An Outline of PP Sealant Materials Used_2010

An Outline of PP Sealant Materials Used_2010 - Legal...

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Legal requirements DDS can make diagnosis for sealants RDA, RDAEF – Dentist Determines Supervision Must complete a board approved course Can not use a handpiece to adjust sealants Can use a hand instrument RDH, DDS/DMD – General supervision Sealant adjustments DDS may use a composite bur to adjust sealant Requirements Student shall: Have current CPR Take a written exam RDA or RDA eligible Patient requirements Must be in good health and complete HH Concerns include heart, kidney, liver disease, diabetes and allergies A minimum of four (4) virgin, non-restored, natural teeth sufficiently erupted so that a dry field can be maintained. A minimum of one tooth per quadrant Certification Requirements Successful completion of written exam 75% or higher Successful completion of laboratory and clinical portions of the course To Seal or Not to Seal. .. When a groove is shallow and smooth it may readily be cleaned by a brush and toothpaste Food and debris are unlikely to be trapped If the groove extends deeper into the tooth, forming a pit and./or fissure, the site cannot be readily cleaned Examples are deep occlusal fissure, fossa or lingual pit Food debris and plaque are collected along with microorganisms/ bacteria Bacteria produces acid which causes decay “demineralization” Pit and fissure sealants A thin plastic coating placed in the pit and fissures of the teeth to act as a physical barrier to decay and more cleansable Prevent caries mainly on the occlusal surfaces of teeth
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Over 85% of children (5-17 years old) in US have caries in the pits and fissures Fluoride is least effective on pit and fissures Less beneficial on smooth tooth surfaces Only 18% of school-aged children in US have sealants Pit and fissure A pit is a tiny hole or depression in the enamel A fissure narrow linear depression along the developmental groove on the occ. surface and occurs when there is an imperfect in the enamel Effectiveness of sealants 15 year study – 68% of sealed teeth were caries free vs 17% of unsealed control group Other Preventive Programs PROGRAMS Community water fluoridation School water fluoridation Fluoridated toothpaste Fluoride mouthrinse In-office treatment Preventive Programs as Related to Sealants Tooth brushing and flossing - mechanical plaque removal Not effective in pit and fissure areas Fluoride – chemical prevention Not effective in pit and fissure areas Dental visits – mechanical plaque removal and chemical prevention Diet Minimize exposure to cariogenic foods/diet and liquids that have little or no nutritional value Minimize solid and sticky foods such as dried fruit or sticky fruit rolls Minimize slowly dissolving foods Fermentable carbohydrates and bacteria Primary cause of dental caries
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An Outline of PP Sealant Materials Used_2010 - Legal...

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