Abstract: PURPOSE: To explore the factors influencing the effectiveness of pit and fissures sealing in order to provide suggestions to policy makers for quality promotion of pit and fissure program. METHODS: After developing outline of the qualitative interview, the method of focus group discussion was applied in this study. A total of 32 persons including dental clinical experts, dentists who operated pit and fissure sealing and program managers were interviewed. The data was collected, marked and classified by using MAXqda software. RESULTS: The main factors influencing the effectiveness of pit and fissure sealing in Xi'an city were the service providers, the service needers and the management of external organization. CONCLUSIONS: In order to promote the preventive effect of pit and fissure sealing, attention should be paid to increase investment from the government, promote school-based program mode, strengthen the supervision of designated medical institutions and the external management.

Key words: Pit and fissure sealing, Impact factor, Qualitative research