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Therapeutic Fissure Sealing

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Pit and Fissure Sealants

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Abstract

Pits and fissures are areas being especially prone to caries in permanent teeth. Possible measures are monitoring, preventive sealing, minimally invasive preparation and sealing, and finally conventional restoration. The present chapter focuses on dental management of therapeutic fissure sealing facing the background of German and American guidelines. This also involves description and judgment of clinical procedures. Caries diagnosis on the basis of ICDAS-II allows differentiated decisions mostly resulting in sealing or minimally invasive restorations. Borderlines between initial caries with or without dentin involvement are traditionally difficult. Minimally invasive preparation is ideally managed using special rotary burs. Flowable resin composites are the materials of choice for restorations, probably with additionally applied sealant in non-prepared areas. For therapeutic fissure sealing, quality standards of adhesive dentistry have to be taken into account.

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Authors and Affiliations

  1. Department of Pediatric Dentistry, University of Gießen, Gießen, Germany

    Norbert Krämer

  2. Department of Operative Dentistry, Philipps University Marburg, Marburg, Germany

    Roland Frankenberger

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  1. Norbert Krämer
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  2. Roland Frankenberger
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Correspondence to Norbert Krämer .

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

    Katrin Bekes

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Krämer, N., Frankenberger, R. (2018). Therapeutic Fissure Sealing. In: Bekes, K. (eds) Pit and Fissure Sealants. Springer, Cham. https://doi.org/10.1007/978-3-319-71979-5_10

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