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A study was performed to determine the success of a conservative cavity preparation using the principle of sealing for prevention rather than cavity extension for prevention. A total of 332 restorations were placed in 240 teeth of 110 subjects, aged 6 to 14, with a mean age of 8 years. After 4 years, 205 restorations were examined. Caries appeared in 13 teeth and sealant wear occurred in 14 restorations. Complete sealant loss was observed in eight restorations and partial loss in 38, leaving 156 restorations with complete retention of the sealant. These preliminary results show that conservative cavity preparation with sealing for prevention is a successful technique that conserves valuable tooth structure.
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