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SEALANTS
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DEFINATION
Pits & fissure sealant is normally resin
material that is introduced in pit & fissure of
carious susceptible teeth forming a
micromechanical retained physically
protective layer that acts to prevent the
demineralization of enamel by blocking the
interaction of cariogenic bacteria & their
nutrient substrate , thus eliminating the
harmful acidic by products.
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IDEAL PROPERTIES
Should flow over the surface of clean enamel
Inert in the mouth.
Low viscosity on mixing so that surface. spreading is rapid.
Should penetrate into the etched enamel surface
Should exhibit adequate mechanical properties on setting.
Physical properties of set material should match those of enamel.
Should be biocompatible.
Should release flouride.
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COMPOSITION
Bowen’s resin
Diluents
Opaquer
Fluoride releasing agent
Polymerization activation chemical
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CLASSIFICATION
1 : DEPENDING ON THE TYPE OF CURING AGENT
First generation sealants ( ultraviolet light )
Second generation sealants (auto polymerization )
Third generation sealants (visible light cured )
Fourth generation sealants (fluoride containing
sealants)
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2 : ACCORDING TO COLOUR
Transparent – clear , pink , amber
Opaque - tooth colored , white
Tinted
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PROCEDURE
CLEANING (By pumice or rubber cup )
ISOLATION
ETCHING ( 20 to 30 sec. )
WASHING
DRYING
APPLICATION
CHECK OCCLUSAL HIGH POINTS
RECALL
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INDICATIONS &
CONTRAINDICATIONS
SURFACE CLINICAL DO SEAL DO NOT SEAL
DIAGNOSIS CONSIDERATION
Sound * Occlusal morphology Deep narrow pit & fissures Broad well coaleased
* Tooth age Recent errupted teeth Teeth caries free 4 yr.
* Status of proximal lesion Sound Carious
* General caries activity Many occlusal few Many proximal lesion
proximal lesion
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ADVANTAGES &
DISADVANTAGES
ADVANTAGES :
-It is basically a non invasive technique.
-Fluoride release from fluoridated sealants can protect
adjoining areas.
-Can be used for prevention of caries
DISADVANTAGES :
-Lake of universal usage.
-Inadvertent placement over carious sites.
-Technique sensitive.
-caries susceptibility of etched enamel.
-Economic unfeasible.
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