CrossRefGoogle Scholar
  27. 27.
    Mickenautsch S, Yengopal V. Caries-preventive effect of high-viscosity glass ionomer and resin-based fissure sealants on permanent teeth: a systematic review of clinical trials. PLoS One. 2016;11:e0146512.CrossRefGoogle Scholar
  28. 28.
    Frencken JE, Wolk J. Clinical and SEM assessment of ART high-viscosity glass-ionomer sealants after 8–13 years in 4 teeth. J Dent. 2010;38(1):59–64.CrossRefGoogle Scholar
  29. 29.
    Bagherian A, Shirazi A, Sadeghi R. Adhesive systems under fissure sealants: yes or no? A systematic review and meta-analysis. J Am Dent Assoc. 2016;147(6):446–56.CrossRefGoogle Scholar
  30. 30.
    Botton G, Morgenta CS, Scherer MM, Lenzi TL, Montagner AF, Rocha RO. Are self-etch adhesive systems effective in the retention of occlusal sealants? A systematic review and meta-analysis. Int J Paediatr Dent. 2016;26(6):402–11.CrossRefGoogle Scholar
  31. 31.
    Mickenautsch S, Yengopal V. Retention loss of resin based fissure sealants – a valid predictor for clinical outcome? Open Dent J. 2013;23(7):102–8.CrossRefGoogle Scholar
  32. 32.
    Lygidakis NA, Oulis KI, Christodoulidis A. Evaluation of fissure sealants retention following four different isolation and surface preparation techniques: four years clinical trial. J Clin Pediatr Dent. 1994;19(1):23–5.PubMedGoogle Scholar
  33. 33.
    Cabral RN, Faber J, Otero SAM, Hilgert LA, Leal SC. Retention rates and caries-preventive effect of two different sealant materials: a randomised clinical trial. Clin Oral Investig. 2018.

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Soraya Coelho Leal
    • 1
  • Kelly M. S. Moreira
    • 2
  • José Carlos P. Imparato
    • 3
  1. 1.Department of Pediatric Dentistry, Faculty of Health ScienceUniversity of BrasiliaBrasiliaBrazil
  2. 2.Department of Pediatric Dentistry, Piracicaba Dental SchoolState University of CampinasPiracicabaBrazil
  3. 3.Orthodontics and Pediatric Dentistry Department, Dental SchoolUniversity of São PauloSão PauloBrazil

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