Fissure Sealants & Resin Restorations

Question 1

whats the purpose of a fissure sealant

Answer 1

placed in pits & fissures = prevent caries

Question 2

what are the 2 main times a fissure sealant is used & some info about each

Answer 2

primary prevention = prevent onset of caries
secondary prevention = use in non-cavitated lesion to inhibit progression of caries (arrest lesion)

Question 3

what are the 2 main teeth fissure sealants are used on

Answer 3

1st & 2nd permanent molars

Question 4

what are the 4 pillars of prevention

Answer 4

1. OH
2. diet advice
3. F
4. Fissure sealants

Question 5

what’re some tooth factors that can increase a patients caries risk (3)

Answer 5

• depth of fissures & pits (access for cleaning)
• hypo mineralisation (quality of enamel)
• hypoplasia (quality of enamel

Question 6

whats the difference between enamel hypoplasia vs enamel hypomineralisation

Answer 6

ENAMEL HYPOPLASIA
- quantitative defect in enamel
- less enamel = thinner
ENAMEL HYPOMINERALISATION
- qualitative defect in enamel
- weaker & more prone to breakdown

Question 7

True or false. A GI sealant is the gold standard

Answer 7

false

Question 8

True or False. a resin based sealant is gold standard

Answer 8

true

Question 9

what’re the 6 steps into applying a sealant

Answer 9

1. clean (dry profie brush & slow speed)
2. isolate tooth (moisture control)
3. etch (35-37% P acid)
4. bonding agent (sometimes)
5. apply sealant
6. evaluate

Question 10

how often would you see a high caries risk patient

Answer 10

evert 3 months

Question 11

how often should bitewings be performed on a high caries risk patient

Answer 11

every 6 months