Which factors would indicate proximal risk management with sealing?

• A. Cavitated proximal lesions requiring direct restoration
• B. No proximal lesions and low caries risk
• C. Presence of incipient proximal lesions or radiographic proximal radiolucencies without cavitation; high caries risk
• D. Preference for cosmetic appearance

Answer: (C)

Sealing is used to manage early proximal caries in patients at high caries risk, aiming to arrest progression while preserving tooth structure. When there are incipient proximal lesions or radiographic proximal radiolucencies without cavitation and the patient has high caries risk, sealing the area can halt further decay without drilling. If there are cavitated proximal lesions, sealing isn’t appropriate because a restoration is necessary to remove decay and restore form. No proximal lesions with low caries risk likewise doesn’t warrant sealing, and cosmetic appearance alone isn’t a driver for proximal risk management.