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Dental Sealants

Dental Sealants. James R. Miller, DDS, MSD, PhD State Oral Health Director Indiana State Department Health Indiana Rural Health Association 15 th Annual Rural Health Conference June 14-15, 2012 Indianapolis, IN. Objectives of Presentation. Background Information Current Programs

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Dental Sealants

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  1. Dental Sealants James R. Miller, DDS, MSD, PhD State Oral Health Director Indiana State Department Health Indiana Rural Health Association 15th Annual Rural Health Conference June 14-15, 2012 Indianapolis, IN

  2. Objectives of Presentation • Background Information • Current Programs • Future Directions

  3. 1. Background Information • Definition of Dental Sealant • Teeth Commonly Sealed • Examples of Sealants

  4. Dental Sealant A sealant is a clear or opaque plastic material that is applied to the pits and fissures of teeth where decay occurs most often. The purpose of the sealant is to provide a physical barrier to occlude pits and fissures and to protect them from bacteria and food. Dental sealants are used to prevent dental decay. Definition included with permission of Dr. Armando Soto-Rojas (IUSD)

  5. Pits and FissuresImages included with permission of Dr. Armando Soto-Rojas (IUSD)

  6. Susceptible Teeth • Perm. Mandibular 1st Molars • Perm. Maxillary 1st Molars • Perm. Mandibular 2nd Molars • Perm. Maxillary 2nd Molars Information and image included with permission of Dr. Armando Soto-Rojas (IUSD)

  7. Images included with permission of Dr. Armando Soto-Rojas (IUSD)

  8. Potential Long-term Benefits of Dental Sealants • Prevent Tooth Decay • Prevent Pain • Prevent Infection • Prevent Tooth Loss • Maintain Dentition Image included with permission of Dr. Armando Soto-Rojas (IUSD)

  9. Ideal Time to SealPermanent First Molars • Permanent 1st molars start erupting at approximately 6 years of age • Almost all permanent 1st molars erupted by 8-9 years of age • Should seal molars soon after they erupt Image included with permission of Dr. Armando Soto-Rojas (IUSD)

  10. Dental Sealants onPermanent 1st Molars Approximate percentage of children aged 6 to 9 years old with at least one permanent 1st molars erupted ** ** These are rough approximations, since no current data was found in the dental literature on this specific measurement

  11. 2. Largest Programs in Indiana • MEDICAID • SEAL INDIANA (IUSD)

  12. Available Data MEDICAID • Statewide • Children 6 to 9 Image included with permission of Dr. Armando Soto-Rojas (IUSD)

  13. Estimation of the Percentage of Children with a Dental Sealant on at least one Permanent 1st Molar Children Aged 6 to 9 Enrolled in Medicaid FSSA data request #7514 (2010)

  14. Available Data SEAL INDIANA • Central Indiana • Children 6 to 9 Image included with permission of Dr. Armando Soto-Rojas (IUSD)

  15. Children Aged 6 to 9 Seen by SEAL INDIANA Estimation of the Percentage of Children with a Dental Sealant on at least one Permanent 1st Molar Recent data provided by Dr. Armando Soto-Rojas of Seal IN to the ISDH (2012)

  16. 3. Future Directions Prescriptive Supervision Research/Programs

  17. Prescriptive Supervision Dentists/Dental Hygienists Schools/Public Health Settings www.in.gov Search on “IC 25-13”

  18. Research Regional Dental Sealant Programs FQHC/Schools (ISDH/IUSD)

  19. Research Oral Hygiene among Children in After-school Programs (ISDH/IU-Bloomington)

  20. Resources National Maternal and Child Oral Health Resource Center http://www.mchoralhealth.org Directions Go to the A-Z List: and click on D, then under the D topics click on Dental Sealants: OHRC

  21. Resources Centers for Disease Control (CDC) Healthy People 2020 www.healthypeople.gov/2020/default.aspx Directions Click on blue tab 2020 Topics & Objectives, then under O topics click on Oral Health, then click on the green tab Objectives

  22. ResourcesSEAL INDIANA http://www.iusd.iupui.edu/SealIndiana_Site/Default.aspx

  23. Questions

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