Thursday, 22 December 2022

PIT & FISSURE SEALANTS

 WHAT ARE PIT & FISSURE SEALANTS?

                                                                        These are defined as thin plastic coating which are placed on the occlusal surfaces of the posterior teeth to form a mechanical barrier between the tooth structure & the oral environment. They are to be used for teeth which are susceptible to caries.




TYPES OF SEALANTS:

                                         There are 4 different types of fissures namely I,K,U,V.


 TYPE I: They are extremely narrow slits. They are deep, narrow,& quite constricted, resembling a bottle neck. Susceptible to caries.

TYPE K: They are seen as narrow slit associated with larger shape at the bottom. Very susceptible to caries.

TYPE U: They are also shallow & wide. These are self cleansing and somewhat caries resistant.

TYPE V : They are shallow & wide and tend to be self cleansing. They are caries resistant.






HOW IT WORKS: 

Physical obstruction of pits & fissures which prevents colonization of pits & fissure with new bacterium & prevention of fermentable carbohydrates to gain access into pits& fissure so that any remaining bacterium cannot produce acid in carciogenic concentration.

ADVANTAGES OF SEALANTS :

1. Placement of sealants is a non invasive procedure.
2. Sealants will prevent occurence of fissure caries.
3. Sealants can be used at community level for prevention of caries.
4. Easy to apply.

TYPES OF SEALANTS:

1. BASED ON TYPE OF ACTIVATION - A). Self activation, B). External energy activation
2.BASED ON APPEARANCE - A). Transparent, B). Opaque
3.BASED ON FILLER -A). Filled, B). Unfilled.

QUALITIES TO BE CHECKED IN SEALANTS BEFORE APPLICATION:
1. Adequate working time.
3. Good& prolonged adhesion to enamel.
5. Minimum irritation to tissues.
6. Cariostatic action.


PROCEDURE FOR PLACEMENT OF PIT & FISSURE SEALANTS:

1. Cleaning the tooth surface .
2. Centric stops should be registered
3. Isolate the tooth which is to be sealed with sealants.
4. Etching the tooth surface with 37% ortho- phosphoric acid for 15 secs after which it is washed away with a jet of water for 30 secs.Enamel should appear chalky white after washing & drying. After which bonding agent to be applied & light cured. Finally a thin layer of sealant is applied , such that it does not flow into the centric stops and light cured.
5. Occlusal adjustments to be made if needed.




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Rootz Dental Care and Implant Center has specialists with proven expertise in Implantology. For more information regarding treatments contact us today.


                                             



                                                No:2/2, First Floor, Sakthi Nagar,
                                                Rajiv Gandhi Salai, Thuraipakkam,
                                                Chennai - 600 097,
                                                Phone :- 9786688755,044-49504825