Advancements in Dental Sealants
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Transcript of Advancements in Dental Sealants
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Kristin Dively, Amy Fallin and Laura Tuck
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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
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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
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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
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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
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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
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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
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FL2 Recharging FL2 Recharging SealantSealant
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GiomerGiomer
Filler particles release Fl2, Na, Strontium, Filler particles release Fl2, Na, Strontium, Al, silicate, borateAl, silicate, borate
Recharge with toothpaste, mouthwash, etc.Recharge with toothpaste, mouthwash, etc. Inhibits plaque formation, cariostatic, and Inhibits plaque formation, cariostatic, and
acid neutralizationacid neutralization http://www.shofu.com/whiteners-preventati
ves/187#name
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FL2 releasing v. standard FL2 releasing v. standard
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Won’t destroy enamelWon’t destroy enamel
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ViscosityViscosity
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Bond StrengthBond Strength
Typical sealant has 28% Typical sealant has 28% replacement ratereplacement rate
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$PRICE$
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TOOTH COLORED
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DisadvantagesDisadvantages
Primer requires refrigeration Primer requires refrigeration
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““Quickest sealant procedure ever!”Quickest sealant procedure ever!” ““Much better than similar sealants”Much better than similar sealants” ““Sets new standards for clinical Sets new standards for clinical
success and efficiency in sealant success and efficiency in sealant placement”placement”
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FL2 recharging sealant FL2 recharging sealant application with application with Specialty Specialty Saliva Evacuator and Bite Saliva Evacuator and Bite
Block CombinationBlock Combination
https://www.youtube.com/watch?https://www.youtube.com/watch?v=gR-v=gR-P99W45bI&feature=youtube_gdata_P99W45bI&feature=youtube_gdata_playerplayer
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Specialty Saliva Evacuator and Bite Block Combination
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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.
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Specialty Saliva EvacuatorThere are four parts to this Saliva Evacuator.
Blue Autoclavable Angle Tube
Blue Autoclavable Bite Block
Clear Disposable Bite Grips
Clear Disposable Tongue Shields
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Specialty Saliva Evacuator and Bite Block Combo
Finished product after assembly.
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Specialty Saliva Evacuator and Bite Block ComboProduct in proper
position in oral cavity.
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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.
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REFERENCES http://www.dimensionsofdentalhygiene.c
om/default2.aspx www.shofu.com www.zirc.com