Etching, Sealants, and PRR Flashcards

1
Q

What is the objective of sealants?

A

Eliminate area that harbors bacteria and prevent nutrients reaching bacteria in base of pit or fissure

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2
Q

What are two types of sealants?

A

Self curing

Visible light curing

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3
Q

is complete penetration of sealants neccessary?

A

nope.

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4
Q
  • Were once used- NO MORE
  • Not enough abrasion resistance
  • Brittle
  • Prone to fracture
A

Glass Ionomers

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5
Q

When is the ideal time to add sealants?

A

Soon after occlusal surface of tooth has erupted in oral environment

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6
Q

What is the key to placing sealants?

A

isolation:

Cotton rolls
Dry angle/parotid shield
Rubber dam
Isovac

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7
Q
  • CHALKINESS
    In tooth structure at base of the pit or groove
  • SOFTENING
    In tooth structure at the base of pit or groove
  • BROWN DISCOLORATION
    Radiating peripherally from the pit or groove
  • RADIOLUCENCY
    Beneath enamel surface on radiograph
  • HIGH RISK CARIES
  • IF THE ANSWER IS YES TO ANY OF THE ABOVE, CAN INDICATE DEMINERALIZED, DECALCIFIED, UNDERMINED or CARIOUS TOOTH STRUCTURE
A

visual exam

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8
Q

DECREASE bacterial habitation in pits and fissures and PREVENT caries in pits and fissures

A

sealant

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9
Q

t/F: Retained by MICROMECHANICAL RETENTION (board question). Sealants must be adequately retained.

A

True

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10
Q

t/f: Sealants are best retained on premolars

A

true

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11
Q

t/f: Upper molars receive the most benefit.

A

true

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12
Q

t/f: Children who receive sealants are 72% less likely to experience any restorative service over the next five years compared to those who received no sealant.

A

true

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13
Q

t/f: Occlusal surfaces are 5X more likely to decay than smooth surfaces - sealants prevent this

A

true

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14
Q

_____of sealants will require one reapplication

A

30%

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15
Q

10% will require _____ reapplications of sealants

A

2-3

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16
Q

If a sealant is lost it usually occurs in the first __ months, but Brower said ____ weeks

A

6; 2 weeks

17
Q

Sealant treatment in ______ ______ patients is cost effective

A

caries active

18
Q

Which tooth would you use sealants on the lingual pits?

A

maxillary teeth

19
Q

Which tooth would you use sealants on the buccal pits?

A

mandibular teeth

20
Q

Which tooth would you use sealants on the DL grooves?

A

maxillary molars

21
Q

Acid resistant
Deny Strep Mutans environment to colonize
Easier to clean tooth

A

Sealant Benefits

22
Q
  • A conservative way to treat enamel caries
  • If a fissure is minimally carious
  • Excavation of caries and restoration with bond + composite resin
A

PRR

23
Q
  • Preventative resin restoration
  • Restore the lesion only
  • Seal any non-carious pits and fissures that are high caries risk
A

PRR

24
Q
  • Conserve tooth structure
  • Enhance esthetics
  • Bond
  • Seal
  • Include other suspicious areas with composite or sealant
A

Advantages of Composite