Pit and Fissure Sealants in the Prevention of Dental Caries in ...
Pit and Fissure Sealants in the Prevention of Dental Caries in ...
Pit and Fissure Sealants in the Prevention of Dental Caries in ...
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––– <strong>Sealants</strong>: <strong>Prevention</strong> <strong>of</strong> <strong>Caries</strong> –––<br />
Citation: Folke BD, Walton JL, Feigal RJ. Occlusal sealant success over ten years <strong>in</strong> a private practice: compar<strong>in</strong>g<br />
longevity <strong>of</strong> sealants placed by dentists, hygienists, <strong>and</strong> assistants. Pediatr Dent 2004; 26(5):426–32.<br />
Material:<br />
• Fluroshield VLC (LD Caulk, Milford, Del.) or Ultraseal (Ultradent Products Inc., South Jordan, Utah)<br />
• Bond<strong>in</strong>g agent: 3M Scotch Bond Multi-Purpose <strong>Dental</strong> Adhesive or 3M S<strong>in</strong>gle Bond <strong>Dental</strong> Adhesive (3M, Irv<strong>in</strong>g,<br />
Calif.)<br />
Selection <strong>of</strong> Teeth <strong>and</strong> Tooth Type or Morphology: Fully erupted permanent first molars<br />
Technique:<br />
1. S<strong>in</strong>gle practice sett<strong>in</strong>g<br />
2. Cotton roll isolation<br />
3. M<strong>in</strong>imal enameloplasty us<strong>in</strong>g a one-quarter round bur at high speed with light brush<strong>in</strong>g motion<br />
4. 15 seconds phosphoric acid gel etch<strong>in</strong>g<br />
5. 5–10 seconds r<strong>in</strong>se<br />
6. Air-dry<br />
7. Application <strong>of</strong> bond<strong>in</strong>g agent with a h<strong>and</strong>-held brush, air-th<strong>in</strong>ned across <strong>the</strong> surface<br />
8. Placement <strong>of</strong> sealant<br />
9. 30 seconds <strong>of</strong> light-cur<strong>in</strong>g<br />
Citation: Wendt LK, Koch G, Birkhed D. Long-term evaluation <strong>of</strong> a fissure seal<strong>in</strong>g programme <strong>in</strong> Public <strong>Dental</strong><br />
Service cl<strong>in</strong>ics <strong>in</strong> Sweden. Swed Dent J 2001; 25(2):61–5.<br />
Material: Delton self-cure sealant (Johnson & Johnson Inc., Sollentuna, Sweden)<br />
Selection <strong>of</strong> Teeth <strong>and</strong> Tooth Type or Morphology: All caries-free occlusal surfaces <strong>of</strong> permanent molars<br />
Technique:<br />
1. Clean fissure system us<strong>in</strong>g a brush <strong>and</strong> pumice, <strong>the</strong>n a sharp probe.<br />
2. Wash, <strong>the</strong>n air-dry.<br />
3. Use cotton rolls for isolation, along with triangular parotid duct absorbents.<br />
4. Etch with phosphoric acid gel for 60 seconds.<br />
5. Remove rolls, <strong>and</strong> wash <strong>and</strong> dry <strong>the</strong> fissures.<br />
6. Apply new cotton roll.<br />
7. Apply <strong>the</strong> fissure sealant.<br />
Citation: Ram D, Mamber E, Fuks AB. Cl<strong>in</strong>ical performance <strong>of</strong> a non-r<strong>in</strong>se condition<strong>in</strong>g sealant <strong>in</strong> three paediatric<br />
dental practices: a retrospective study. Int J Paediatr Dent 2005; 15(1):61–6.<br />
Material: Dyract Seal compomer sealant (Dentsply-De Trey, Germany) with nonr<strong>in</strong>se condition<strong>in</strong>g<br />
Selection <strong>of</strong> teeth <strong>and</strong> tooth type/morphology: Primary <strong>and</strong> permanent molars<br />
Technique:<br />
1. Freshen tooth surface with a one-half round bur with a slow-speed eng<strong>in</strong>e<br />
2. Cotton roll isolation<br />
3. Application <strong>of</strong> nonr<strong>in</strong>se conditioner <strong>and</strong> Dyract Seal accord<strong>in</strong>g to manufacturer’s <strong>in</strong>structions<br />
JCDA • www.cda-adc.ca/jcda • March 2008, Vol. 74, No. 2 • App_183xxxvii
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