Early loss of pit and fissure sealant: a clinical and SEM study.

The rate of early loss of preventive resin restoration and single application of pit and fissure sealant was determined by a clinical survey. The rate of partial and complete sealant loss on the observed surfaces was 14.4% (43/299) at the 3-month recall, with a further loss of 7.0% (12/171) between the 3- and 6-month recalls. Typically, a complete loss of sealant was observed on maxillary molars and on the buccal surface of mandibular molars, while partial loss caused on the occlusal surface of mandibular molars. Scanning electron microscopic observation of in vivo tooth replicas revealed partial gap formations and small fractures of sealant indicating failure or degradation of adhesion. The presence of unetched areas after routine cleaning and acid etching, especially in and around pits and fissures could be a major cause of early sealant loss.