• Title, Summary, Keyword: Pit and Fissure Sealant

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RETENTION OF PIT AND FISSURE SEALANT (치면열구전색의 유지력)

  • Lee, Sang-Ho
    • THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY
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    • v.33 no.2
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    • pp.336-347
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    • 2006
  • Pit and fissure sealants has been proven as safe and effective method of caries prevention. But improper application of pit and fissure sealant may masking the caries process in occlusal fissure. Dentists have to understand the correct and exact application method of pit and fissure sealant for he good result of caries prevention. A key factor to enhanced the effectiveness of caries prevention is retention of pit and fissure sealant. Deep penetration of material into fissure and least marginal leakage around the fissure orifice are the major concerns for dentists to achieve the successive application of pit and fissure sealants. This paper reviewed the literature on the pit and fissure sealants under the following subtitles for enhanced retention : (1) application timing, (2) Indication, (3) Occlusal prophylaxis, (4) Materials, (5) Penetration, (5) Recall check Dental profession must perform the exact application of pit and fissure sealant because this procedure is one of the most technique-sensitive one in dental field.

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AN EXPERIMENTAL STUDY ON THE ANTICARIOGENIC EFFECT OF FLUORIDE-RELEASING PIT AND FISSURE SEALANT (불소방출 치면열구전색제의 항우식효과에 관한 실험적 연구)

  • Kim, Jung-Wook
    • THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY
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    • v.25 no.4
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    • pp.849-857
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    • 1998
  • The purpose of this study was to investigate whether fluoride-releasing pit and fissure sealant was more effective in preventing caries than conventional non-fluoride-releasing sealant. Specimens 8mm in diameter were made from sound bovine enamel. Fluoride-releasing pit and fissure sealant(Helioseal F, Vivadent, Schaan, Liechtenstein) and non-fluoride-releasing sealant(Helioseal, Vivadent, Schaan, Liechtenstein) were applied to the specimens and artificial caries was induced. Microhardness and the depth of the carious lesion was measured. The following results were obtained: 1. In group 2, sealed with fluoride-releasing sealant, there was a 58.4% decrease in microhardness. This was significantly less than the 84.4% decrease observed in group 1, sealed with non-fluoride-releasing sealant(p<0.01). 2. The average depth of the artificial carious lesion in group 2 was $30.1{\pm}9.8{\mu}m$. In group 1, sealed with non-fluoride-releasing sealant, the lesion was significantly deeper with an average depth of $58.5{\pm}4.9{\mu}m$(p<0.01). 3. Fluoride-releasing pit and fissure sealant was more anticariogenic compared to non-fluoride-releasing sealant.

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Preventive dentistry for children (소아 예방치과)

  • Kim, Jin Bom
    • Korean Journal of Pediatrics
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    • v.51 no.2
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    • pp.129-133
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    • 2008
  • Dental caries is the first disease to cause the pathological extraction of teeth in children. The complete prevention of dental caries is not achieved by toothbrushing alone. The use of fluoride and pit and fissure sealant is regarded as key tools to prevent dental caries. Fluoride-containing tablets or multi-vitamins and community water fluoridation can be used as systemic application techniques. Professional fluoride application, fluoride iontophoresis on teeth, fluoride mouth rinsing and fluoride-containing toothpaste can be used as local application techniques. Pit and fissure sealant is mainly used to prevent dental caries on occlusal surfaces of premolars and molars. Sweeteners not to occur dental caries has been developed to substitute sucrose. Dental erosion increases according to the high consumption of acidic soft drink or beverages. The appropriate use of fluoride and pit and fissure sealant are recommended to prevent dental caries effectively and the education is required to reduce the consumption of acidic soft drinks or beverages to decrease dental erosion.

A COMPARATIVE STUDY OF MICROHARDNESS OF DUAL-CURE AND LIGHT-CURE PIT AND FISSURE SEALANT (이중중합 치면열구 전색제와 광중합 치면열구 전색제의 미세경도에 관한 비교연구)

  • Lee, Kwang-Soo;Kim, Hyung-Doo;Lee, Sang-Hoon
    • THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY
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    • v.23 no.4
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    • pp.906-914
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    • 1996
  • Due to the various reason, sealing of pit & fissure might be imperfect. One of these reason can be the fracture of sealant material because of the low hardness value of sealing material. The purpose of this in vitro study was to evaluate the microhardness of two different curing type pit and fissure sealants: Dual-cure and Light-cure. The result from the present study can be summarized as follows: 1. All pit and fissure sealants that used in this study showed statistically significant difference in their microhardness of upper and lower surface. (P <0.05) 2. Except of lower surface of teethmate, microhardness of 40-second curing sealant was statistically higher than that of 20-second curing sealant. (P <0.05) 3. In comparison of sealants, microhardness of dual-cure sealant was statistically higher than that of light-cure sealant. Above results suggest that the use of dual-cure sealant and longer curing time are recommended.

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Effects of Cerium Oxide Nano Particles(CNP) Containing on The Mechanical of Pit and Fissure Sealant (세륨옥사이드나노입자(CNP)첨가가 치면열구전색재 기계적 성질에 미치는 영향)

  • Jeong, Mi-Ae;Kim, Dong-Ae
    • The Journal of the Korea Contents Association
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    • v.20 no.6
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    • pp.433-438
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    • 2020
  • The aim of this study was to investigate the mechanical properties of pit and fissure sealant containing cerium oxide nano particles(CNP). Used to mix with pit and fissure sealant (ConciseTM, USA). CNP was added into liquid (0- 4.0 wt%) of pit and fissure sealant. The specimens for the vickers hardness (VHN; 10 × 2 mm), Three-point flexure (FS; 2 × 2 × 25 mm) with flexure modulus (FM) were obtained from cements at 1, 7, and 14 days after storing in (37±1)℃ distilled water. All mechanical strength tests were conducted using machine (Instron 3344) with a cross-head speed of 1 mm/min. Data were statistically analyzed by one-way ANOVA and Duncan posthoc test(p<0.05). Mechanical properties of conventional pit and fissure sealant could be enhanced by addition of CNP. Three-point flexure and modulus of pit and fissure sealant containing CNP were showed a slightly higher value not significantly with the group(p>0.05). The vickers hardness values were increase significantly with incubation time(p<0.05). Results indicated that CNP can be used considered as potential reinforcing agent for increasing mechanical properties for conventional pit and fissure sealant. Therefore, it was suggest that the additional effects of CNP and research on a wide range of substances.

Study of the cumulative dental caries rate of pit and fissure sealant in community public health program: 3 years follow-up (3년간 추적연구에 의한 지역사회 치면열구전색사업의 누적치아우식발생률에 관한 연구)

  • Jeon, Mae-Sook;Kim, Chang-Suk;Lee, Kyeong-Soo
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.1
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    • pp.45-52
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    • 2016
  • Objectives: The purpose of the study was to investigate the cumulative dental caries rate of pit and fissure sealant in community public health program from 2005 to 2008 follow-up. Methods: The subjects were 4,768 students of 34 elementary schools in Gimcheon. The survey included direct oral examination and cumulative retention rate of pit and fissure sealant from 2005 to 2008. Data were analyzed using PASW statistical package version 18.0 and the level of significance was set at p<0.05. Results: The cumulative retention rate of sealant was 18%, 25%, and 33% after 1 year, 2 years, and 3 years, respectively. In addition, the cumulative retention rate of lower teeth was higher than that of upper teeth. Cumulative dental caries rate increased in sealed group and no sealed group. The cumulative dental caries rate decreased owing to tooth brushing frequency in sealed group and no sealed group. Conclusions: Regular and timely tooth brushing can maintain good oral health condition after tooth sealing. The school based oral health education can prevent loss of sealant and secondary caries.

THE FISSURE PENETRATION AND MICROLEAKAGE OF PIT AND FISSURE SEALANT WITH MECHANICAL PREPARATION (기계적 삭제방법을 이용한 치면열구전색제의 열구 침투도 및 미세누출)

  • Kim, Ji-Yeon;Lee, Jae-Ho;Park, Ki-Tae;Kim, Seong-Oh;Choi, Byung-Jai;Son, Heung-Kyu
    • THE JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY
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    • v.32 no.1
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    • pp.164-173
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    • 2005
  • Mechanical preparation has been introduced to provide the sealant retention. The objective of this study was to compare the fissure penetration and the microleakage of pit and fissure sealant using mechanical preparation(mechanical preparation + acid etching) and acid etching only. An additional objective of this study was to compare the fissure penetration and the microleakage of unfilled and filled sealant in both methods. Sixty human premolars extracted for orthodontic purpose were selected. Thirty teeth were acid etched alone and remaining thirty teeth were prepared with a $\frac{1}{4}$ round bur and then acid etched. One-half of teeth in each surface treatment method were sealed with unfilled sealant and the other half were sealed with filled sealant. All of the teeth were thermocycled for 1200 cycles at $5^{\circ}C\;and\;55^{\circ}C$ and immersed in 5% methylene blue for 24 hours. Each tooth was sectioned bucco-lingually at mesial pit and distal pit and examined under a Measurescope. In the case of mechanical preparation, fissure penetration of sealant was significantly increased compared with the case of acid etching only(P < 0.05). The filled and unfilled sealant using mechanical preparation showed significantly decreased microleakage when compared with the unfilled sealant using acid etching only(P < 0.05). No differences were found in fissure penetration and microleakage between unfilled and filled sealant in both methods. Taken together, the results of this study suggest that mechanical preparation and filled sealant are recommended when placing pit and fissure sealant. However, further clinical studies should be performed in regard to microleakage.

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An Effect of Incremental Dental Health Care Program in School Dental Clinic (학교구강보건실 계속구강건강관리사업의 효과)

  • Yang, Jung-Seung;Shim, Hyung-Soon
    • Journal of Korean society of Dental Hygiene
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    • v.5 no.1
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    • pp.29-38
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    • 2005
  • In 2001, as a subject of this study, the first grade 165 kids in Yomju elementary school had been guided in pit and fissure sealant, fluoride rinse, group tooth brushing, and Dental health education as a part of oral disease preventive program. From the data, this author has estimated incremental dental health care program in school dental clinic in order to make it more effective and enlarge it. For that purpose, the program has been continued at six month intervals for two years. The retention condition of pit and fissure sealant in first molar and DMF rate had been investigated. The conclusions are as follows: 1. Full and partial retention of pit and fissure sealant was measured as 80.69% in maxillary right first molar, 83.20% in maxillary left first molar, and 86.72% in mandibular right first molar, and 86.28% in mandibular left first molar. 2. Retention of pit and fissure sealant in first molar was measured as 76.55% in maxillary right first molar, 81.03% in maxillary left first molar, 80.65% in mandibular left first molar, and 82.03% in mandibular right first molar. 3. Among Yomju elementary school students, DMF rate was measured as 8.7%, and DMFT index as 1.03. However, in Yangdong elementary school students the former was measured as 13.8% and the latter as 1.76. When the DMF rate difference between Yomju and Yangdong elementary school kids was considered, the oral health condition of the former was much better than that of the latter because the former had received incremental dental health care program for two years and on the other hand, the latter had not. So it is necessary that we should enlarge school dental clinic, improve and keep students' oral health.

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The Effect of Carious Pit and Fissure Sealant on Secondary Caries and Using Status (우식성 열구에 적용한 치면열구전색의 이차 우식에 대한 영향과 사용 실태)

  • Jeong, Moon-Jin;Kim, A-Reum;Kim, Min-Ji;Jeong, Soon-Jeong;Son, Jung-Hui;Chung, Sung-Kyun;Lim, Do-Seon
    • Journal of dental hygiene science
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    • v.14 no.4
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    • pp.589-596
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    • 2014
  • This study was designed to investigate the using status and awareness of pit and fissure sealant, and how it affects on secondary caries when performed on above of initial caries. After classifying 446 occlusal surface into four groups, performed pit and fissure sealant, induced artificial caries, used DIAGNOdent (Kavo) to measure degree of secondary caries. Also, distributed a questionnaire on dental clinic in metropolitan area to find out using status and awareness of pit and fissure sealant, the following results were obtained. 1) On inspection and percussion, Group 4 corresponding to the enamel caries showed the highest secondary caries after sealant and was statistically significant difference in the order of initial group, stained group, sound group (p<0.05). 2) Inspection showed the highest percentage on tooth fissure caries diagnostic methods before sealant. 3) 56.6% didn't know about DIAGNOdent, 91.6% didn't have it. 4) In clinically, the most cause of secondary caries after sealant was a broken sealant, making caries on the downward. Based on the results of above study, degree of caries under sealant could affect on secondary caries, needs publicity about the use and necessity of objective fluorescence device.

Reliability of Q-Ray View for Assessing Retention Status of Pit and Fissure Sealant (Q-Ray View를 이용한 치면열구전색재의 유지상태 평가)

  • Nam, Sang-Mi;Ku, Hye-Min;Lee, Eun-Song;Kim, Baek-Il
    • The journal of the Korean dental association
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    • v.58 no.3
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    • pp.140-151
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    • 2020
  • Purpose: To evaluate reliability of Q-ray view (Aiobio Inc,. Seoul, Korea) for assessing retention status of pit and fissure sealants. Methods: Pit and fissure sealants of 58 permanent molars from 15 third-grade students were examined. Posterior teeth with ≥1 pit and fissure sealants applied to the occlusal surface for >6 months were examined. The teeth were examined using traditional visual-tactile assessments and combined Q-ray view. Pit and fissure sealants were evaluated by assessing marginal plaque, marginal discoloration, marginal integrity, retention, and presence of caries. Fleiss kappa and Cohen's kappa values were calculated to compare inter- and intrarater agreements between visual-tactile and combined Q-ray view assessments. Results: Regarding interrater agreement in visual-tactile assessments, K values of Cohen's kappa for marginal plaque, marginal discoloration, and presence of caries were 0.22-0.57, 0.36-0.57, and 0.43-0.61, respectively, and agreements ranged from slight to moderate. When combined with Q-ray view, the values were 0.81-0.89, 0.69-0.88, and 0.80-0.90, respectively, and agreements ranged from substantial to nearly perfect level, indicating statistical significance. Marginal plaque (0.81-0.83), marginal discoloration (0.57-0.89), and presence of caries (0.69-0.91) showed higher agreements in combined Q-ray view than in visual-tactile assessments, and kappa values of marginal plaques were significantly higher in combined Q-ray view than in visual-tactile assessments. Conclusion: Evaluating retention status of pit and fissure sealants using Q-ray view showed higher reliability than using visual/tactile assessments for marginal plaque, marginal discoloration, and presence of caries. Therefore, Q-ray view may be used to assess the retention status of pit and fissure sealants.

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