口腔预防医学精品教学（中山大学）8.2预防性树脂充填.pptVIP

Preventive resin restoration 支清惠 Ph.D. MDS DDS Preventive resin restoration Definition remove caries lesions in the pit and fissures only, use acid-etch technique and resin to repair early caries in the pits and seal the occlusal surface; a combination of sealant and restoration. Indications of PRR Probe get stuck with caries lesions in pit and fissures Deep pit and fissures likely to have dental caries Early caries in pit and fissures, muddy or chalky enamel No proximal caries lesion Classifications A: the smallest round bur to remove demineralized enamel, restoration with sealant B:small or medium sized round bur to remove caries lesions, restoration with dilute resin C:medium or big round bur to remove caries lesions extending into dentine, use bases to protect pulp, enamel or dentine bonding, fill with composite resin for posterior teeth Procedures Remove caries lesions in pit and fissures with hand piece, the size of the round bur is decided by the caries lesion and no extention needed. Procedures Cleaning teeth surfaces thoroughly, drying and moisture control Procedures calcium hydroxide liner on exposed dentine for type C Procedures Acid etch of occlusal surfaces and cavities Procedures Type C: Composite resin for posterior teeth after enamel bonding ； Type B: dilute resin or sealant with fillers； Type A: sealant on the occlusal surfaces and cavities only. Procedures Checking the restorations Procedures Checking the restorations Opinions about PRR Dent Clin North Am. 2005 Oct;49(4):815-23, vii. Preventive resin restorations and sealants in light of current evidence. Pit and fissure sealant should be treatment option provided to all children, particularly at the age immediately after eruption of the posterior teeth and especially, but not exclusively, the permanent teeth. Opinions about PRR