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Fissure Sealant and Fluoride Application

The document discusses prevention of tooth decay through methods like fissure sealants, fluoride varnish, and chlorhexidine. It provides details on applying fluoride varnish, including removing plaque, drying teeth, and using a microbrush to apply to pits and fissures. Excess fluoride can cause fluorosis. Fissure sealants are indicated for those at high risk of cavities and are designed to reduce cavities by sealing pits and fissures.

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Anna Pruteanu
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190 views10 pages

Fissure Sealant and Fluoride Application

The document discusses prevention of tooth decay through methods like fissure sealants, fluoride varnish, and chlorhexidine. It provides details on applying fluoride varnish, including removing plaque, drying teeth, and using a microbrush to apply to pits and fissures. Excess fluoride can cause fluorosis. Fissure sealants are indicated for those at high risk of cavities and are designed to reduce cavities by sealing pits and fissures.

Uploaded by

Anna Pruteanu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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PREVENTION IS BETTER THAN

CURE
TOOTH PROTECTION IN HIGH CARIES RISK
 Fissure Sealants

 Fluoride varnish application, tablets & toothpastes

 Chlorhexidine
Fluoride varnish application

What is fluoride varnish and what is it used for?


Fluoride varnish provides extra protection against tooth
decay when used in addition to brushing. Fluoride varnish is
a pale yellow gel that sets quickly when applied to children’s
teeth using a soft brush. The varnish sets quickly, has a
pleasant taste and a fruity smell.
Steps in Fluoride application
1. remove gross plaque(polishing
cup, brush)
2. dry teeth with cotton rolls or 3 in 1
syringe
3. use a micro brush to apply a small
quantity of fluoride varnish to pits,
fissures and proximal surfaces of
primary and permanent teeth
4. advise the patient to avoid eating,
drinking or toothbrushing for 30 min
after application
Fluorosis
Excess fluoride intake causes discoloration(fluorosis)
Pits and Fissure Sealants
Tooth pits and fissures are impossible to clean
throughly, even with vigorously toothbrushing.
Thus these area can accumulate plaque and are sites
prone to caries.
Dental Sealants are plastic resin coatings placed by the
clinician, in the pits and fissures of permanent teeth,
designed to reduce caries.
Indications
Fissure sealants are especially indicated for
people at high risk for caries such as:
high caries in deciduous dentition
caries in first permanent molars

Sealants may last for five or more years


Preventive resin restorations are similar, but
require some tooth preparation(drilling) first.
Application Procedure
Give patient instructions
 The sealant is hard so you don’t have any
restrictions on eating
 If it feels “high” after you go home – you
can come in to get it adjusted
 We will keep checking the sealant at
subsequent appointments
(if using unfilled corposite sealant the bite will
self adjust in 2-3 days)

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