Pit and Fissure Sealants - PDF by liuqingyan



Pit and Fissure Sealants
Case Study

Case Study: Colorado State Department of Public Health

       This sealant program is a public-private collaborative of the Colorado State
Department of Public Health, the city of Denver schools, and volunteers, dentists and
dental hygienists in and around Denver, Colorado. The program is coordinated by a
dental hygienist and funded by the Colorado state health department.            Services are
provided by volunteer dentists, hygienists, dental students and dental hygiene students.

The program consists of dental screening exams by a dentist or registered dental
hygienist, the placement of dental sealants, classroom education on oral hygiene and
sealants, speaking to parents on oral health, and obtaining permission and referral for
restorative care if needed. These services are provided in the elementary schools in the
Denver city area and neighboring towns. The project administrators are working on
expanding the program to include more schools throughout the state.

The school nurses help administer the program by obtaining parental consent forms,
reserving rooms with table and chairs, oversight of the children during screening and
sealant placement days, and follow-up with parents for children who need dental care.

The manual provides information for parents and school administrators, which answers
three basic questions.

What are Sealants?
       Dental sealants are thin plastic coatings that are put onto the chewing surfaces of
the back teeth (molars) for the prevention of tooth decay. Sealants are painted on the
tops of the back teeth and harden to form a protective shield over the tooth.

Why are Sealants a Good Idea?

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       As the back teeth grow, mountains and valleys form on the tops of the teeth.
Food and germs get caught in the valleys and cause teeth to get cavities. The thin
plastic glues to the tooth enamel, acting as a barrier protecting the chewing surface from
germs and acids, which can cause tooth decay. As long as the sealants remain on the
tooth, it will be protected from getting cavities. Sealants normally last several years.

When Should Sealants be Placed?
       When the first molars start coming in at about the age of 6-7 and again when the
second molars come in around the age of 11-12.

For more information:
1.     http://www.cdphestate.co.us/pp/oralhealth/dental sealants.html
2.     Colorado Department of Public Health, Denver CO. Alyssa Milam, Dental
       Sealant Coordinator. +303-692-2529

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