Outreach - Fissure Sealant Flashcards
Where do we place sealant
We place sealant in all pits and fissures of permanent molars in all children asap
What is the preferred sealant
resin based
What surfaces should not be forgotten
Make sure the buccal pits of the lower first permanent molar and the palatal fissures of upper first permanent molars are sealed
For those who are higher risk, what surfaces should be also considered
consider sealing the palatal pits on lateral permanent incisors, the occlusal and palatal surfaces of the Ds, Es, first and second permanent molars
What is the technique for resin sealant
o Clean tooth using bristle brush or gently using a probe
o Check tooth is water free
o Isolate using cotton wool rolls, mouth mirror and saliva ejector
o Etch the tooth
o Apply sealant
o Light cure
o Check sealant
What do we do when we check the resin sealant straight after application
Wipe the air inhibited layer from the surface as the taste can annoy children
Check for flash and the integrity of the sealant using a probe
How do we monitor fissure sealants
o Visually check the fissure sealants – look for opalescence at the sealant/tooth interface as this indicates leakage and demineralization
o Physically check the fissure sealant with a probe – does it lift away?
o Top up any sealant as required
What are the indications for GI sealant
When child is pre-cooperative
When resin sealant is indicated but there are concerns about moisture control
Partially erupted tooth
What is the press finger technique
Small amount of GI on one finger and petroleum on the other
Wipe tooth surface with cotton wool roll
Apply the finger tip with GI to the tooth surface
Keep finger in place for 2 minutes
Place second finger in the mouth and rapidly switch fingers to cover the GI with petroleum jelly before moisture contamination
