Fundamentals of dental sealants: what they are and their composition

Dental sealants provide an essential protective barrier against the progression of tooth decay. This thin resin is effectively applied to the chewing surfaces of molars and premolars.
Picture of Doctor Vicente Platón
Doctor Vicente Platón
Doctor en Odontología (mención sobresaliente cum laude). Especialista en Periodoncia e Implantes. Licenciado en Odontología, Universitat Internacional de Catalunya. Master en Periodoncia e Implantes, Universitat Internacional de Catalunya acreditado por la European Federation of Periodontology (EFP). Post-Grado en Prostodoncia, Universitat Internacional de Catalunya. Master en Biomedicina, Universitat Internacional de Catalunya. Profesor Asociado del Master de Periodoncia de la UIC. Socio titular especialista de la sociedad española de periodoncia y osteointegración (SEPA).

Table of Contents

Dental sealants are a fundamental protective barrier against the progression of tooth decay. This thin resin is effectively applied to the occlusal surfaces of molars and premolars. Early application in children prevents bacterial adhesion in the most vulnerable dental fissures. This significantly reduces the incidence of carious lesions during the highest-risk stages.This article will explore what dental sealants are, their multiple benefits, and the evidence of their impact on caries prevention. We will also address their clinical application and cost considerations.

Fundamentals of dental sealants: what they are and their composition

Dental sealants are a fundamental preventive tool in modern dentistry, especially useful for protecting the chewing surfaces of teeth from caries. Many people have heard of them, but understanding their essence is key to appreciating their importance in oral health.

What exactly are dental sealants?

Dental sealants are thin layers of protective plastic material that are applied to the occlusal surfaces of the back teeth, i.e., the molars and premolars. These surfaces often have deep grooves, pits, and fissures where bacterial plaque and food debris tend to accumulate easily.

Their main function is to fill in these anatomical irregularities, creating a smooth surface that prevents bacteria from attaching and facilitates effective cleaning. This makes dental sealants an invisible shield against one of the most common dental problems.

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Composition and effective mechanism of action

The main composition of sealants is based on resins or glass ionomers, highly safe and biocompatible materials that adhere firmly to tooth enamel. Once applied, these compounds harden quickly, often with the help of LED light, forming a resistant layer.

The mechanism of action is purely physical: the sealant creates an impenetrable barrier that isolates the pits and fissures of the oral cavity. This process is carried out simply and effectively in any dental clinic in Palma, without the need for anesthesia or invasive procedures.

The impenetrable barrier: key to caries prevention

By sealing these vulnerable areas, acid-producing bacteria and food debris are prevented from settling and thriving. The visual difference between a sealed and unsealed tooth is remarkable, showing how this barrier simplifies hygiene and reduces the risk of caries.

Thus, sealants act directly as a protective agent, significantly reducing the likelihood of developing carious lesions in the most prone areas of the teeth. This preventive measure is a pillar of comprehensive dentistry, prioritizing long-term health.

What are they?

Thin protective plastic layers applied to the chewing surfaces of molars and premolars.

Composition

Mainly based on resins or glass ionomers, biocompatible materials.

Mechanism of Action

They create a physical barrier that fills fissures and prevents bacteria from attaching.

The sealant application process: step by step in the clinic

The application of dental sealants is a quick, simple, and completely painless procedure designed to effectively protect your teeth. At Platón Dental, we strive to offer an exceptional human experience, always prioritizing the comfort and well-being of each patient from the very beginning.

Meticulous preparation for long-lasting adhesion

The first crucial step is a thorough cleaning of the occlusal surface of the tooth to be sealed. This process ensures the removal of any debris or bacterial plaque, which is essential for optimal adhesion of the protective material. Our professional dental hygiene is the foundation of successful treatment.

Next, an acid etching gel, usually phosphoric acid, is gently applied for a few seconds. This step creates microscopic pores in the tooth enamel, which is essential for the sealant to adhere firmly and durably, without causing any discomfort.

After etching, the tooth is thoroughly rinsed with water to remove any gel residue, followed by complete drying. It is vital that the tooth surface is completely dry; this dryness is the key to ensuring a perfect bond between the tooth and the sealing material, optimizing the benefits of dental sealants.
Precise application and curing of the protective material
Once prepared, the liquid sealing material is precisely placed directly on the pits and fissures of the tooth. This fluid-consistency material fills even the finest grooves, creating a physical barrier against the accumulation of food and bacteria that cause cavities.

The dentist ensures that the material evenly covers all areas at risk. This careful application guarantees effective dental sealing, preventing the formation of air bubbles that could compromise protection, reflecting our dedication to advanced technology.

Finally, a special light, which can be ultraviolet or halogen, is used to cure the sealant. This light polymerizes the material in a matter of seconds, transforming it into a hard, resistant layer. This step is essential for the protective barrier to adhere firmly to the tooth.

Comfort and immediate results for your smile

The entire process of applying dental sealants is quick and completely non-invasive, with no need for anesthesia or drilling. Patients, even those receiving dental sealants for children, barely notice the procedure, beyond a slight pressure and the use of standard dental instruments.

Once polymerization is complete, the patient can resume their daily activities immediately, without restrictions. At Platón Dental, our dental clinic in Palma, we ensure that every treatment, such as this one, prioritizes overall well-being and long-term health, making you feel that you are in the hands of a trusted dentist.

StepKey ActionPurpose
1. Deep CleaningRemove plaque and debris from the occlusal surface.Ensure optimal adhesion of the sealant.
2. Acid EtchingApply acid gel to create microscopic pores.Prepare the enamel for a strong, durable bond.
3. Rinse and DryRemove the etching gel and dry the tooth completely.Ensure a dry tooth surface for perfect bonding.
4. Material ApplicationPlace the liquid sealant on the pits and fissures.Fill grooves to create a protective physical barrier.
5. Polymerization (Curing)Use special light (UV/halogen) to harden the material.Transform the sealant into a hard, tooth-resistant layer.

Tangible benefits of sealants: beyond cavity prevention

Dental sealants are an exceptionally effective strategy for protecting oral health, offering advantages that go far beyond a simple physical barrier. These transparent protectors are an investment in well-being, providing measurable and lasting benefits.

Drastic reduction in cavities and protection for children

The application of sealants drastically reduces the incidence of cavities, especially on the chewing surfaces of molars and premolars. The World Health Organization (WHO) and other agencies recognize their positive impact, demonstrating over 80% effectiveness in preventing cavities in children and adolescents during the first few years after placement.

This protection is crucial in childhood, as newly erupted molars are the most vulnerable.
Dental sealants for children act as a shield, preventing bacteria and food particles from lodging in deep fissures and grooves, which are difficult to clean with a conventional toothbrush.

Dental preservation and long-term savings

One of the great benefits of sealants is the preservation of the natural tooth structure. By preventing cavities, they avoid the need for invasive treatments such as fillings, which involve the removal of healthy tooth tissue. Maintaining the original integrity of the tooth is essential for its strength and durability throughout life.

In addition, opting for dental sealants is a preventive measure that generates significant savings. Preventing early decay means avoiding more complex and costly future dental treatments, such as reconstructions or root canals. At Platón Dental, we prioritize minimally invasive approaches that benefit our patients’ long-term health and finances.

Considering the cost of dental sealants compared to multiple fillings or more extensive treatments reveals their value as a smart investment in oral health. This approach is part of our philosophy of comprehensive dentistry, always seeking the most effective and lasting solution for each family that visits our dental clinic in Mallorca.

Peace of mind and a healthy oral future

For parents and patients, having the protection of sealants provides invaluable peace of mind. Knowing that the most susceptible teeth are protected against the bacteria and acids that cause enamel deterioration reduces concerns about the appearance of new cavities.

This long-term protection establishes a solid foundation for lasting oral health. It promotes healthy habits and a positive attitude toward dental care, making visits to your trusted dentist primarily preventive rather than reactive to existing problems.

Drastic Reduction in Cavities

Over 80% effective in preventing tooth decay, crucial for children and adolescents.

Natural Dental Preservation

Maintains the original structure of the tooth, avoiding invasive treatments and removing healthy tissue.

Long-Term Financial Savings

Prevents future costs of fillings, reconstructions, and root canals—a smart investment.

Ideal candidates for dental sealants: who benefits most?

Determining who benefits most from dental sealants is crucial for effective caries prevention. Although commonly associated with children, their application has a broader spectrum of suitability, benefiting both young people and adults under certain conditions.

These protectors act as a physical barrier on the chewing surfaces, the areas most prone to attack by bacterial acids. Identifying ideal candidates ensures that their protective potential is optimized.

Children and adolescents: the main beneficiaries

Dental sealants for children and adolescents represent the preventive strategy par excellence. They are ideal for protecting newly erupted permanent teeth, especially molars and premolars, whose deep pits and fissures easily retain food debris and bacterial plaque.

The optimal age for application is usually between 6 and 14 years old, coinciding with the eruption of the first and second permanent molars. This is a key moment, as the enamel of newly erupted teeth is more vulnerable to demineralization and the development of caries.

For example, the first permanent molars, which usually appear around the age of 6, are particularly susceptible. At Platón Dental, we recommend an early evaluation to establish an appropriate preventive plan that includes this type of essential protection.

High-risk adults: valuable protection

Although less common, dental sealants in adults are also a very beneficial option, especially for those with a history of high susceptibility to cavities. Adults with molars or premolars that have deep pits and fissures where hygiene is difficult are considered candidates.

Likewise, patients with medical conditions that affect oral health or those with a diet high in sugars may find an extra layer of protection in dental sealants. It is a preventive measure that complements good hygiene and regular visits to the dental clinic in Palma .

Professional assessment and timing

The decision to apply sealants should always be personalized and determined by a professional. A trusted dentist will perform a thorough assessment, considering the patient’s dental anatomy, oral hygiene habits, and individual risk of cavities.

This assessment is essential for deciding the optimal time for application, ensuring maximum effectiveness and durability of the sealants. At Platón Dental, our approach to comprehensive dentistry prioritizes a highly accurate diagnosis in order to offer the most appropriate treatment for each member of the family.

Through a clinical and radiographic examination, the actual need is identified and the benefits of dental sealants are discussed in the specific context of each patient. In this way, we guarantee the best protection against cavities, contributing to lasting oral health.

Children and Adolescents

Mainly between the ages of 6 and 14. Ideal for newly erupted permanent molars and premolars with deep pits and fissures, which are highly susceptible to caries.

High-Risk Adults

With molars or premolars that have deep pits and fissures, a history of high susceptibility to cavities, or medical conditions that affect oral health.

Care and Maintenance of Sealants: Maximizing Their Durability

Once applied, dental sealants offer formidable defense against cavities on the chewing surfaces of molars. However, their effectiveness and durability depend largely on proper aftercare. Maximizing the life of a dental sealant requires constant attention to hygiene and regular visits to the dentist.

Although these protectors are resistant, they are not indestructible. Understanding how to care for them and recognizing the signs of wear is essential. With simple maintenance, sealants can offer lasting protection, making them a key investment in long-term oral health.

Essential hygiene habits for sealant longevity

The basis for prolonging the life of sealants is maintaining impeccable oral hygiene. This includes brushing twice a day with fluoride toothpaste, using the correct technique to clean all tooth surfaces. Ensuring that you brush gently but effectively around the sealants is crucial.

Daily flossing is equally important, as it helps remove plaque and food debris from between the teeth and from the surfaces adjacent to the sealants. This practice prevents the accumulation of bacteria that could compromise the integrity of the seal and the overall health of the gums.

In addition, it is recommended to avoid excessive consumption of very hard or sticky foods, such as candy or ice, which could fracture or dislodge the sealants. Maintaining a balanced diet contributes directly to the health of your teeth and the stability of these protectors.

Regular dental checkups: key to ongoing protection

Regular visits to the dentist are essential to ensure that dental sealants maintain their protective function. It is recommended to visit a trusted dental clinic at least twice a year, or as directed by your dentist. During these appointments, the professional will carefully examine the condition of the sealants.

At Platón Dental, we emphasize a comprehensive approach to wellness, which includes a thorough checkup to assess the integrity of each sealant. This close attention and high-precision diagnosis allow us to identify any early signs of wear or damage, ensuring consistent results.

These check-ups also allow our dental clinic team in Palma to perform professional dental hygiene. A thorough cleaning removes plaque and tartar that daily brushing cannot reach, protecting both natural teeth and sealants.

Identifying wear and the need for touch-ups

Over time and with use, sealants may show signs of wear. Some signs to look out for include small cracks, partial detachment, or a rough feeling when running your tongue over them. Complete loss of a sealant is also evident and should be addressed without delay.

It is vital to communicate any changes or discomfort you notice in your mouth to your dentist during checkups. If a sealant becomes detached or damaged, its protection against cavities is significantly reduced, increasing the risk of new lesions forming in those vulnerable areas.

Fortunately, the process of touching up or replacing sealants is usually quick and easy, similar to their initial application. This minimal maintenance ensures that the protection of your dental sealants remains effective, prolonging their benefit in preventing cavities.

Regular and Proper Brushing

Brush twice a day with fluoride toothpaste, using proper technique and gently around the sealants.

Daily Use of Dental Floss

Complement brushing with flossing to remove plaque and food debris between teeth and along sealants.

Avoid Harmful Foods

Moderate your consumption of very hard, sticky foods or candy, which can fracture or dislodge sealants.

Sealants in comprehensive oral health: a complement to a preventive routine

Dental sealants are an effective protective barrier, but their true potential is maximized when integrated into a holistic approach to oral health. They are not a stand-alone solution, but a key tool that enriches a comprehensive prevention program. Understanding this interconnection is essential to maintaining a healthy mouth and a radiant smile in the long term.

Protective synergy: sealants and fluorides

The combination of dental sealants and fluoride creates a formidable defense against tooth decay, especially in children and adolescents. While sealants physically protect the chewing surfaces, fluoride strengthens the enamel of all teeth.

Fluoride, applied topically in professional treatments or present in toothpaste and drinking water, hardens the enamel, making it more resistant to bacterial acids. Together, dental sealants and fluoride offer dual protection that significantly minimizes the risk of tooth decay.

Daily habits and nutrition: pillars of prevention

No preventive treatment, however advanced, can replace rigorous daily oral hygiene. Brushing twice a day with fluoride toothpaste and flossing are essential. These habits remove plaque and food debris, complementing the protection offered by dental sealants.

Likewise, diet plays a crucial role in oral health. Limiting the consumption of sugars and acidic beverages reduces the food supply for cavity-causing bacteria. Choosing a balanced diet strengthens overall health and contributes to strong teeth and gums.

A holistic strategy for a lasting smile

The integration of dental sealants with fluoride application, a mindful diet, and meticulous hygiene builds a multifaceted shield against oral disease. This comprehensive dentistry strategy ensures complete and lasting protection.

At Platón Dental, we emphasize this approach to comprehensive patient wellness, combining advanced technology with attentive care.
Our team can design a personalized preventive plan, including sealants, to ensure consistent results and optimal oral health. We invite you to visit us for professional dental hygiene and to discuss the best preventive strategy for you or your family.

Dental Sealants

Physical protective barrier in pits and fissures to prevent cavities.

Fluorides

They strengthen enamel, making it more resistant to acids and demineralization.

Daily Oral Hygiene

Brushing and flossing to remove plaque and food debris.

Conscious Diet

Limiting sugars and acids to reduce the risk of cavities.

Final conclusions and recommendations

Dental sealants are a fundamental and easy-to-apply preventive strategy for safeguarding oral health. Their importance lies in providing an effective protective barrier, especially on the chewing surfaces of molars, which are most vulnerable to the development of cavities.

Key points to remember

  • What are dental sealants?: They are a protective resin barrier that is applied to the pits and fissures of molars to prevent the accumulation of plaque and bacteria.
  • Main benefit: They significantly reduce the risk of developing cavities on chewing surfaces, acting as an invisible and durable preventive shield.
  • Application process: It is a non-invasive, quick, and painless treatment that does not require anesthesia and is comfortably completed in a single clinical session.
  • Priority candidates: Although dental sealants for children and adolescents are most common, they are also a valuable option for adults with molars prone to cavities.
  • Smart investment: The cost of dental sealants is an affordable investment in long-term health, much lower than the cost of treating an existing cavity.
  • Care and durability: With proper oral hygiene and regular checkups, sealants can effectively protect your teeth for many years.

Practical recommendations

To ensure a healthy, cavity-free smile, especially in younger people, we believe it is essential to take a proactive approach. If you or your children have deep pits and fissures in your molars, dental sealants are an exceptional preventive measure. Don’t wait for cavities to appear; the ideal time to consider this treatment is before problems arise. Consult your dentist to assess the suitability and potential benefits for you or your children.

Remember that sealants are a complement, not a substitute, for excellent daily oral hygiene and regular checkups. Brushing, flossing, and regular visits to the dentist are essential pillars of dental health. At Platón Dental, our mission is to offer you a highly accurate diagnosis and minimally invasive treatments that prioritize your overall well-being. We invite you to experience attentive and expert care, where long-term health and natural aesthetics are our priority, ensuring that each patient feels supported and receives the best benefits of dental sealants.

Investing in dental sealants is investing in a stronger, more protected smile for the future. Taking this preventive step today means enjoying lasting oral health and greater peace of mind tomorrow. Don’t underestimate the power of prevention in maintaining your well-being.

Effective Protective Barrier

They seal the pits and fissures of molars to prevent the accumulation of plaque and bacteria that cause cavities.

Superior Cavity Prevention

They significantly reduce the risk of cavities on chewing surfaces, which are the most vulnerable.

Quick and Convenient Application

Non-invasive, painless treatment, without anesthesia, completed in a single clinical session.

Investment in Lasting Health

An affordable cost that protects your teeth for years, much less than the cost of treating a cavity.