Clinpro Sealant.ppt

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!!