If you can not completely clean the pits or fissures in the teeth with a toothbrush, we suggest some intervention to treat deep pits and fissures which include dental sealants, prophylactic odontotomy, and use of topical fluoride—or appropriate combinations as you may need. We perform prophylactic odontotomy to eliminate deep pits and fissures in a tooth by widening the grooves with a cone shaped dental bur (shaping tip). As the grooves are eliminated without perforating the enamel shell, no sealant is needed to be placed. This is a quick and painless procedure. After this procedure is completed, the tooth will trap less bacteria-laden plaque and what does collect can be easily removed with a toothbrush.