预防口腔医学临床技术.pptVIP

* Self-curing Sealants ? Do not require light source ? The time allowed for sealant manipulation and placement must not be exceeded * Light-curing Sealants ? Operator can initiate polymerization at any time ? Polymerization is shorter than self-curing ? Require a light source ? Equal in retention * Question 1 Which of the following statement, if any, are correct? In an area with fluoridated water, a lower incidence of caries can be expected, along with a lower proportion of occlusal to smooth surface lesions Sealants should never be lowed over incipient caries Sealants are contraindicated for adults * Question 2 Which of the following statement, if any, are correct? 1. Bis-GMA are the initials used to specify the chemical family of plastics containing bisphenol A-glycidyl methylacrylate 2. A monomer can polymerize, but a polymer cannot monomerize * Clinical Techniques of Dental Prevention Jiang Han Department of Preventive Dentistry ,School of Stomatology, Wuhan University * 教学要求 掌握： 一、窝沟封闭 1.概念; 2.窝沟封闭的临床应用: (1) 适应证和非适应证；(2) 操作方法及步骤 二、预防性树脂充填： 1.定义; 2. 适应证；3. 临床操作步骤 三、ART： 1.基本概念; 2.适应证;3.操作方法 * 熟悉： 一、窝沟封闭： 1. 窝沟解剖形态及患龋特点 2. 封闭剂组成、类型及特点 了解： 一、窝沟封闭： 1.酸蚀的作用; 2.临床效果评价 二、ART：由来及发展 * Introduction ? Fluorides: Smooth surfaces ( 10%), Occlusal pits and fissures ( 90%) Occlusal surfaces: The pits and fissures are approximately eight times as vulnerable as the smooth surfaces. * * * * * * * Dental Caries 龋病首先发生在窝沟壁，表现为狭窄处相对的沟壁上牙釉质龋损的形成。 龋病形成早期阶段，点隙裂沟底部没受到影响，随着龋病继续发展，沟壁病损逐渐扩大，最后累及沟底，形成金字塔形的损害。 * * * * * * * Several agents to deal with ? 1895: Wilson, dental cement ? 1929: Bodecker, enameloplasty ? 1923,1936: Hyatt, Prophylactic odontotomy ? Do nothing: wait and watch ? 1960s: pit-and-fissure sealants * Concept Pits and fissure sealants are materials which are designed to prevent pit and fi