Background This article presents evidence-based clinical recommendations for use of pit-
and-fissure sealants developed by an expert panel convened by the American Dental
Association Council on Scientific Affairs. The panel addressed the following clinical
questions: Under what circumstances should sealants be placed to prevent caries? Does
placing sealants over early (noncavitated) lesions prevent progression of the lesion? Are
there conditions that favor the placement of resin-based versus. glass ionomer cement …