Sealant Clinical
Patient Worksheet

Sealant Clinical Patient Worksheet

Use this worksheet to identify errors in procedures. Place a check mark in the box each time a step in the procedure is incorrectly
performed or omitted.
*In some cases, a specific procedural step that is identified by an asterisk will require that this step must be correctly performed as improper performance would cause harm to the patient and/or cause failure to the sealant.

Infection Control/ Patient Safety

Assemble Armamentaria

Tooth Preparation

Etchant Placement

Sealant Placement and Curing Etchant pattern will not appear on typodont tooth.

Patient Education (not provided during laboratory experiences)

Infection Control-Patient Safety Clean-Up