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Sealants: The Added Link in Prevention

Course Number: 673

Step Three – Etch the Tooth Surface

Etching the surface of the tooth, also called conditioning, is accomplished by using 38% phosphoric acid. The acid use in etching the tooth has the additional benefit of killing the bacteria in the pit and fissures. This acid is available in liquid and gel. If a gel is used, it is important to use a gel product that is specifically designed for pit and fissure sealants. Other gels may be too viscous and will not flow properly into the pits and fissures. The etching time is approximately 20 seconds for both primary and permanent teeth. Figures 10‑11 illustrate the placement of acid on the tooth surface.

fig10

Figure 10.

fig11

Figure 11.