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Pit and Fissure sealants

Prevention is always better than cure!, application of pit and fissure sealants over the occlusal surfaces of teeth has proved to be effective in prevention of dental caries.

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Pit and Fissure sealants

  1. 1. EFFECTIVENESSOFPIT&FISSURESEALANTSINPREVENTINGCARIES BBBBOVER A PERIOD OF TIME PIT AND FISSURE SEALANTS HAVE BEEN PROVED TO BE EFFECTIVE IN PREVENTING INCIPIENT PIT & FISSURE LESIONS AND MAINTAINING ORAL PROPHYLAXIS STEP 1- POLISHING THE TOOTH SURFACE WITH PUMICE SLURRY & ISOLATION CLASSIFICATION (MITCHEL & GORDON) BASED ON CURING METHOD: -1ST GEN (UV LIGHT 350nm) -2ND GEN (SELF CURED) -3RD GEN (VISIBLE LIGHT 430nm) -4th GEN (FLUORIDE RELEASING) BASED ON PRESENCE OF FILLERS -UNFILLED (BETTER FLOW) -SEMIFILLED (BETTER STRENGTH & WEAR RESISTANCE) INDICATIONS -NEWLY ERUPTED 1ST MOLAR AND PERMANENT MOLARS AND PREMOLARS -STAINED PIT & FISSURES WITH MINIMUM DEMINERALIZATION & SOFTENING OF BASE -IN PATIENTS WITH CONTINUING CARIOUS RISK WHO HAVE FISSURE CARIES JUST INTO DENTIN. STEP 2- ACID ETCHING (37% ORTHO- PHOSPHORIC ACID), RINSE & DRY THE TOOTH SUMMARY- THE CARIOSTATIC PROPERTY OF SEALANTS ARE ATTRIBUTED TO PHYSICAL OBSTRUCTION OF PITS &FISSURES THUS PREVENTING ENTRY OF FERMENTABLE CARBOHYDRATES AND PRODUCTION OF ORGANIC ACIDS IN CARIOGENIC CONCENTRATION HENCE EFFECTIVELY INHIBITING DENTAL CARIES. STEP 3- APPLICATION OF SEALANT & CHECK OCCLUSION RECENT ADVANCEMENTS -ACP RELEASING SEALANT -EMBRACE WETBOND -ENAMEL Loc BY-Dr. PRATHAMESH FULSUNDAR

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