Sealing of preventively enlarged fissures

Y, Le Bell; Forsten, L

doi:10.3109/00016358009003485

Cited by 20 publications

(4 citation statements)

References 7 publications

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“…This could be attributed to the penetration depth of the material into the fissure, smoothing of the cavity wall, and the absence of debris, which is more easily removed with the bur. Other studies have also shown that mechanical preparation of the fissure area reduces the risk of microleakage [10–13]. The results of this investigation demonstrated that microleakage of compomer was significantly higher in groups three and five (no acid etch) than groups two and six (acid etch).…”

Section: Discussionmentioning

confidence: 50%

“…These parameters appear to be of major importance for retention and longevity of the fissure sealing material [24]. For mechanical preparation, different types of burs such as a pointed diamond bur, a #1 round steel bur, and the Komet #8392 diamond bur have been used [8,11,13,15,24,25]. In this study, a #582 S diamond bur was used as significant advantages in the use of tapered fissure diamond burs over round burs have been reported [24].…”

Section: Discussionmentioning

confidence: 99%

“…The choice, however, between the invasive and non invasive techniques remains a matter of debate [6–9]. For invasive techniques, it has been suggested that higher retention rates for sealants are observed following mechanical preparation of the fissure area, the risk of microleakage is also reduced when the fissure is enlarged [10–13]. In addition, mechanical preparation of the fissure has been shown to result in the cleanest surface and the greatest penetration of the sealant into the etched enamel [14].…”

Section: Introductionmentioning

confidence: 99%

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Marginal seal of sealant and compomer materials with and without enameloplasty

Salama

Al-Hammad

2002

Int J Paed Dentistry

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Objectives. This in vitro study evaluated the quality of marginal seal and fissure penetration of a resin-sealant (Concise) and a compomer restorative material (F2000) with and without enameloplasty. Sample and design. Thirty extracted sound human permanent third molar teeth were divided into six groups of five and used in this in vitro study. Methods. Occlusal surfaces of the teeth in different groups were either left intact or prepared using a #582 S diamond bur. Teeth were then restored with Concise and F2000 restorative materials using combinations of different surface treatments. Teeth were prepared for microleakage, then immersed in 5% methylene blue for 4 h, and subsequently sectioned into four bucco-lingual sections. Sections (20 per group) were examined using a stereomicroscope. The following parameters were evaluated: marginal leakage, marginal gap, voids and filling defects, as well as enamel fissure penetration. Results. Kruskal-Wallis one-way anova showed statistically significant differences between the groups for marginal leakage ( P < 0·0001), marginal gap ( P < 0·001), and enamel fissure penetration ( P < 0·001). No statistically significant differences between the groups for voids and filling defects were detected. Non-parametric Tukey's multiple range test showed that microleakage of sealant with acid etch and tooth preparation and compomer with acid etch, bonding agent and tooth preparation were statistically significantly less than that of compomer with bonding agent and no tooth preparation ( P < 0·0001) and compomer with bonding agent and tooth preparation ( P < 0·01). Conclusions. Microleakage is similar when sealant with acid etching, and compomer with acid etching and bonding agent, are used with and without enameloplasty. Marginal gap is more evident in the compomer group with bonding agent and without enameloplasty. Enamel fissure penetration is better when enameloplasty and acid etching are used.

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Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Marginal seal of sealant and compomer materials with and without enameloplasty

Salama

Al-Hammad

2002

Int J Paed Dentistry

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“…Air polishing, air abrasion, lasers and enameloplasty with a bur have all been trialled but all require further equipment, and change the enamel surface i.e., they are invasive. The change in retention is not significant enough to recommend them.…”

Section: Explanatory Notesmentioning

confidence: 96%

UK National Clinical Guidelines in Paediatric Dentistry

Smallridge

2010

Int J Paed Dentistry

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International Journal of Paediatric Dentistry 2010 Summary. The process of guideline production began in 1994, resulting in first publication in 1997. Each guideline has been circulated to all Consultants in Paediatric Dentistry in the UK, to the Council of the British Society of Paediatric Dentistry (BSPD), and to people of related specialties recognised to have expertise in the subject. The final version of the guideline is produced from a combination of this input and thorough review of the published literature. The intention is to encourage improvement in clinical practice and to stimulate research and clinical audit in areas where scientific evidence is inadequate. Evidence underlying recommendations is scored according to the SIGN classification and guidelines should be read in this context. For those wishing further detail, the process of guideline production in the UK is described in the International Journal of Paediatric Dentistry 1997; 7: 267-268. This guideline is an update on the previously published BSPD policy document on fissure sealants. (Nunn et al., Int J Paed Dent 2000; 10: 174-177).

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Best Practices for Dental Sealants in Community Service‐Learning

Aleksejūnienė

Brondani

Pattanaporn

et al. 2010

Journal of Dental Education

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Community service-learning (CSL) in predoctoral dental education might be an effective tool for increasing sealant use by dentists-thus benefitting underserved children while facilitating students' learning of a clinical procedure in a real-life setting. This study reviewed the scientific literature on this topic in order to 1) evaluate the reasons for low sealant use among dentists, 2) consider important aspects of sealant use in community settings, and 3) identify best practices to use as guidelines for CSL regarding sealant use. As background, the MEDLINE database was searched with the key words "dental sealants" for human and laboratory studies in the English language. A total of 205 relevant articles were identified and overviewed. We found that the low use of sealants relate to dentists' orientation toward restorations rather than prevention, distrust in sealant treatment, lack of confidence in caries risk assessment, and concern about sealing over caries. The aspects to consider in the CSL projects are acquisition of knowledge and necessary skills of operators, cost-benefit approach to sealant placement, and meticulous sealant placement procedures, including the necessity for a short-term recall.

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Sealing of preventively enlarged fissures

Cited by 20 publications

References 7 publications

Marginal seal of sealant and compomer materials with and without enameloplasty

Marginal seal of sealant and compomer materials with and without enameloplasty

UK National Clinical Guidelines in Paediatric Dentistry

Best Practices for Dental Sealants in Community Service‐Learning

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