Pit And Fissure Sealant

Pit And Fissure Sealant

A sealant is a clear or opaque plastic material that is applied to the pits and fissures of teeth where decay occurs most often. The purpose of the sealant is to provide a physical barrier to occlude pits and fissures and to protect them from bacteria.

What is the Price of Pit and Fissure Sealant in Pakistan?

Pit and fissure sealant procedure cost in Pakistan ranges between 20,000-30,000 PKR.

What diagnosis leads to Pit and Fissure Sealant?

The major condition that may lead to pit and fissure sealant is dental caries. This surgical procedure involves the identification of deep grooves and fissures on the chewing surfaces of the molars and premolars. It is difficult to regularly brush these deep grooves and it may lead to the growth of dental caries (tooth decay).

What is the procedure for Pit and Fissure Sealant?

The procedure for pit and fissure sealant involves the following steps;

  1. Preparation of Tooth: An entire quadrant or a single tooth may be prepared for sealant application. A careful examination should be used to verify that there is no decay using careful lighting and illumination after air drying. The tooth is cleaned well (10-15 seconds) with a prophy brush and a mixture of flour pumice and water

  1. Isolation techniques: There are two methods that can be used for isolating teeth such as the use of the rubber dam and the use of cotton roll holders. Moisture control is the most crucial aspect of the pit and fissure sealant placement.

  1. Acid Conditioning of the Tooth: The next step is the acid etching or acid conditioning procedure. The tooth is etched with a 30-50% solution of unbuffered phosphoric acid. After conditioning, the tooth is rinsed again with water for 10-15 seconds to remove the acid and its residues. Then the tooth is dried thoroughly for 10-15 seconds and examined carefully

  1. Sealant Placement: The sealant procedure requires mixing a catalyst and base to form an unfilled BIS-GMA resin. One drop of base and one drop of catalyst are dispensed into the mixing well and mixed together for 15 seconds. Then, the sealant is carried to the tooth with a customized application dispenser. The sealant should not be painted back and forth on the tooth surface because this may cause air bubbles to be trapped in the fissures. 

  2. Checking the Polymerized Sealant: After complete polymerization, any resin flash and ledges of sealant that extend beyond etched enamel should be removed with a sharp scaler, curette, or carbide finishing bur.

  3. Follow-up: The sealant should be checked at a subsequent recall appointment to evaluate its holding power. The effectiveness of pit and fissure sealants is increased by monitoring and maintaining sealant integrity. If a sealant is lost or only partially retained, more sealant can be added.

What are the risks and complications associated with Pit and Fissure Sealant?

The major risks and complications linked with pit and fissure sealant include; 

  1. Contamination may result from either saliva or calcium phosphate products

  2. Air entrapment

  3. Inadequate surface preparation

  4. Incomplete or slow photopolymerization

  5. Overextension of the material beyond the conditioned tooth surface

What to expect after Pit and Fissure Sealant?

You may expect the following after  pit and fissure sealant;

Due to the presence of the sealant, you may notice a slight sensation at first when biting or chewing. Sealed surfaces will be clinically and radiographically monitored regularly. You should brush your teeth as usual and practice good oral hygiene. 

Frequently Asked Questions

Click here to book an online surgical procedure through Marham.pk or you can also call us at 04232591427 or 0311-1222398 from 9 am - 11 pm to book an online lab test.

Cost varies depending on the type of surgery and locality.

Yes Pit And Fissure Sealant surgery available in Pakistan?

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