In most dental situations, you have the time to evaluate your treatment choices. No treatment is always an option, but may not be in your best interest. If you elect to be treated, there is often more than one way to proceed. Common treatment options for this procedure are listed on this page.
Teeth with deep pit and fissure anatomy might be treatable other ways. "Prophylactic odontotomies" can make teeth less plaque retentive more cleansable with a toothbrush. Correctly applied sealants can also make teeth less plaque retentive and more cleansable—however, the ability to timely diagnose underlying cavities when a sealant is leaking is lost. Be sure to familiarize yourself with these treatment options by following the links below, and discuss them with your dentist.
Oral irrigators can aid in the removal of large plaque accumulations around braces, fixed bridgework, and other "plaque traps". However, they do not remove "biofilm," the bacteria-rich film that accumulates on the teeth, which contributes to bad breath, tooth decay, and gum disease. Biofilm can only be removed by effective brushing and flossing.
If you suffer from xerostomia, your dentist can recommend saliva substitute products like Biotene®, or can prescribe medications that help stimulate salivary flow, like pilocarpine. You should discuss the use of any prescription medication with your dentist or physician, and familiarize yourself with any possible side effects.
Keep in mind, there is no substitute for proper nutrition and excellent oral hygiene when it comes to protecting your teeth from cavities.
Cavities originating in the deep pits and fissures of teeth may be more effectively prevented by prophylactic odontotomy and/or sealants.

