Term
| Fissure sealants are ______ _______ at preventing careis |
|
Definition
|
|
Term
|
Definition
| Materials which are placed in pits and fissures to prevent caries development |
|
|
Term
| The Healthy People Objective 2000 is to... |
|
Definition
| Increase Fissure Sealant use to 50% |
|
|
Term
| Why may fissure sealants not be an efficient use of resources |
|
Definition
| Not all fissures in all patients will become carious |
|
|
Term
| Number of fissure sealants needed to prevent one molar restoration |
|
Definition
|
|
Term
| Number of fissure sealants needed to prevent one premolar restoration |
|
Definition
|
|
Term
| What affects patient selection? (2) |
|
Definition
1. Impairments
2. Caries in primary teeth |
|
|
Term
| Impairment examples which affect selection |
|
Definition
Haemophiliacs
pt. where there is an increased risk of effective endocarditis (due to high mortality) |
|
|
Term
| Tooth selection factors (4) |
|
Definition
1. Susceptible sites of permanent teeth
2. Place as soon as possible
3. Where one permanent molar is carious, seal others
4. Where primary dentition in carious, seal permanent teeth |
|
|
Term
| If any doubt for fissure sealant e.g. stained fissure |
|
Definition
| Take radiograph (bitewing) |
|
|
Term
| Fissure sealant or PRR decision |
|
Definition
Careis free/enamel only- fissure seal
Lesion into dentine- PRR |
|
|
Term
|
Definition
| Bis-GMA resins (similar to composite) |
|
|
Term
| When would a fissure sealant be bonded? |
|
Definition
| When poor moisture control |
|
|
Term
| Why is fissure sealant opaque? |
|
Definition
| Easy to see when sealant broken away |
|
|
Term
| Fissure sealant follow up (4) |
|
Definition
1. Good practice (fail at 5-10% per year)
2. Where F/S absent, tooth vulnerable
3. Clinical examinations and periodic radiographs (in high caries risk pt.)
4. Top up sealant if necessary. |
|
|
Term
|
Definition
| Glass Ionomer Cement (Pink) |
|
|
Term
| Considerations for GIC as sealant (4) |
|
Definition
1. Releases fluoride
2. No etching
3. Not retained as long
4. Used when tooth not fully erupt |
|
|
Term
| Comprehensive preventative strategy |
|
Definition
Fissure sealant PLUS
Oral Hygiene advice
Dietary advice
Fluoride supplements |
|
|
Term
| The first step in FS placement |
|
Definition
|
|
Term
| What can be used to clean pits and fissures |
|
Definition
|
|
Term
| After cleaning pits and fissures... |
|
Definition
|
|
Term
| What is used to isolate the tooth |
|
Definition
| 2 Cotton rolls and air dry |
|
|
Term
| Third step in FS placement |
|
Definition
| Etch the tooth, wash, dry and change cotton rolls. |
|
|
Term
| What is used to etch the tooth? |
|
Definition
|
|
Term
| How long is the tooth etched for? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What piece of equipment can be used to avoid bubbles? |
|
Definition
|
|
Term
| What stage involves light curing? |
|
Definition
|
|
Term
| What is the final stage in fissure sealant process? |
|
Definition
|
|
Term
| Preventative resin restoration |
|
Definition
| A resin restoration with the pits and fissures sealed also. |
|
|
Term
| Requirements for diagnosis and treatment planning (3) |
|
Definition
1. Dry teeth
2. Good light
3. Radiographs |
|
|
Term
| Clinical technique for PRR placement (6) |
|
Definition
1. Local Anaesthesia
2. Isolation
3. Cavity preparation
4. Restoration with composite resin
5. Sealant application
6. Evaluation |
|
|
Term
| What is used to isolate the tooth for a PRR? |
|
Definition
|
|
Term
| What are the stages for preparation in PRR? |
|
Definition
1. Small diamond burr to access caries
2. Rosehead bur to remove decay. |
|
|
Term
|
Definition
1. Tooth structure concervation
2. Aesthetics (white)
3. Improved seal (bonded to teeth)
4. Halts caries progression |
|
|
