Pit & Fissure Sealants: A Clinical Update for the Dental Team.
Pit and Fissure Sealants
A Clinical Update: Materials, Technique, and Evidence
Starting with the public health case for sealants - who benefits most, and why they remain a cornerstone of caries prevention - the course moves into the clinical detail that matters chairside: the latest generation of sealant materials, refined isolation and placement techniques, and the current research on efficacy, retention, and safety. Whether you place sealants yourself or simply want to speak to their value with patients and parents, you will leave with a sharper, more current understanding of the evidence.
Who Should Take This Course...
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Dentists and hygienists looking for a concise, current refresher on sealant materials, technique, and the supporting research
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Dental assistants in the 12 states where this course satisfies your state's requirement to place sealants in the office (check your state using the interactive eligibility tool at checkout - we will tell you exactly where you stand before you enroll)
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EFDAs, RDAs, and other credentialed dental assistants in any state, as a focused clinical refresher - especially valuable if you have spent recent years in a specialty like orthodontics or oral surgery and have not placed a sealant in some time
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Any dental assistant preparing to sit for the DANB Sealants (SE) exam, as a targeted content review
Eligibility
This course provides clinical education and CE credit. In states where it satisfies your state's placement requirement, your certificate documents that you have met the applicable training component. In all other states, it serves as valuable review and preparation for the DANB Sealants (SE) exam — it does not independently authorize sealant placement. Full state-by-state details, including your state's specific status, are available in the eligibility tool below.
Select Your State
✓Placeholder TextUse the dropdown above to select your state. We'll let you know whether this course is Review Only in your state, or whether it satisfies your state's requirements for dental assistants to place sealants, along with a plain-English explanation and the specific board rule behind it. If you still have questions after reviewing your state's details, please contact us directly.
Alabama
▶Review Only — Does Not Satisfy State RequirementAlabama does not currently authorize dental assistants to place pit-and-fissure sealants under any regulatory pathway; sealant placement remains a prohibited function for this category of auxiliary.
DSI SU001 provides a thorough grounding in sealant theory and technique and may serve as useful preparation should your role or state of practice change, but it does not confer authorization to place sealants in Alabama.
Ala. Admin. Code r. 270-X-3-.10
Alaska
✓State Eligible — Supports Delegated TrainingAlaska law permits a supervising dentist to delegate the application of pit-and-fissure sealants to a dental assistant under indirect supervision, without a separate state examination or board-approved course requirement.
DSI SU001 is designed to support that delegated training.
Alaska Stat. § 08.36.346; 12 Alaska Admin. Code 28, Art. 9
Arizona
▶Review Only — Does Not Satisfy State RequirementArizona restricts sealant placement to assistants holding Expanded Function Dental Assistant (EFDA) status, which requires completion of a CODA-accredited program along with the applicable DANB examinations.
If you currently hold EFDA status, DSI SU001 serves as a focused refresher. It does not independently satisfy Arizona's certification requirement.
Ariz. Rev. Stat. § 32-1291.01(D); Ariz. Admin. Code R4-11-701 et seq.
Arkansas
▶Review Only — Does Not Satisfy State RequirementIn Arkansas, sealant placement may be delegated only to an assistant who holds the state's board-approved coronal-polishing permit as a prerequisite credential.
If you already hold that permit, DSI SU001 offers valuable sealant-specific review. On its own, it does not establish eligibility to place sealants.
Ark. Admin. Code 038.00.13-002, Art. XVII
California
▶Review Only — Does Not Satisfy State RequirementCalifornia regulation requires that sealant training be completed through a course offered by a provider specifically approved by the Dental Board of California. DSI SU001 has not been submitted for that approval, and accordingly, while it offers substantive review, it does not satisfy California's provider-approval requirement.
Cal. Bus. & Prof. Code § 1752.6; Cal. Code Regs. tit. 16, § 1070.6
Colorado
✓State Eligible — Supports Delegated TrainingColorado does not regulate or register dental assistants for purposes of sealant placement. A supervising dentist may delegate this function directly, provided the assistant has been appropriately trained and the dentist is satisfied as to competency.
DSI SU001 is designed to support that delegated training.
Colorado Dental Board program statement; 3 Colo. Code Regs. 709-1
Connecticut
▶Review Only — Does Not Satisfy State RequirementConnecticut restricts sealant placement to assistants holding Expanded Function Dental Assistant (EFDA) status, which requires a CODA-accredited educational program in addition to DANB Certified Dental Assistant (CDA) or Certified Orthodontic Assistant (COA) certification and the DANB Certified Preventive Functions Dental Assistant (CPFDA) credential.
If you currently hold EFDA status, DSI SU001 provides useful review. It does not independently satisfy the state's certification requirement.
Conn. Gen. Stat. § 20-112a(c)(2)(C)
Delaware
▶Review Only — Does Not Satisfy State RequirementDelaware law reserves sealant placement to licensed dentists and dental hygienists; dental assistants are not an authorized category of provider for this procedure under any circumstance.
DSI SU001 may broaden your general knowledge of preventive dentistry, but it cannot, under Delaware regulation, authorize sealant placement by a dental assistant.
Del. Code Ann. tit. 24, ch. 11; Del. Admin. Code tit. 24, § 1100
District of Columbia
▶Review Only — Does Not Satisfy State RequirementThe District of Columbia requires registration as a Level III Dental Assistant, which entails DANB CDA certification along with the CPFDA credential, completion of a board-approved hands-on course, and a passing score on the District's jurisprudence examination.
If you currently hold Level III registration, DSI SU001 serves as a well-suited refresher. It does not independently satisfy the District's registration requirement.
D.C. Code § 3-1209.05(h); 17 D.C. Mun. Regs. § 9004
Florida
▶Review Only — Does Not Satisfy State RequirementFlorida classifies sealant placement as an expanded function requiring formal training through a program approved specifically by the Florida Board of Dentistry; Florida does not recognize DANB CDA certification for this purpose, with the exception of assistants credentialed prior to 2009.
DSI SU001 offers meaningful review of the didactic material but has not been submitted for Florida provider approval, and accordingly does not independently qualify an assistant to place sealants in this state.
Fla. Stat. § 466.024(6); Fla. Admin. Code Ann. r. 64B5-16.005
Georgia
▶Review Only — Does Not Satisfy State RequirementGeorgia requires Expanded Duty Dental Assistant (EDDA) certification, obtained through a course recognized by the state board.
If you currently hold EDDA certification, DSI SU001 provides helpful review. It does not independently satisfy Georgia's certification requirement.
Ga. Comp. R. & Regs. 150-9-.02
Hawaii
✓State Eligible — Supports Delegated TrainingHawaii does not require a separate state certification, registration, or DANB sealant credential as a precondition to sealant placement by a dental assistant. A supervising dentist may train and delegate this function directly, retaining responsibility for the assistant's competency.
In practice, the assistant should receive documented instruction covering dental anatomy and indications for sealant placement, tooth isolation and moisture control, preparation of the occlusal surface, the etch-rinse-dry-apply-cure sequence, evaluation of retention and occlusion, and infection control and documentation standards, together with supervised hands-on practice.
Haw. Rev. Stat. § 448-3(b); Haw. Admin. Rules tit. 16, ch. 79
Idaho
✓State Eligible — Supports Delegated TrainingIdaho does not impose a separate certificate or board-approved course requirement for sealant placement. A supervising dentist may delegate this function to an assistant under direct supervision once appropriate training has been provided.
DSI SU001 is designed to support that delegated training.
Idaho Admin. Code 24.31.01.037
Illinois
▶Review Only — Does Not Satisfy State RequirementIllinois requires completion of a sealant course consisting of at least two hours of didactic instruction and two hours of clinical instruction, unless the assistant graduated from an approved dental assisting program that already included this training.
DSI SU001 provides valuable review of the didactic content but does not, on its own, satisfy Illinois's minimum instructional-hour requirement.
Ill. Admin. Code tit. 68, § 1220.245
Indiana
▶Review Only — Does Not Satisfy State RequirementIndiana does not require licensure or registration for basic dental assistants; however, sealant placement is not authorized through ordinary on-the-job training alone. It requires completion of an Indiana-approved course incorporating both didactic and hands-on clinical components, with documentation of completion maintained in the assistant's personnel record.
DSI SU001 provides strong preparatory and review value, but the training provider should be confirmed as specifically approved for sealant placement, rather than approved for continuing education generally, before it is relied upon to establish eligibility.
Indiana State Board of Dentistry / Professional Licensing Agency guidance
Iowa
▶Review Only — Does Not Satisfy State RequirementIowa requires a Level 2 expanded-function certificate, obtained through a board-approved program offered by a CODA-accredited institution.
If you currently hold this certificate, DSI SU001 offers useful review. It does not independently satisfy Iowa's certification requirement.
Iowa Admin. Code r. 650—23.6(2)
Kansas
✓State Eligible — Supports Delegated TrainingKansas does not impose a separate state examination, permit, or course requirement for sealant placement. A supervising dentist may delegate this function directly once satisfied as to the assistant's training and competency.
DSI SU001 is designed to support that delegated training.
Kan. Stat. Ann. § 65-1436; § 65-1456(c)
Kentucky
▶Review Only — Does Not Satisfy State RequirementKentucky's enumerated expanded duties for dental assistants do not include sealant placement; the procedure remains a prohibited function for this category of auxiliary and is reserved to dentists and dental hygienists. Kentucky does not recognize an EDDA or EFDA designation as conferring additional privileges in this area.
DSI SU001 provides a sound general foundation in sealant theory and technique, useful for assistants studying broadly or preparing for practice in another jurisdiction, but it cannot authorize sealant placement by an assistant in Kentucky.
201 Ky. Admin. Regs. 8:571; Ky. Rev. Stat. Ann. § 313.045
Louisiana
▶Review Only — Does Not Satisfy State RequirementLouisiana recognizes Expanded Duty Dental Assistant (EDDA) training only when completed through one of three designated institutions: Louisiana State University School of Dentistry, the University of Louisiana at Monroe, or Southern University at Shreveport.
If you hold EDDA certification through one of these programs, DSI SU001 offers valuable review. It does not substitute for that accredited program.
La. Rev. Stat. Ann. § 37:751(L), § 37:792.1; La. Admin. Code tit. 46, pt. XXXIII, §§ 502–503
Maine
▶Review Only — Does Not Satisfy State RequirementMaine requires Expanded Function Dental Assistant (EFDA) licensure, which entails DANB CDA certification together with completion of a board-approved, CODA-accredited EFDA program.
If you currently hold EFDA licensure, DSI SU001 serves as a solid refresher. It does not independently satisfy the state's licensure requirement.
Me. Rev. Stat. Ann. tit. 32, § 18373(1)(B), § 18372
Maryland
▶Review Only — Does Not Satisfy State RequirementMaryland requires expanded-function certification, obtained through DANB certification together with a board-approved program and a passing score on the Maryland Expanded Function Examination.
If you currently hold this certification, DSI SU001 provides useful review. It does not independently satisfy Maryland's certification requirement.
Md. Code Regs. 10.44.01, 10.44.10
Massachusetts
▶Review Only — Does Not Satisfy State RequirementMassachusetts ties authorization to place sealants to specific license classifications — Expanded Function Dental Assistant, Certified Dental Assistant, or Formally-Trained Dental Assistant — each subject to its own supervision tier and each requiring DANB certification or a CODA-accredited program. Assistants trained solely on the job are not authorized to place sealants under any supervision tier.
If you hold one of the qualifying classifications, DSI SU001 provides meaningful review. It does not independently confer authorization.
234 Mass. Code Regs. 5.11(18), 4.11
Michigan
▶Review Only — Does Not Satisfy State RequirementMichigan requires Registered Dental Assistant (RDA) licensure, which includes thirty-five hours of expanded-function education and a passing score on Michigan's own state RDA examination, distinct from DANB certification.
If you hold RDA licensure, DSI SU001 serves as a focused sealant refresher. It does not substitute for that licensure pathway.
Mich. Admin. Code r. 338.11411, r. 338.11239
Minnesota
▶Review Only — Does Not Satisfy State RequirementMinnesota requires Licensed Dental Assistant (LDA) status, obtained through the state's own licensing examination.
If you hold LDA status, DSI SU001 provides useful review. It does not independently satisfy Minnesota's licensure requirement.
Minn. R. 3100.8500
Mississippi
✓State Eligible — Supports Delegated TrainingMississippi permits sealant placement under the direct supervision of a licensed dentist, without a separate state certificate.
DSI SU001 is designed to support that delegated training.
Miss. Bd. of Dental Examiners Reg. No. 13 (30 Miss. Admin. Code pt. 2301, R.1.13)
Missouri
✓State Eligible — Supports Delegated TrainingMissouri statute expressly permits a supervising dentist to delegate sealant placement to a dental assistant under direct supervision, without a separate state permit.
DSI SU001 is designed to support that delegated training.
Mo. Rev. Stat. § 332.093; Mo. Code Regs. Ann. tit. 20, § 2110-2.120
Montana
✓State Eligible — Supports Delegated TrainingMontana permits sealant placement under the direct supervision of a licensed dentist, with no board course-approval process required; assistants who hold DANB certification may perform this function under general supervision instead.
DSI SU001 is designed to support that delegated training.
Mont. Admin. R. 24.138.406; Mont. Code Ann. § 37-4-408
Nebraska
▶Review Only — Does Not Satisfy State RequirementNebraska requires Licensed Dental Assistant status together with completion of a board-approved sealant course and a passing score on a board-approved practical examination.
If you hold this licensure, DSI SU001 provides useful review. It does not independently satisfy Nebraska's requirement.
Neb. Rev. Stat. § 38-1118.02, § 38-1118.03
Nevada
✓State Eligible — Supports Delegated TrainingAn assistant holding Nevada's Expanded Function Dental Assistant (EFDA) designation is independently qualified to place sealants; no separate sealant certificate is required.
DSI SU001 serves as a focused, well-suited review of sealant theory, infection control, tooth isolation, etching, placement, curing, and evaluation of retention and occlusion. Nevada law additionally permits a specially endorsed public-health dental hygienist to authorize an EFDA to apply sealants as part of a board-approved public-health program.
Nev. Rev. Stat. § 631.313, § 631.3129
New Hampshire
▶Review Only — Does Not Satisfy State RequirementNew Hampshire requires four hundred hours of prior clinical dental-assisting experience together with a specific expanded-duty sealants course offered by a qualifying continuing-education provider.
DSI SU001 provides solid preparation and review, but does not independently satisfy New Hampshire's experience and course requirements.
N.H. Code Admin. R. Ann. Den 302.06(q)–(s)
New Jersey
▶Review Only — Does Not Satisfy State RequirementNew Jersey requires Registered Dental Assistant status obtained through a board-approved expanded-functions program comprising fifteen didactic hours together with thirty clinical hours, along with a passing score on the New Jersey Expanded Functions Examination.
If you hold this certification, DSI SU001 offers helpful review. It does not substitute for the required program.
N.J. Admin. Code § 13:30-2.2
New Mexico
▶Review Only — Does Not Satisfy State RequirementNew Mexico regulation expressly provides that DANB certification alone does not qualify a dental assistant to place sealants; a separate board pathway involving education, experience, and examination requirements applies.
DSI SU001 provides useful review for assistants pursuing or already holding that state credential. It is not a substitute for it.
N.M. Admin. Code 16.5.33.10, 16.5.33.11
New York
▶Review Only — Does Not Satisfy State RequirementNew York does not permit dental assistants to place pit-and-fissure sealants under any circumstance; the procedure is reserved to licensed dental hygienists and dentists.
DSI SU001 provides a sound general foundation in sealant theory and technique but cannot, under New York regulation, authorize sealant placement by a dental assistant.
N.Y. Educ. Law § 6608; N.Y. Office of the Professions guidance
North Carolina
✓State Eligible — Supports Delegated TrainingNorth Carolina imposes no formal state certification requirement for this function. An assistant classified as Dental Assistant I in Training, or as Dental Assistant II, may place sealants, with classification verified by the employing dentist based on documented training and experience.
DSI SU001 is designed to support that training.
21 N.C. Admin. Code 16H .0203
North Dakota
▶Review Only — Does Not Satisfy State RequirementNorth Dakota requires documentation of hands-on training completed through one of the Board's specifically defined approved methods prior to sealant placement.
DSI SU001 provides valuable supporting review, but is not confirmed to independently satisfy that specific documentation requirement.
N.D. State Bd. of Dental Examiners, Pit & Fissure Sealants (RDA Endorsement) rule
Ohio
▶Review Only — Does Not Satisfy State RequirementOhio requires DANB or Ohio Dental Assisting Commission certification together with completion of a specific course consisting of two hours of didactic instruction and six hours of clinical instruction, offered through a CODA-accredited institution or a board-approved continuing-education sponsor, with the supervising dentist having personally observed the assistant successfully place a minimum of six sealants.
DSI SU001 offers strong review of the didactic material but does not, on its own, satisfy Ohio's course structure or supervised-observation requirements.
Ohio Rev. Code § 4715.39(C); Ohio Admin. Code 4715-11-03(B)(1)
Oklahoma
▶Review Only — Does Not Satisfy State RequirementOklahoma requires a sealant permit, contingent upon first holding a coronal-polishing permit, obtained through a board-approved course of approximately twelve hours.
DSI SU001 provides useful review. It does not substitute for the required permit process.
Okla. Admin. Code § 195:15-1-4, § 195:15-1-5
Oregon
▶Review Only — Does Not Satisfy State RequirementOregon requires Expanded Function Dental Assistant (EFDA) or Expanded Function Pediatric Dental Assistant (EFPDA) certification, obtained through a board-approved six-hour course.
Notably, Oregon expressly accepts a passing score on the DANB Sealants (SE) examination toward satisfaction of that requirement, making DSI SU001 particularly well-suited as review in preparation for the SE examination, though it does not substitute for the full certification process.
Or. Admin. R. 818-042-0090, 818-042-0114
Pennsylvania
▶Review Only — Does Not Satisfy State RequirementPennsylvania requires Expanded Function Dental Assistant (EFDA) certification, obtained through a board-approved EFDA program.
If you hold EFDA certification, DSI SU001 provides a solid refresher. It does not substitute for that program.
49 Pa. Code § 33.205a, § 33.117
Rhode Island
▶Review Only — Does Not Satisfy State RequirementRhode Island's recognized pathway to sealant placement runs through the DANB Certified Preventive Functions Dental Assistant (CPFDA) credential, together with the applicable Rhode Island dental-assisting status, required supervision, and documentation of training and competency.
DSI SU001 is well-suited as review of the CPFDA examination content; however, a standalone course does not, by itself, authorize sealant placement in Rhode Island.
216 R.I. Code R. 40-05-2.10; DANB Rhode Island state requirements
South Carolina
▶Review Only — Does Not Satisfy State RequirementSouth Carolina requires Expanded Duty Dental Assistant (EDDA) status.
If you hold this status, DSI SU001 offers helpful review. It does not substitute for it.
S.C. Code Ann. Regs. ch. 39
South Dakota
▶Review Only — Does Not Satisfy State RequirementSouth Dakota regulation excludes sealant placement from the list of duties permitted to a Registered Dental Assistant, effectively reserving the procedure to dentists and dental hygienists.
DSI SU001 provides a solid general foundation in the subject but cannot, under South Dakota regulation, authorize sealant placement by a dental assistant.
S.D. Admin. R. 20:43:08:10(5)
Tennessee
▶Review Only — Does Not Satisfy State RequirementTennessee requires a Sealant Application Certification, obtained through a board-approved six-hour course including a minimum of four clinical hours, together with a defined clinical externship.
DSI SU001 provides useful review. It does not substitute for that certification.
Tenn. Comp. R. & Regs. 0460-04-.09, 0460-05-.03
Texas
▶Review Only — Does Not Satisfy State RequirementTexas requires two years of dental-assisting experience, current Basic Life Support certification, an eight-hour clinical and didactic course approved by the Texas State Board of Dental Examiners, and registration with the Board.
DSI SU001 provides valuable supporting review. It does not substitute for the Board-approved course or the registration process.
Tex. State Bd. of Dental Examiners, Pit & Fissure Sealant certification rule
Utah
✓State Eligible — Supports Delegated TrainingUtah permits sealant placement as a delegated function, without a separate course or provider-approval requirement. A supervising dentist may train and delegate this function directly.
DSI SU001 is designed to support that delegated training.
Utah Admin. Code R156-69-603; Utah Code Ann. § 58-69-803
Vermont
✓State Eligible — Supports Delegated TrainingVermont does not require a separate course or provider approval for sealant placement; however, an assistant must independently have accrued at least six consecutive months of experience as a dental assistant, or hold a qualifying CODA-accredited program credential, before undertaking this function.
DSI SU001 is designed to support the assistant's training once that experience threshold has been met.
Code Vt. R. 04-030-080, pt. 7, §§ 7.7–7.8
Virginia
▶Review Only — Does Not Satisfy State RequirementVirginia requires Dental Assistant II registration, obtained through a CODA-accredited, competency-based program.
If you hold this registration, DSI SU001 offers a helpful refresher. It does not substitute for that program.
18 Va. Admin. Code § 60-30-120, § 60-30-60/-70
Washington
▶Review Only — Does Not Satisfy State RequirementWashington requires full Expanded Function Dental Auxiliary (EFDA) licensure to place sealants, which entails completion of a Commission-approved EFDA education program, a passing score on an approved written examination (typically DANB's WARE), and a passing score on an approved clinical examination (such as WREB or CRDTS).
DSI SU001, however substantive, does not add sealant privileges to a standard Registered Dental Assistant credential in Washington; it is best applied as general office training or as review for an assistant who already holds EFDA licensure.
Wash. Dep't of Health, Expanded Function Dental Auxiliary FAQ
West Virginia
▶Review Only — Does Not Satisfy State RequirementWest Virginia requires completion of a board-approved course and examination, together with a final evaluation by the supervising dentist.
DSI SU001 provides useful review. It does not substitute for that process.
W. Va. Code R. § 5-13-4.1.16
Wisconsin
▶Review Only — Does Not Satisfy State RequirementWisconsin prohibits unlicensed dental assistants from placing sealants; the procedure requires full Expanded Function Dental Auxiliary licensure, entailing one thousand hours of qualifying experience, DANB CDA certification, and a seventy-classroom-hour accredited program.
If you hold this licensure, DSI SU001 provides solid review. It does not substitute for it.
Wis. Stat. § 447.01(3)(c), § 447.035, § 447.04(3)
Wyoming
▶Review Only — Does Not Satisfy State RequirementWyoming requires a Pit-and-Fissure Sealant permit, obtained through a board-approved course.
Wyoming is notable in expressly accepting a passing score on the DANB Sealants (SE) examination as satisfying that course requirement, making DSI SU001 directly useful as SE-examination review for assistants pursuing the permit, though the permit application itself remains a separate step.
034-7 Wyo. Code R. §§ 7-9
Course Objective
Completing DSI SU001 provides one hour of clinical instruction covering pit-and-fissure sealant materials, placement technique, and current safety and efficacy research. Once you pass, your certificate of completion documents that you have met this training component to apply dental sealants in accordance with your state guidelines.
Course Structure
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One hour of self-paced online instruction you can complete on your own schedule.
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Pass the short knowledge assessment covering the material with a score of 75% or better.
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Download and save your CE certificate in Pit and Fissure Sealants from DSI.
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Present your certificate to your employer and follow your state guidelines to ensure your eligibility.
Course Objective
Completing DSI SU001 provides one hour of continuing education covering pit-and-fissure sealant materials, placement technique, and current safety and efficacy research. This course is intended as a clinical refresher for licensed dental hygienists already authorized to place sealants under their state's scope of practice. Once you pass, your certificate of completion documents one hour of CE credit in Pit and Fissure Sealants (AGD PACE approval pending).
Course Structure
-
One hour of self-paced online instruction you can complete on your own schedule.
-
Pass the short knowledge assessment covering the material with a score of 75% or better.
-
Download and save your CE certificate in Pit and Fissure Sealants from DSI.
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AGD PACE approval is currently pending for hygiene
Course Objective
Completing DSI SU001 provides one hour of continuing education covering pit-and-fissure sealant materials, placement technique, and current safety and efficacy research. This course is intended as a clinical refresher for licensed dentists, supporting both hands-on placement technique and informed clinical delegation decisions when authorizing dental hygienists or trained dental assistants to place sealants within their state's scope of practice. Once you pass, your certificate of completion documents one hour of CE credit in Pit and Fissure Sealants (AGD PACE approval pending).
Course Structure
-
One hour of self-paced online instruction you can complete on your own schedule.
-
Pass the short knowledge assessment covering the material with a score of 75% or better.
-
Download and save your CE certificate in Pit and Fissure Sealants from DSI.
-
AGD PACE approval is currently pending for hygiene
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