By completing this survey, you give Pulpdent Corporation permission to use the information you provide below for quality assurance and compliance purposes.
 

Question Title

* 1) How often do you personally place pit and fissure sealants?

Question Title

* 2) Which pit and fissure sealant material do you use regularly? (Please select only one for this survey)

Question Title

* 3) How long have you been using this material? 

Question Title

* 4) What do you like most about this product?

Question Title

* 5) Please rate the characteristics of the sealant material you chose

  Excellent Good Fair Poor N/A
Marginal Integrity
Flowability
Handling
Setting Time
Retention
Color Match
Durability
Strength
Ion Release

Question Title

* 6) For any answer of fair or poor, please explain: 

Question Title

* 7) Have your patients experienced any negative issues such as allergic reaction, post-op sensitivity, or infection after use of this material?

Question Title

* If yes, please rate the severity of the issue

Question Title

* 8) How often have you had to replace or repair a sealant done with this material?

Question Title

* 9) If you have had to replace sealants done with this material, how many were replaced within;

Question Title

* 10) What are the main reasons you have had to replace or repair sealants done with this material?

Question Title

* Comments: 

Question Title

* Are you a dental healthcare provider?

Question Title

* I give Pulpdent consent to follow up in 6 months

Question Title

* We ask that you provide your contact information so we may reach you if needed to ensure the safety of our products. Information will not be used for marketing e-mails or phone calls, apart from notifying eligibility parties for gift card giveaways.

Question Title

* Internal use only

T