Should a remineralization procedure be used or should a sealant be applied In pits and fissures with white spot lesions?

The following factors should be considered:

• While remineralization will occur, it may be limited due to the accessibility of the deep pit or fissure areas to treatment solutions such as fluoride.

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Sealants are the preferred treatment.

• Sealants placed over pit and fissure caries lesions causes the bacteria to become inactive since they are deprived of nutrients .

• The acid application for sealant placement serves as an antimicrobial treatment .

• Use fluoride-releasing sealants to enhance cariostasis.

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Changing diagnostic beliefs. 

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