Oklahoma Pit and Fissure Sealants State Practice Exam

What is a potential downside of using sealants?

1. High risk of allergic reactions

2. Temporary loss of tooth sensitivity

3. Possibility of sealant wear over time

4. Sealants are irreversible

The correct answer is: Possibility of sealant wear over time

Using sealants does present the possibility of wear over time, which is a significant consideration when evaluating their long-term effectiveness and viability as a preventive measure against cavities. Sealants are designed to protect the occlusal surfaces of molars by creating a physical barrier that seals pits and fissures, thus preventing food particles and bacteria from accumulating in these hard-to-clean areas. However, daily wear from chewing, grinding, and normal oral functions can lead to degradation of the material. As this wear occurs, the protective benefits of the sealants may diminish, potentially increasing the risk of decay beneath the sealant itself. Therefore, routine check-ups are essential to assess the condition of the sealants and determine whether they need to be repaired or reapplied, as their longevity is not indefinite. While the other options mention possible issues—like allergic reactions or loss of sensitivity—these are less common or not typically highlighted as primary concerns when discussing sealants. The temporary nature of sealants due to wear makes this the most relevant downside in terms of their preventive role in pediatric dentistry.