Pit and fissure sealants are protective agents that are applied to pits and fissures in teeth to prevent dental caries. They isolate these areas from the oral environment. Sealants have evolved from early silver nitrate applications to current resin-based sealants that are either light or chemically cured. Proper application involves cleaning, isolating, etching the enamel surface, applying the sealant material, checking occlusion, and periodic evaluation at recall visits. Newer sealants include those that fluoresce under light or bond in a moist environment for easier application.
Pit and fissure sealants are protective agents that are applied to pits and fissures in teeth to prevent dental caries. They isolate these areas from the oral environment. Sealants have evolved from early silver nitrate applications to current resin-based sealants that are either light or chemically cured. Proper application involves cleaning, isolating, etching the enamel surface, applying the sealant material, checking occlusion, and periodic evaluation at recall visits. Newer sealants include those that fluoresce under light or bond in a moist environment for easier application.
Original Description:
Presentation on pit and fissure sealant
Pediatrics dentistry chapter
Pit and fissure sealants are protective agents that are applied to pits and fissures in teeth to prevent dental caries. They isolate these areas from the oral environment. Sealants have evolved from early silver nitrate applications to current resin-based sealants that are either light or chemically cured. Proper application involves cleaning, isolating, etching the enamel surface, applying the sealant material, checking occlusion, and periodic evaluation at recall visits. Newer sealants include those that fluoresce under light or bond in a moist environment for easier application.
Pit and fissure sealants are protective agents that are applied to pits and fissures in teeth to prevent dental caries. They isolate these areas from the oral environment. Sealants have evolved from early silver nitrate applications to current resin-based sealants that are either light or chemically cured. Proper application involves cleaning, isolating, etching the enamel surface, applying the sealant material, checking occlusion, and periodic evaluation at recall visits. Newer sealants include those that fluoresce under light or bond in a moist environment for easier application.
Download as PPTX, PDF, TXT or read online from Scribd
Download as pptx, pdf, or txt
You are on page 1/ 19
PIT AND FISSURE SEALENT
Content:Introduction Defination Historical background Classification Indication,contraindication Procedure GIC vs sealent Introduction •Cariespotential is directly related to shape and depth of pit and fissure. •80% of caries occurs on occlusal surface. •Sealents are the effective caries
protective agent Pits are defined as small pin point depression located at the junction of development grooves Fissure is defined as deep clefts between
adjoining cusps. TYPES OF FISSURES 1.V shaped: these are shallow and wide tends to be self cleansing,caries resistent 2.I type : deep,narrow and constricted resembles to bottle neck ,caries susceptible. 3.K shaped :narrow at top and wide at bottom Defination : according to simonsen material that is introduced into the pits and fissures of caries susceptible teeth thus forming micromechanically bonded protective layer cutting access of caries producing bacteria from their source of nutrient According to ADA: an adhesive material that is applied to pits and fissure of teeth in order to isolate from rest of oral cavity Historical background 1905:application of silver nitrate by miller 1922technique named prophylactic
odontomy which was introduced by hyatt
1929:bodecker introduced method Fissure
eradication. 1955 :bunocore introduced a method of
adhering resin to acid etched enamel surface
1962: bowen and associates developed the
Bis-GMA resin classification A. Based on generation 1.First generation : Polymerized with UV light Absorbs UV light excessively and prevents complete polymerization of sealant at its depth Eg:Nuva lite 2.Second generation Self cured or chemically cured Can be transparent,opaque or tinted Can be filled or unfilled eg:concise white 3.third generation: Visible light cured May be filled or unfilled Eg:helioseal 4.Fourth generation: Flouride releasing sealent Eg seal right B. Based on filler content 1.unfilled: Better flow, more retention but abrade rapidly 2.Filled Resistence to wear
C.Based on color 1.Clear Ethetic but difficult to detect in recall visit Eg:helioseal 2.Tinted Can be indentified Eg delton 3.Coloured Based on color change technology Easy to ee during placement and recall Eg;clinpro pink D.Based on chemical structure 1.methyl methacrylate 2.TEGDMA 3.Bis-GMA 4.PMU Indication of pit and fissure sealent 1.deep,retentive pits and fissure 2.stained pits and fissure 3.no radiographic or clinical evidence of proximal caries 4.possiblities of adequate isolation 5.questionable enamel caries 6.caries pattern sho more than one lesion per year 7.factors associated with increased caries incidence 8.community based sealent programme. Contraindications 1. Self cleansing pits and fissure 2. Clinical evidence of interproximal caries 3. Isolation is not possible
4. Life expectancy of tooth is limited
5. Dentinal caries 6. Lack of preventive practices Procedure 1. CLEAN THE TOOTH SURFACE: Remove plaque and debris from enamel pits and
fissure. Debris imterferes ith proper etching process
Toothbrush prophylaxis or sodium bicarbonate
slurry or pumice can be used
2.ISOLATION AND DRY THE SURFACE : Rubber dam provide best isolation
Cotton roll isolation ith adequate suctioning is
also preffered method of isolation for many
practioners 3.ETCH THE TOOTH SURFACE : Etch ith 37% conc. Of orthophoshoric acid for
15 to 30 sec for primary teeth and 15sec for
permanent teeth Gently rub etchant applicator over tooth
surface including 2-3mm of cuspal inclines
Do not allow the etchant to come into contact
with soft tissue
Aftr etching rinse tooth surface and dry it for
30sec until it has chalky frosted appearance
4.MATERIAL APPLICATION : Sealant material is then applied to tooth
according to manufracturer direction
Air bubble should not be corporate in the
material wIth mandibular teeth apply the sealant at the
distal apect and allow it to flow mesially
For maxillaey teeth application is at mesial
aspect and allow it to flow distally
For autopolymerising sealant working time
varies from 1-2 min and for photoactive
sealant 10-20sec 5. EVALUATION OF SEALANT : Sealant should be evaluated visually and
tacically Take explorer and attempt to doslodge it Any deficiences in the material more sealant
material should be applied
6.CHECK OCCLUION : IF occlusal high point present,correct them Occlusion checked and adjusted if needed
7.RETENTION AND PERIODIC MAINTAINANCE
Re evaluate the sealant at recall visit Check for any exposure ,voids Current status 1. Fluorescing pit and fissure sealant : Use of UV pen light Visual verification of sealant margin at time of sealant margin at time of placement and recall eg:Delton seal-N-Glo 2. Wetbond pit and fissure sealant First pit and fissure resin sealant that can be applied in moist field Bonds chemically 3. Pit and fissure sealant with ACP Light cured sealant that contain smart material Has controlled flowability ,more resilient stronger long lasting sealant It form thermal and chemical barrier protecting tooth enamel Eg; aegis pit and fissure sealant
