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Advancements in Dental Sealants

Advancements in Dental Sealants. Kristin Dively, Amy Fallin and Laura Tuck. History of Dental Sealants. Developed in 1960s by Michael G.Buenocore, DMD, MS, of Rocdhester NY Acid etchant to mechanically bond an acrylic resin to the tooth

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Advancements in Dental Sealants

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  1. Advancements in Dental Sealants Kristin Dively, Amy Fallin and Laura Tuck

  2. History of Dental Sealants Developed in 1960s by Michael G.Buenocore, DMD, MS, of Rocdhester NY Acid etchant to mechanically bond an acrylic resin to the tooth 20 years passed before dental sealants became a commonly used prevention strategy in the United States Sealants are now vital part in the prevention of caries among fluoride and good oral hygiene

  3. Incidence and prevalance Dental caries is widespread in the United States 2004, 42% of American children and young adults ages 6-19 had decayed or restored permanent teeth 2010, dental caries among children ages 2-4 increased from 19% to 24% 90% of carious lesions are found in pits and fissures Community socioeconomic status (SES) contributes to incidence of dental caries Prevalence and intensity of dental caries has declined sharply among children of highest SES due to increased access to dental care as well as increased sealant usage

  4. Efficacy of Sealants • High retention rates achieved by using good isolation and careful techniques • Locker et al reported that 71% of occlusal decay in permanent dentition was prevented with pit and fissure sealants • Failure rates higher among high risk caries individuals • Studies have show that sealing noncavitated carious lesions significantly reduced progression of caries as long as 5 years after placement, when compared to unsealed teeth • Despite large body of evidence supporting efficacy, sealants are an underutilized technique used in private practice • Dentist‘s training • Reimbursements based on restoration rather than prevention • Lack of confidence in long-term sealants • Difficulty diagnosing pit and fissure caries • Concern with sealing over caries

  5. Safety • Bisphenol-A (BPA) contained in some sealant material • Risks related not well understood • Derivates of BPA may cause problems in the prostate an urinary tracts • Pregnant women advised to postpone until after delivery • Dental sealants are available without BPA product

  6. Advances in Materials Improvements in the viscosity and the ability to resist flow Some can now be applied in moist environment Self-etching adhesives are also available, which reduce the time needed for placement

  7. conclusion • Preventative dentistry has drastically improved since 1960s • Dental caries are a global epidemic • Advancements in sealant materials and solid evidence of efficacy are key to the caries prevention • Dental hygienists play a significant role in improving the usage of sealants among their patients

  8. FL2 Recharging Sealant

  9. Giomer • Filler particles release Fl2, Na, Strontium, Al, silicate, borate • Recharge with toothpaste, mouthwash, etc. • Inhibits plaque formation, cariostatic, and acid neutralization • http://www.shofu.com/whiteners-preventatives/187#name

  10. FL2 releasing v. standard

  11. Won’t destroy enamel

  12. Viscosity

  13. Bond Strength • Typical sealant has 28% replacement rate

  14. $PRICE$

  15. TOOTH COLORED

  16. Disadvantages • Primer requires refrigeration

  17. “Quickest sealant procedure ever!” • “Much better than similar sealants” • “Sets new standards for clinical success and efficiency in sealant placement”

  18. FL2 recharging sealant application with Specialty Saliva Evacuator and Bite Block Combination • https://www.youtube.com/watch?v=gR-P99W45bI&feature=youtube_gdata_player

  19. Specialty Saliva Evacuator and Bite Block Combination

  20. What is this you ask? This is a hands free isolation device that retracts, isolates and evacuates. It is easy to use and comfortable for your patient. It also has parts that can be autoclaved and parts that are a one time use.

  21. Specialty Saliva Evacuator There are four parts to this Saliva Evacuator. Blue Autoclavable Angle Tube Blue Autoclavable Bite Block Clear Disposable Bite Grips Clear Disposable Tongue Shields

  22. Specialty Saliva Evacuator and Bite Block Combo Finished product after assembly.

  23. Specialty Saliva Evacuator and Bite Block Combo Product in proper position in oral cavity.

  24. Benefits for you and your patient. Portable. Gives easy view of quadrant. Better comfort for some patients. Tongue shield can be trimmed to fit patients oral cavity. Affordable. Easy to maintain. Can be used for other procedures that dry field isolation is needed.

  25. REFERENCES • http://www.dimensionsofdentalhygiene.com/default2.aspx • www.shofu.com • www.zirc.com

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