Extended fissure sealants: an adjunctive aid in the prevention of demineralization around orthodontic bands. 1994

W H Liebenberg

Banding of molars is still the attachment mode of choice to the majority of clinical orthodontists. One of the acknowledged hazards of orthodontic treatment continues to be the presence of clinically detectable areas of enamel demineralization following the removal of orthodontic appliances. Factors that contribute to this demineralization include inaccurate adaptation of the bands and breakdown of the seal as a consequence of the inadequate bonding strength of the cements and their solubility in oral fluids. Traditional cleaning methods limit adequate plaque control to those areas gingival and incisal to the cemented bands. The iatrogenically created defective band-tooth interface areas pose particular problems, because the ingress of food particles and bacterial plaque make these areas prone to demineralization. A technique is introduced whereby fissure sealant is extended to cover the entire occlusal perimeter, effectively sealing the band-tooth circumferential interface. This technique represents an additional method of prophylaxis against the demineralization that can accompany orthodontic intervention.

UI MeSH Term Description Entries
D009967 Orthodontic Appliances Devices used for influencing tooth position. Orthodontic appliances may be classified as fixed or removable, active or retaining, and intraoral or extraoral. (Boucher's Clinical Dental Terminology, 4th ed, p19) Appliance, Orthodontic,Appliances, Orthodontic,Orthodontic Appliance
D010895 Pit and Fissure Sealants Agents used to occlude dental enamel pits and fissures in the prevention of dental caries. Dental Sealant,Dental Sealants,Fissure Sealant,Fissure Sealants,Pit And Fissure Sealant,Pit Fissure Sealant,Sealants, Tooth,Pit Fissure Sealants,Sealants, Dental,Fissure Sealant, Pit,Fissure Sealants, Pit,Sealant, Dental,Sealant, Fissure,Sealant, Pit Fissure,Sealant, Tooth,Sealants, Fissure,Sealants, Pit Fissure,Tooth Sealant,Tooth Sealants
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D017001 Tooth Demineralization A tooth's loss of minerals, such as calcium in hydroxyapatite from the tooth matrix, caused by acidic exposure. An example of the occurrence of demineralization is in the formation of dental caries. Demineralization, Tooth

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