Sealant Procedures PDF

 Intended Learning Skills: Be able to Identify the appropriate patients and teeth for sealant application and understand the importance of considering the patient's risk factors and the age or time elapsed since tooth eruption. Describe the procedure for applying pit and...

 Intended Learning Skills: Be able to Identify the appropriate patients and teeth for sealant application and understand the importance of considering the patient's risk factors and the age or time elapsed since tooth eruption. Describe the procedure for applying pit and fissure sealants, including the necessary equipment, surface cleansing methods, and moisture control techniques, and will be able to explain the importance of recall and follow-up for monitoring the effectiveness of the sealants in preventing dental caries. Pit and fissure sealants  Case selection / Inidcations Resin sealants  Step 1 Selection of Tooth with Mounting Patients – cooperative – meticulous procedure – Marking centric stops with articulating paper provides information so that excess sealant does not interfere with occlusion. – This is not necessary when the tooth has just erupted but is helpful in a well-established occlusion.  Step 2 Proper Armamentarium – Material check Isolation Hand instruments (MM , explorer, perio probe) Brush and low speed Acid etchant and Resin sealant Micro brush Articulating paper Polishing burs  Step 3 Cleaning of Tooth Surface ( brush with slow speed) – rotating dry bristle brush – inappropriate or aggressive use of fissure opening or enameloplasty – NOT FOLLOWED  Step 4 Acid Etching – Check all the pits and fissures are included – 20 secs – note --- sour in taste…! ! ! ! – Microporosities in the enamel surface are created by the acid-etching technique. This facilitates the application of a low-viscosity resin that penetrates the roughened surface and produces a mechanical lock of resin tags when cured. – “skipping”effect – Gel vs Solution  Step 5 Rinsing and Drying of the tooth – The etched enamel is dried with a compressed air stream that is free of oil contaminants – Frosty app  Step 6 Application of sealant – The sealant is applied to the prepared surface in moderation and then gently teased with a brush or probe into the pits and grooves – air bubbles is avoided – avoid applying large amounts of the sealant material  Step 7 Curing – large surface area requires polymerization  Step 8 Post-Operative Evaluation – Articulating paper – small round bur at slow speed – excess sealant may be removed with a sharp instrument from the unetched tooth enamel without removing sealant from the etched groove areas.  REEVALUATION Recall – Partially or completely lost – any discolored or defective old sealant Temporary sealants  Step 1 Selection of Tooth with Mounting Patients – cooperative  Step 2 Proper Armamentarium – Material check Isolation Hand instruments (MM , explorer, perio probe) Brush and low speed Conditioner and GIC sealant Petroleum jelly  Step 3 Cleaning of Tooth Surface ( brush with slow speed) – rotating dry bristle brush  Step 4 Conditioning – Check all the pits and fissures are included – Why???  Step 5 Rinsing and Drying of the tooth  Step 6 Application of sealant Mixing or capsule  Step 7 Post-Operative Evaluation – Articulating paper – small round bur at slow speed – excess sealant may be removed with a sharp instrument from the unetched tooth enamel without removing sealant from the etched groove areas.  REEVALUATION Recall – Partially or completely lost – Resin sealant