Fissure Sealants Flashcards

1
Q

Describe the clinical technique for fissure sealant placement.

A
  • tooth is non-carious
  • isolate tooth with rubberdam (gold standard), cotton wool rolls, saliva ejector and/or parotid shield
  • clean tooth with pumice annd water slurry
  • rinse with 3-in-1 water spray
  • etch tooth with 35% orthophosphoric acid for 20secs
  • wash off with 3-in-1 water spray
  • dry tooth with 3-in-1 water spray and look for chalky-white appearance of enamel
  • apply fissure sealant resin to fissure pattern using micro-brush, brush, probe or small excavator
  • light cure ~40secs
  • do post-op checks (air bubbles, excess/flash, pick edges)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When should fissure sealants be reviewed?

A

review every 6 months

review radiographically as per caries risk assessment:
* high risk 6 months
* moderate risk 12 months
* low risk 24 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the SDCEP guidance for fissure sealant placement?

caries prevention

A

standard prevention:
* pits and fissures of all 6s
* resin-based FS is first choice
* if uncooperative, GIC + Fl varnish

increased risk prevention:
* palatal pits of upper 2s
* O+P+F of all Ds, Es, 6s and 7s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly