Patient and tooth selection. This should be based on
the following.
- Children and young people with medical, physical or
intellectual impairment: the application of FS to all
susceptible sites of primary and permanent teeth
should be considered, especially when systemic
health could be jeopardised by dental disease or the
need for dental treatment.
- Children and young people with signs of acute caries
activity: all susceptible pit and fissure sites should be
considered for FS, including the buccal fissures of
permanent molars.
- Children and young people with no signs of caries
activity: only deeply fissured (extremely plaque
retaining fissures) and thus potentially susceptible
surfaces should be considered for sealing [Leake et
al., 1997].
It should be mentioned that all children, irrespectiveof caries activity, should be regularly monitored for any
change in risk factors and/or clinical or radiographic
evidence of a change in their caries status.