Mechanism of action of pit and fissures sealant is by:
**Core Concept**
Pit and fissure sealants are a type of preventive dental material used to fill in the grooves and crevices on the surface of teeth, particularly molars, to prevent the accumulation of plaque and bacteria that can lead to tooth decay. The primary goal of pit and fissure sealants is to create a physical barrier against the entry of bacteria and food particles, thereby reducing the risk of caries.
**Why the Correct Answer is Right**
The mechanism of action of pit and fissure sealants is primarily based on their ability to create a hydrophobic (water-repelling) seal over the tooth surface, preventing the penetration of bacteria and food particles into the tiny crevices and grooves. This is achieved through the use of a resin-based material, typically a mixture of acrylic and silane monomers, which polymerizes to form a hard, impermeable barrier. The sealant fills in the pit and fissure system, preventing the accumulation of plaque and bacteria, and thereby reducing the risk of caries.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it does not accurately describe the mechanism of action of pit and fissure sealants. While some dental sealants may contain fluoride, the primary mechanism of action is not through the release of fluoride ions.
**Option B:** This option is incorrect because it is too vague and does not accurately describe the specific mechanism of action of pit and fissure sealants. While some dental materials may function through the release of ions, this is not the primary mechanism of action of pit and fissure sealants.
**Option D:** This option is incorrect because it does not accurately describe the mechanism of action of pit and fissure sealants. While some dental materials may function through the release of enzymes, this is not the primary mechanism of action of pit and fissure sealants.
**Clinical Pearl / High-Yield Fact**
It is essential to note that pit and fissure sealants are most effective when applied to teeth with deep grooves and crevices, and when the sealant is applied immediately after the teeth have been cleaned and dried. A well-applied sealant can provide protection against caries for several years, making it an essential preventive measure in dentistry.
**Correct Answer: C.**