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Alternative Techniques for Pit and Fissure Sealings

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Pit and Fissure Sealants

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Abstract

The success of fissure sealants depends principally upon the quality of adhesion between the sealant and enamel, which correlates to their ongoing resistance to the microleakage of saliva and microorganisms at the restoration-tooth interface. In an effort to improve sealant success, various surface preparation and debridement techniques have been investigated for use on the tooth surface prior to sealant application. These different enamel treatment procedures aim to optimize both bond strength and sealant integrity leading to optimal prognosis over time. One approach comprises the application of an adhesive system as an enamel bonding layer beneath the sealant to increase the retention rate; however, this is difficult to achieve where moisture control is compromised. Another possibility is the use of lasers as a tool for pretreatment and surface conditioning in pit and fissure sealing. The aims of this chapter are to present these two alternative techniques and to discuss the current evidence.

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Acknowledgments

The author would like to acknowledge Anton Dobsak for providing the chart of contemporary adhesives as well as Hassan Shokoohi for preparing the SEM images.

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Authors and Affiliations

  1. Department of Pediatric Dentistry, School of Dentistry, Medical University of Vienna, Vienna, Austria

    Katrin Bekes

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  1. Katrin Bekes
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Correspondence to Katrin Bekes .

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  1. Department of Pediatric Dentistry, Medical University of Vienna, Vienna, Austria

    Katrin Bekes

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Bekes, K. (2018). Alternative Techniques for Pit and Fissure Sealings. In: Bekes, K. (eds) Pit and Fissure Sealants. Springer, Cham. https://doi.org/10.1007/978-3-319-71979-5_8

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  • DOI: https://doi.org/10.1007/978-3-319-71979-5_8

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-71979-5

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