Internet Assessment on Pit and Fissure Sealants in Children. Ashwin.K.S., S. Rajasekaran, Janani Nandakumar
Abstract: Pit and fissure sealants are tooth coloured materials that are applied on the occlusal surfaces of the posterior teeth in deep grooves, pits and fissures. They protect the tooth from various bacterial plaques in these caries prone areas of the teeth. The sealants protect these areas by sealing of the entrance to bacteria which give rise to dental caries in susceptible individuals especially in children. Pit and fissure sealants are now commonly being used due to the increase in the awareness among public about dental caries prevention
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[7]Similarly they are contraindicated in patients with low caries risk, teeth with shallow self cleansing grooves, patients with good oral hygiene maintenance,
Bagis Y, Baltacioglu I, Kahyaogullari S. Comparing Microleakage and the Layering Methods of Silorane-based Resin Composite in Wide Class II MOD Cavities. Operative Dentistry 2009; 34(5):578-85.
Before the access to the RC starts, the dentist places a tuber dam – thin latex sheet – with a hole over the tooth to be treated after havi...
It is important to strengthen the enamel after demineralization from sugars and acids between appointments as well as the removal of the outer layer during polishing. However, some patients believe fluoride is bad for their systemic health and refuse treatment. For these clients I express respect for their decision while informing them of the benefits of fluoride as well as studies showing there is no effect on systemic health from periodic fluoride treatment. After explaining how the benefits outweigh the risks, some clients accept fluoride treatment and others still refuse. While some clients still refuse, I recommend fluoride at each appointment to assess if they have changed their mind or still
Dental carries is one of the most common oral diseases in the world, and it often goes untreated due to the expense of treatment. According to the World Health Organization (WHO) 60 to 90 percent of school aged children throughout the world suffer from untreated dental carries. Ethnic minorities, the poor, the elderly, and those who are mentally and/or physically disabled are other disparities who also suffer from untreated dental caries (Alcorn & Rogo; 2012). Looking for a way to solve the epidemic of dental caries by providing affordable treatment, silver diamine fluoride (SDF), also known as the “silver fluoride bullet,” was created. Claiming to be both affordable and effective, SDF could be the answer to low cost carries treatment the world has been searching for. The purpose of this paper is to research the efficacy of silver diamine fluoride in comparison to sodium fluoride varnish. Our PICO question is: In a patient with dentinal caries, will the use of silver diamine fluoride compared to sodium fluoride varnish, be more effective at arresting caries?
Dental caries occurs through a complex interaction over time between acidogenic micro organisms and fermentable carbohydrate, and host factors including teeth and saliva.1 The caries process can be described as a imbalance between re and demineralization and when more minerals are lost than gained from the hard tissues over time, caries lesion occurs.2Dental caries, if allowed to progress will result in non cavitated caries lesions initially on tooth surfaces, and eventually can progress to cavitation. There has been a general trend in clinical practice that caries lesion management focus primarily on operative treatment rather than using preventive non invasive strategies. This will lead to several replacements over time with increasing restoration size and produces iatrogenic damage. It has been reported that 71% of all restorations are performed on previously restored teeth, with secondary carious lesions as a major cause.3 This shows that although the carious lesion was repaired, the dental caries was not adequately treated, since the actual cause and risk factors were not adequately resolved. Recently the concept for caries management has been changed and focused mainly on multifaceted nature of caries and biofilm involvement. Currently it has been shown that the success to caries prevention
Sealants are great for patients of all ages, but especially so for kids. A sealant is a substance that we literally paint onto your teeth in order to “seal” out the disease- and decay-causing bacteria. If your child is prone to cavities, our sealants can help.
Although local or state are already protecting more than 20 million people in the United States, the rest of the population still faces an increased risk of cancer, learning disabilities, asthma and behavioral problems linked to exposure to coal-tar sealants. Coal-tar sealants have been widely used on parking lots, playgrounds, streets and residential driveways for many years. However, due to recent research that has proven that coal tar poses significant health risks, many organizations, legislators and concerned citizens have joined forces in their efforts to have coal-tar sealants banned.
Dental sealants are a thin film that is used to coat the pits and fissures on your teeth. These areas are more susceptible to cavities because food can easily get stuck in these grooves. The film is not typically applied to smooth surfaces on your teeth. Dental sealants are ideal for children because they help to protect your child’s teeth from tooth decay at a young age. However, dental sealants do not last forever. They need to be taken care of in order to prevent premature chipping and breaking. Luckily, there are a few tips that you can use to prevent your child’s dental sealant from chipping.
The existence of micro-leakage in dental restorations was first identified in scientific research in 19126. In a study done by Harper (1912), air pressure was used to penetrate the surface between an amalgam restoration and cavity preparation7. By applying pressure through a hole in the pulpal floor, Harper could quantify the amount of pressure needed to establish leakage through the emergence of bubbles from the margins of the restoration. Research has come a long way since Harper first recognized micro-leakage. Adaptations of new materials used when placing composite restorations like BondAband, a light-cured glass-ionomer cement has been shown to reduce marginal micro-leakage in posterior restorations8. A decrease in microleakage has also been shown with the use of an ...
Tobacco products, no matter the kind, cause harm to both systemic and oral health, and can lead to addiction that is hard to combat. Oral health professionals are equipped to educate and counsel patients on all areas of tobacco use. This includes discussing the patient’s daily habits and discouraging all types of tobacco use based on the product’s adverse effects on systemic and oral health. Tobacco causes an immense public health burden and it is crucial that all healthcare clinicians address the issue when a patient presents with it. Whether the addiction is cigarettes, pipes, or different forms of smokeless tobacco, health care providers have a professional responsibility to address the risk of nicotine addiction and provide cessation counseling. Dental hygienists often spend the most time with patients out of all oral health care members so it is imperative for them to be skilled in recognizing the usage tobacco products and their effects on the oral cavity.
There are no studies comparing the efficacy of pilocarpine and cevimeline to a control group receiving no saliva stimulants or salivary substitutes in the effectiveness in treating xerostomia in order to reduce the incidence of dental caries in patients. I hypothesize that both pilocarpine and cevimeline will have a greater salivary stimulation than patients receiving either no salivary treatment or treatment with a salivary substitute and will therefore reduce the amount of dental caries that are experienced.
Control of blood glucose is significant in the prevention and management of oral health problems for diabetic patients. People with uncontrolled diabetes are more prone to gum disease and are affected more often and more severely than people whose diabetes is well controlled. Proper brushing, flossing and nutrition along with regular dental visits and blood glucose control are the best preventatives against periodontal disease in the immunocompromised patient.
Dental caries is one of the highly prevalent disease in the world. According to the National institute of dental and craniofacial research, during 1999-2004, 42% of children between 2-11 years of age had history of dental caries and 92% of adults between 20-64 years of age had history of dental caries.5,6 For children aged 6-19 years, dental caries prevalence during 2007-2010 was 15.6 per 100 ...
Cappelli, D. P., & Mobley, C. C. (2008). Prevention in clinical oral health care. St. Louis, Mo: Mosby Elsevier.
The main parameters for distinguishing fissure is THL and GVR images by well. As it discussed previously the cut off for fissure is less than 20ft, based on well data. Secondary distinctive parameter is resistivity image, the fissure does not have a structure, and mainly it is perpendicular to wellbore and has a rugged surface, usually conductive. According the observations fissures can be filled with sand or clay, and mixed. The figures #39 and #40 shows the distance from surface of shaly and sandy fissures. As you see from the figures, there is no difference between clean sand and shaly sand fissures in distance to top Shuaiba surface. The main message that fissures are mostly sand filled, that might create a high permeability zones in Shuaiba. Figure #14 shows the non-scaled distribution along the wellbore fissures, based on well data the average THL of fissure 8ft, and thickness around 80ft, which means the distribution of clastic zones in Shu9A. There is an one evidence when fissure with a high permeability, based on