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. 2022 Jul 5;22:275. doi: 10.1186/s12903-022-02298-9

Table 1.

The modified United States of Public Health Service Criteria for clinical evaluation of sealants

Category Score Characteristic
Anatomic Form Alpha Continuous
Bravo Slight discontinuity, clinically acceptable
Charlie Discontinuous
Marginal Adaptation Alpha Closely adapted, no crevice is detected with explorer
Bravo Explorer penetrates in no more than 1/3 of the margin
Charlie Explorer penetrates more than 1/3 of the margin
Surface Texture Alpha Enamel-like surface
Bravo Surface rougher than enamel
Charlie Surface which unacceptably rough
Marginal Discoloration Alpha No visual evidence of discoloration
Bravo Discoloration without penetration in pulpal direction
Charlie Discoloration with penetration in pulpal direction
Retention Alpha No loss of the sealant
Charlie Loss of the sealant (partial or total loss)
Secondary Caries Alpha No caries present
Charlie Caries present