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The use of dental sealants to prevent caries in the first and second permanent molars of children and adolescents continues to grow.

Research shows that sealant placement on the permanent molars significantly decreases the incidence of caries formation.^1,2 Permanent molars have narrow pits and fissures in which bacteria and substrate collect.

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These surfaces are difficult to access with a toothbrush—making them prime targets for caries formation. Fluoride therapy is also less effective at preventing caries in these teeth because of the tooth’s occlusal morphology.

Community socioeconomic status (SES) is a contributing factor to the incidence of dental caries.

The prevalence and intensity of dental caries has declined sharply among children of higher SES due to their increased access to dental care as well as increased sealant usage.^3,4 Among children of lower SES, caries remains a public health problem.³ According to the Unit