Decisions regarding the treatment of enamel pits and fissures, carious or not, can be difficult for the dentist; exceptional diagnostic acumen is required. In years gone by, teeth with Class I carious lesions were always restored with silver amalgam material; now, however, various treatment options are available to the clinician. Resin bonding, glass-ionomer systems, and visible light-curing technology have irrevocably changed restorative dentistry. This article reviews six methods for restoring teeth with Class I carious lesions or sealing those with susceptible pits and fissures.