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BY :Dr.Milan Singh Mali
Post graduate student
In the 1960s a mixture of cyanoacrylate, polymethylmethacrylate and an inorganic powder was used as a sealing
material
Pits and Fissures are enamel faults narrow
shafts or cracks of some length
whose blind end are directed more or
less towards the dentinoenamel junction
Grooves are the linear depression form by
perfect joining of different lobes
On the basis of shape
Nango (1960) in his studies shown 4
principal types of fissures
V shape
U shape
I shape
K type
The shallow wide tends to be self cleansable and somewhat
caries resistant
Deep narrow I shape fissure are
quite constricted and resemble a
bottleneck .They have a narrow slit
like opening with a larger base
which extend towards DEJ
Susceptible to caries
Primary molar sealant application
First permanent molar
Second permanent molars
First, a narrow zone of enamel is removed by etching In
this plaque and pellicles are dissolved
This zone is 10 μm in depth
The second zone is qualitative porous zone, which is
20 μm in depth. Because of the porosities created, this
zone may be distinguished qualitatively from enamel by
polarized light microscopy.
The third zone is quantitative porous zone with small
porosities and is 20 μm deep.
Garcia Godoy (1997) found out that all the fluoridated
sealant had the greatest amount of fluoride release by
24 hours after mixing and the fluoride release declined
sharply thereafter.
Cooley et al. (1990) and Hicks et al. (1992) conducted
lab studies and concluded that fluoride release dips
considerably as the days go by. But, they showed that 60
percent reduction in secondary caries and enhanced degree
of caries resistance was seen.
This type of sealant is esthetic and
difficult to detect in recall visit
The sealant is clear to begin with but after
polymerization it changes its color. The degree
of color change is also an indicator of its
setting and adequate polymerization . Easy to
see during placement and recall
Through the use of a UV pen light, this sealant fluoresces a
blue/white color
The fluorescent glow provides clinicians with a visual
verification of the sealant margins at the time of placement
and offers the easiest way to verify retention and inspect
margins during patient recall appointments
This is the first pit and fissure sealant resin that can be
applied in a moist field.
It forms a unique resin acid-integrating network (RAIN)
that improves penetration into pits and fissures and
provides superior sealing of the margins.
It bonds chemically and micromechanically to the moist
tooth, integrating with the tooth structure to create
a strong, margin-free bond that virtually eliminates
microleakage.
It is a light-cured sealant that contains the “smart
material” amorphous calcium phosphate (ACP) that is
more resilient and flexible, creating a stronger, long lasting
sealant.
ACP is referred to as a “smart material” because it only
releases calcium and phosphate ions when the pH drops
to 5.9. Once the calcium phosphate is released, it will
act to neutralize the acid and buffer the PH.
ACP acts as reinforcement to the tooth’s natural defense
system only when it is needed
This is a new sealant developed which combines the best
properties of nearly all sealants. Some of its major properties are
hydrophilic chemistry, advanced adhesive technology, fluorescent
properties, thixotrophic viscosity, BPA-free formula.
Pit and fissure sealants
Pit and fissure sealants

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Pit and fissure sealants

  • 1. BY :Dr.Milan Singh Mali Post graduate student
  • 2.
  • 3.
  • 4.
  • 5.
  • 6. In the 1960s a mixture of cyanoacrylate, polymethylmethacrylate and an inorganic powder was used as a sealing material
  • 7. Pits and Fissures are enamel faults narrow shafts or cracks of some length whose blind end are directed more or less towards the dentinoenamel junction Grooves are the linear depression form by perfect joining of different lobes On the basis of shape Nango (1960) in his studies shown 4 principal types of fissures V shape U shape I shape K type
  • 8. The shallow wide tends to be self cleansable and somewhat caries resistant Deep narrow I shape fissure are quite constricted and resemble a bottleneck .They have a narrow slit like opening with a larger base which extend towards DEJ
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16. Primary molar sealant application First permanent molar Second permanent molars
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23. First, a narrow zone of enamel is removed by etching In this plaque and pellicles are dissolved This zone is 10 μm in depth The second zone is qualitative porous zone, which is 20 μm in depth. Because of the porosities created, this zone may be distinguished qualitatively from enamel by polarized light microscopy. The third zone is quantitative porous zone with small porosities and is 20 μm deep.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30. Garcia Godoy (1997) found out that all the fluoridated sealant had the greatest amount of fluoride release by 24 hours after mixing and the fluoride release declined sharply thereafter. Cooley et al. (1990) and Hicks et al. (1992) conducted lab studies and concluded that fluoride release dips considerably as the days go by. But, they showed that 60 percent reduction in secondary caries and enhanced degree of caries resistance was seen.
  • 31. This type of sealant is esthetic and difficult to detect in recall visit The sealant is clear to begin with but after polymerization it changes its color. The degree of color change is also an indicator of its setting and adequate polymerization . Easy to see during placement and recall
  • 32. Through the use of a UV pen light, this sealant fluoresces a blue/white color The fluorescent glow provides clinicians with a visual verification of the sealant margins at the time of placement and offers the easiest way to verify retention and inspect margins during patient recall appointments This is the first pit and fissure sealant resin that can be applied in a moist field. It forms a unique resin acid-integrating network (RAIN) that improves penetration into pits and fissures and provides superior sealing of the margins. It bonds chemically and micromechanically to the moist tooth, integrating with the tooth structure to create a strong, margin-free bond that virtually eliminates microleakage.
  • 33. It is a light-cured sealant that contains the “smart material” amorphous calcium phosphate (ACP) that is more resilient and flexible, creating a stronger, long lasting sealant. ACP is referred to as a “smart material” because it only releases calcium and phosphate ions when the pH drops to 5.9. Once the calcium phosphate is released, it will act to neutralize the acid and buffer the PH. ACP acts as reinforcement to the tooth’s natural defense system only when it is needed This is a new sealant developed which combines the best properties of nearly all sealants. Some of its major properties are hydrophilic chemistry, advanced adhesive technology, fluorescent properties, thixotrophic viscosity, BPA-free formula.