Pit fissure sealant application updating technique

30-Aug-2014 09:58 by 9 Comments

Pit fissure sealant application updating technique - intimidating face paint

A nano filled resin sealant (Filtek Z350) was placed on their occlusal surface following cleaning by prophylaxis and acid etching. The teeth were then subjected to four different methods of repair: Group 1: With a slow speed prophylaxis brush followed by acid etching; Group 2: Prophylaxis brush, acid etching and application of bonding agent; Group 3: Light curing for 5s; and Group 4: Light curing for 20s.

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His results indicated that at 10 years, 56.7% of sealants were completely retained and 20.8% were partially retained.

Sealant was missing from 6.9% of the surfaces, while 15.6% of the surfaces had been restored or were carious.

The connection between pits, fissures, and dental caries can be traced to 1778, when John Hunter stated in his Practical Treatise on the Disease of Teeth that fissures are “cracks on the hollow path of grinding surfaces of molars filled with black substances.” Typically, a clinician dries a tooth surface and uses a dental mirror and explorer during a clinical examination to make the observation that pits, fissures, and grooves are on the surfaces of teeth.

The diagnosis of carious pits and fissures, however, can often be challenging, especially with recent changes in the approach to the diagnosis and treatment of caries.demonstrated that some occlusal surfaces have only small, round openings while others have continuous grooves that separate the cusps.

This article will focus on the use of pit and fissure sealants to prevent dental caries in children and adolescents.

During the last 30 years, there have been significant advances in the prevention of dental caries in children and adolescents.The tooth must be completely above the gum line for successful bonding. Historically, a prophy cup or bristle brush and pumice have been used.However, cleaning with an explorer and a water jet, toothbrush and toothpaste, and air polishing also work.Risk factors for cavities include lack of oral hygiene, a cavity-prone diet, low fluoride intake, dry mouth, and a history of cavities.Preventive dentistry includes a variety of patient and professional activities such as oral hygiene procedures to clean teeth and soft tissues, the uses of fluoride to control caries, chemo-pharmacologic agents to control periodontal disease, orthodontic space maintenance and interventions for the developing dentition, and treatment of susceptible surfaces of the teeth before they become carious.Acid preparations come in gel and liquid forms and each has advantages and disadvantages. All pits and fissures must be covered, but excess sealant can interfere with proper bite.