This document provides information on 3M ESPE Clinpro Sealant. It discusses that sealants form a physical barrier on tooth surfaces to prevent caries. Clinpro Sealant is designed for sealing pits and fissures, and has characteristics such as being light cure, fluoride releasing, unfilled, and having a color change from pink to white during curing. It also discusses the adhesive Adper Prompt Self-Etch adhesive that can be used with Clinpro Sealant to simplify the application technique by eliminating the need for a separate acid etch step. Research shows the combination of Adper Prompt adhesive and Clinpro Sealant results in less microleakage and similar bond strength compared to traditional acid etch methods.

1. What are Sealants?
 Physical barrier on the occlusal surface.
 Prevents caries in the pits and fissures of teeth.
 Target newly erupted posterior teeth.

2. Clinpro™ Sealant
Indications
3M ESPE Clinpro Sealant is designed
for sealing pits and fissures of teeth to aid in
the prevention of caries.

3. Clinpro™ Sealant
Types of Sealants
 Fillers
– With
• Less wear
• May require occlusal adjustment
– Without
• No occlusal adjustment
• Low viscosity
 Sealant Color
– Tinted
• More accurate placement
• Enhances ability to check retention at recall appointments
– Clear
• More esthetic
• Difficult to monitor
 With and Without Fluoride

4. Clinpro™ Sealant
What is Clinpro™ Sealant?
Clinpro™ Sealant is a preventive pit and fissure sealant with
the following characteristics:
 Light cure
 Fluoride release
 Unfilled
 Syringe dispenser or bottle dispenser
 Color-change from pink to white during cure

5. Clinpro™ Sealant
Color-change Technology
Makes pit and fissure sealant application easier
 Pink color is easier to see while applied.
 Syringe applicators make direct application easy to handle
with less waste than unit dose.
 Unfilled viscosity flows easily into pits and fissures and
requires less occlusal adjustment.

6. Clinpro™ Sealant
Technology
Patented Proprietary 3-component initiator system
Patented Organic Fluoride-tetrabutylammonium tetrafluoroborate

7. Clinpro™ Sealant
Intro Kit - Syringes

8. Clinpro™ Sealant
Intro Kit - Bottles

9. 10.9
11.9
13.6
13.6
15.9
0 5 10 15 20
Helioseal F
Delton Plus
Clinpro
Ultraseal XT Plus
Delton DDS
Mpa
Clinpro™ Sealant
Adhesion to Enamel

10. 0
100
200
300
0 20 40 60 80 100 120 140 160
days
micrograms
fluoride
/
gram
sample
Ultraseal Helioseal F Clinpro Sealant
Clinpro™ Sealant
Cumulative Fluoride Release
UltraSeal XT® Plus™ -- Ultradent® Helioseal® F -- Ivoclar-Vivadent

11. Clinpro™ Sealant
General Technique
 Sealants are very effective and can be long lasting.
 Technique is the primary reason for sealant failure.
– Grooves not thoroughly screened and cleaned
– Application contaminated.
– Difficult to isolate.
– Patients are usually young children.

12. SELDOM THIS COOPERATIVE
Clinpro™ Sealant

13. NOT GOING
TO HAPPEN
WATER
FOUNTAIN
Clinpro™ Sealant

14. Clinpro™ Sealant
Clinical Slide Series
Courtesy of Dr. Chris Bryant

15. Clinpro™ Sealant
Before and After
Before After

16. Slide 1
Select teeth to be sealed.
Clinpro™ Sealant

17. Slide 2
Cleansing of tooth
surfaces.
Clinpro™ Sealant

18. Slide 3
Enamel cleaned of debris
and de-mineralized
enamel.
Clinpro™ Sealant

19. Slide 4
Etch enamel (15
seconds minimum - 60
maximum).
Clinpro™ Sealant

20. Slide 5
Rinse and dry etched
enamel.
Clinpro™ Sealant

21. Slide 6
Frosty white appearance.
Clinpro™ Sealant

22. Slide 7
Applying sealant with
ultra-thin syringe tip.
Clinpro™ Sealant

23. Slide 8
Contrasting Clinpro™
Sealant (pink) applied
to fissures.
Clinpro™ Sealant

24. Slide 9
Light cure for 20
seconds. Pink color
changes to white.
Clinpro™ Sealant

25. Clinpro™ Sealant
Slide 10
Check sealant coverage
and wipe clean.

26. Clinpro™ Sealant
Product Comparison
Brand
%
Fill Fluoride
Shelf
Life Application Color Other
3M ESPE
Clinpro Sealant
3M ESPE
7 Y 24 mo.
Syringe-1.2ml
Bottle-6ml
White Changes color
UltraSeal
XTPlus
Ultradent
60 Y
24 mo.
refrigerate
Syringe-1.2ml
White
Translucent
A2
Additional
ingredient / step
Prima Dry
Radiopaque
Helioseal
Ivoclar-Vivadent
43 Y 24 mo.
Unit dose-
.08ml ea.
Syringe- 2.5gm
Bottle-8ml
White
Must wait 15
seconds before cure
Delton FS+
Dentsply/Chalk
55 Y 18mo.
Unit dose-
.08ml ea.
White
Clear
Radiopaque
Delton DDS
Dentsply/Chalk
0 N 24 mo.
Unit dose-
.08ml ea.
White
Clear
*
Seal-Rite
Pulpdent
7 Y 18 mo. Syringe-1.2ml White
Also available high
viscosity 34% filled

27. Clinpro™ Sealant
Research
 Loved the syringe dispensing system.
 Half the evaluators noticed less bubbles.
 High percentage rated flow of sealant from syringe at the
optimum level.
 Almost all (94%) said sealant stayed where they applied it.

28. 77
17
6
0 10 20 30 40 50 60 70 80 90
Better 4-5
Same 3
Poor 1-2
percentage
n=145
Clinpro™ Sealant
Performance Compared to Current Sealant

29. Adper™ Prompt™ Self-Etch Adhesive
and Clinpro™ Sealant
Benefits
 Simplify your sealant technique by eliminating
the phosphoric acid etch step.
“From the standpoint of time savings, lowered
complexity of treatment, and decreased challenge
of patient management, the self-etching adhesive
method of sealant application has a significant
advantage over the traditional method”.
 Am J Dent 2003 Aug:16(4):249-51, Feigal RJ, Quelhas I.

30. 0
20
40
60
80
100
120
140
Phosphoric Acid Adper Prompt (1 coat co-
cured with sealant)
Microleakage
Screen
pixels
Clinpro
Delton
Dr. Robert Feigal; University of Michigan
Delton is a registered trademark of Dentsply International
Results: Conditioning enamel with 3M™ ESPE™ Adper™ Prompt™ Adhesive, followed by applying sealant and light-curing,
resulted in significantly less leakage compared to conditioning with phosphoric acid before sealant application.
Adper™ Prompt™ Self-Etch Adhesive
and Clinpro™ Sealant
Microleakage Comparison

31. 0
5
10
15
20
25
Phosphoric Acid Adper Prompt (1 coat co-
cured with sealant)
Microtensile,
MPa
Clinpro
Delton
Dr. Jorge Perdigao; University of Minnesota
Delton is a registered trademark of Dentsply International
Results: Conditioning enamel with 3M™
ESPE™ Adper™ Prompt™ L-Pop Adhesive
was as effective as 35% phosphoric acid.
Adper™ Prompt™ Self-Etch Adhesive
and Clinpro™ Sealant
Microtensile Bond Strength Comparison

32. Adhesive
monomers
Coupled with
The active
group of
phosphoric acid
H3PO4
What is Adper Prompt Self-Etch Adhesive ?
3M ESPE Adper™ Prompt™ Self-Etch Adhesive
C-C-C-C-C-C-C-C-C-

33. November 22, 2002
Adper™ Prompt™ Self-Etch Adhesive
is the “only” self-etch adhesive that will
simultaneously etch dentine, cut enamel
and “uncut” enamel

34. 1. Brush adhesive onto surface to
be sealed; scrub for 15
seconds applying moderate
pressure.
Do not shorten this time. Proper bonding will not
occur if the solution is simply applied and
dispersed.
Preparation: 1. Thoroughly clean grooves to remove plaque and debris from enamel
surfaces and fissures.
2. Rinse thoroughly with water and dry.
Note: Do not use any cleaning medium that contains oils or fluoride. Prepare adhesive according to
dispensing instructions.
Adper™ Prompt™ Self-Etch Adhesive
and Clinpro™ Sealant
Application

35. 2. Use a gentle stream of air to
thoroughly dry the adhesive to a thin
film. A second layer is not
required for bonding sealants.
3. Apply a light-cured sealant. (Note:
Adper Prompt self-etch adhesive is
not indicated for self-cure sealants.)
Adper™ Prompt™ Self-Etch Adhesive
and Clinpro™ Sealant
Application (continued)

36. Clinpro™ Sealant
Summary
 Easy to control and visualize
placement.
 Releases & contains patented
organic fluoride.
 Opaque color for ease of re-
evaluation.
 Easy to use syringe dispenser.
 Familiar conventional sealant
technique.
 Ultra-fine metal tip for controlled
dispensing.
 Less bubbles.
 Less occlusal adjustments than
filled sealants.
Changes from PINK to
WHITE when cured.

37. FLUORIDE VARNISH
 Clinical findings “ support the efficacy of the semi-
annual topical application of fluoride in the
prevention of caries in primary teeth.”
 Children with high caries rates may receive greater
benefits from fluoride varnish
 Fluoride varnish arrests interproximal dental caries in
the dentin of adult teeth.

38. Fluoride Varnish Application
 Apply two or more times a year (3-6 mos)
 Sticky yellow semi-liquid containing 5%
sodium fluoride mixed with alcohol for quick
drying

39. CARE OF VARNISHED TEETH
 Brush off the next day
 Stay away from hard or chewy foods or
gum on tx day.
 No other fluoride day of tx

40. THANK YOU!!