PEADS - fissure sealants

Question 1

What is the most important thing to control when placing a resin fissure sealant?

Answer 1

The moisture control

Question 2

What two things can you use to maintain a good level of moisture within the oral cavity?

Answer 2

Dry guards

Cotton wool rolls

Question 3

What way in the mouth does the dry guard face?

Answer 3

With the point facing back and with the shinney side facing the cheek.

Question 4

What is a good technique when adding the cotton wool rolls to the side of the FS

Answer 4

Place on the occlusal surface before rolling it down into the buccal and lingual sulcus.

Question 5

When fissure sealing the lowers what can be a problem and effect moisture control?

Answer 5

The tongue

Question 6

How do you keep the tongue out of the way?

Answer 6

Two cotton wool roll

The mirror

Question 7

After the placement of the cotton wool roll, what is the next step?

Answer 7

Dry the surface with 3 in 1

Question 8

Once moisture control is achieved, outline the steps involved in the placement of FS.

Answer 8

Dry tooth surface.
Place etch on the surface for the 20s and then wash off for 20s.
The cotton wool roll must be replaced at this point
Then dry surface again and place FS with mircobrush. CAn use a probe to spread it evenly throughout the fissures
Then light cure for the 20s
Finally, check that there are no catches with the probe
If a bad taste then can add toothpaste to the area.

Question 9

What should you check for once the FS is cured?

Answer 9

Any catches or voids can cause the FS to be flicked away.

Question 10

What type of fissure sealant is used for a non-cooperative child?

Answer 10

GI

Cover with vaseline on-top