Kristin Dively, Amy Fallin and Laura Tuck

Developed in 1960s by Michael G.Buenocore, DMD, MS, of Rocdhester NY

Acid etchant to mechanically bond an acrylic resin to the tooth

20 years passed before dental sealants became a commonly used prevention strategy in the United States

Sealants are now vital part in the prevention of caries among fluoride and good oral hygiene

Dental caries is widespread in the United States 2004, 42% of American children and young adults

ages 6-19 had decayed or restored permanent teeth 2010, dental caries among children ages 2-4

increased from 19% to 24% 90% of carious lesions are found in pits and fissures Community socioeconomic status (SES) contributes

to incidence of dental caries Prevalence and intensity of dental caries has

declined sharply among children of highest SES due to increased access to dental care as well as increased sealant usage

High retention rates achieved by using good isolation and careful techniques

Locker et al reported that 71% of occlusal decay in permanent dentition was prevented with pit and fissure sealants

Failure rates higher among high risk caries individuals Studies have show that sealing noncavitated carious lesions

significantly reduced progression of caries as long as 5 years after placement, when compared to unsealed teeth

Despite large body of evidence supporting efficacy, sealants are an underutilized technique used in private practice Dentist‘s training Reimbursements based on restoration rather than

prevention Lack of confidence in long-term sealants Difficulty diagnosing pit and fissure caries Concern with sealing over caries

Bisphenol-A (BPA) contained in some sealant material

Risks related not well understood Derivates of BPA may cause problems in

the prostate an urinary tracts Pregnant women advised to postpone

until after delivery Dental sealants are available without

BPA product

Improvements in the viscosity and the ability to resist flow

Some can now be applied in moist environment

Self-etching adhesives are also available, which reduce the time needed for placement

Preventative dentistry has drastically improved since 1960s

Dental caries are a global epidemic Advancements in sealant materials and

solid evidence of efficacy are key to the caries prevention

Dental hygienists play a significant role in improving the usage of sealants among their patients

FL2 Recharging FL2 Recharging SealantSealant

GiomerGiomer

Filler particles release Fl2, Na, Strontium, Filler particles release Fl2, Na, Strontium, Al, silicate, borateAl, silicate, borate

Recharge with toothpaste, mouthwash, etc.Recharge with toothpaste, mouthwash, etc. Inhibits plaque formation, cariostatic, and Inhibits plaque formation, cariostatic, and

acid neutralizationacid neutralization http://www.shofu.com/whiteners-preventati

ves/187#name

FL2 releasing v. standard FL2 releasing v. standard

Won’t destroy enamelWon’t destroy enamel

ViscosityViscosity

Bond StrengthBond Strength

Typical sealant has 28% Typical sealant has 28% replacement ratereplacement rate

$PRICE$

TOOTH COLORED

DisadvantagesDisadvantages

Primer requires refrigeration Primer requires refrigeration

““Quickest sealant procedure ever!”Quickest sealant procedure ever!” ““Much better than similar sealants”Much better than similar sealants” ““Sets new standards for clinical Sets new standards for clinical

success and efficiency in sealant success and efficiency in sealant placement”placement”

FL2 recharging sealant FL2 recharging sealant application with application with Specialty Specialty Saliva Evacuator and Bite Saliva Evacuator and Bite

Block CombinationBlock Combination

https://www.youtube.com/watch?https://www.youtube.com/watch?v=gR-v=gR-P99W45bI&feature=youtube_gdata_P99W45bI&feature=youtube_gdata_playerplayer

Specialty Saliva Evacuator and Bite Block Combination

What is this you ask?This is a hands free isolation device that

retracts, isolates and evacuates.

It is easy to use and comfortable for your patient.

It also has parts that can be autoclaved and parts that are a one time use.

Specialty Saliva EvacuatorThere are four parts to this Saliva Evacuator.

Blue Autoclavable Angle Tube

Blue Autoclavable Bite Block

Clear Disposable Bite Grips

Clear Disposable Tongue Shields

Specialty Saliva Evacuator and Bite Block Combo

Finished product after assembly.

Specialty Saliva Evacuator and Bite Block ComboProduct in proper

position in oral cavity.

Benefits for you and your patient.Portable. Gives easy view of quadrant.Better comfort for some patients.Tongue shield can be trimmed to fit patients

oral cavity.Affordable.Easy to maintain.Can be used for other procedures that dry

field isolation is needed.

REFERENCES http://www.dimensionsofdentalhygiene.c

om/default2.aspx www.shofu.com www.zirc.com