Fissure Sealant

Question 1

How to place FS?

Answer 1

1. Moisture isolation
2. Apply etch for 20sec
3. Wash - frosted appearance of enamel
4. Light cure - maintain isolation
5. Check

PT MUST HAVE BIB/GLASSES

Question 2

Where could place FS?

Answer 2

Risk assess for caries before plan
Placed in primary or permanent teeth
Can be placed buccal pits/ occlusal fissure/ cingulum pits

Question 3

How to assess a child needing FS?

Answer 3

Can child cope?

Can isolation be achieved/ maintained?

Question 4

What to use if moisture control can’t be achieved?

Answer 4

Fuji triage

Question 5

How to isolate?

Answer 5

Gold standard = rubber dam
Cotton wool rolls can be used - buccal/lingual lower - buccal upper
Always use salivary ejector ALL times

Question 6

What sealant can be used?

Answer 6

HelioBond - clear - good for experienced staff - allow review for caries/staining

HelioSeal - opaque - good as can see airbubbles/ pt can see

Question 7

What instrument use?

Answer 7

Flat plastic - good fissures

Microbrush - cingulum pit/ buccal fit

Question 8

What happens if need to lose moisture control?

Answer 8

Need to re-etch