Sealants should be used for all of the following EXCEPT:
  1. Antimere (tooth on the opposite side of the mouth) with similar morphology
  2. Occlusal restorations
  3. Absence of proximal caries
  4. Rampant caries
Explanation
Answer: D - Rampant caries is a contraindication for using sealants. Cases involving so much decay will result in the need for fillings (i.e., less conservative treatment).
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