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Operative Dentistry - Best Practices

Pit and Fissure Caries Non-cavitated & Cavitated

(last modified August 8, 2014)
 

We follow the ADA Council of Scientific Affairs, Use of Pit and Fissure Sealants: Evidence-based clinical recommendations. JADA 2008, for the management of pits and fissures at risk for caries lesion development and pits and fissures that have non-cavitated lesions. http://jada.ada.org/content/139/3/257.full  chair side guide shown below.


levels of evidence and strength of recommendations

 

non-cavitated lesions

 

Overall management of pit and fissure caries is summarized in the figure below which was adapted from our pre-doctoral teaching textbook, Summitt’s Fundamentals of Operative Dentistry 4th Edition, Figure 5-24.

management of pit and fissure caries summarized