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Tips for sealants

I haven’t had too much practice placing sealants and so I’m always nervous, especially at the prospect of keeping the tooth dry without a second pair of hands helping out. Any tips on placing sealants in general? Thx!!



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9 Answers

Small dry angles for the cheeks really help me, as well as a cotton roll by the tongue, if necessary. If we have a child who we cannot keep dry (even with help), we will use Vertise Flow instead of sealant material. It doesn’t require a squeaky dry field and etching is not necessary. I also retract the tongue with low suction to keep things dry. It can be tough without a second set of hands sometimes!

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Dry angles and sometimes two cotton rolls one lingual and one buccal.With kids i use low suction,I etch,use a wet cotton applicator to remove the etch, blow air ,place sealant tap cusps with a dry cotton roll to remove access sealant and cure I can do 2-4 teeth at a time it’s way without the teeth getting wet. I think it helps make less saliva since I don’t “rinse” the etch of triggering saliva production .

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Im not a fan of actually having to do sealants but I have had to do them on older kids. If the kid is 5 or older and you have a pedo sized isolite that works great! It props the mouth open, suctions for you, lights up your working field, retracts the tongue and the cheek. That being said not all kids will let you put it in their mouth.

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I love placing sealants, I rarely have anyone available to help so I enlist the help of the child to retract the cheek and to hold the VERY IMPORTANT curing light, and hand it to me when Im ready 🙂 I use small dri angles (cotton flats) and cotton rolls (cotton rounds) slow speed suction prn and the high speed suction in my left hand for retraction and rinsing… the kids love helping 🙂

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I love placing sealants. There are these yellow neo dry angles (I think that’s what they are called) they are amazing. Literally soak up the saliva. I call them saliva pillows I the kids. I also took a sealant course at yankee and the women who taught the class gave us as a gift these isolating plastic biting blocks. Those work well for the kids who can’t keep tongue out of the way. I just switched my sealant product. Once it’s shipped I will post the name of it but it works amazing.

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Just do your best to keep the area as dry as you can and take help if it is available. Make sure you etch for 20 seconds or until you see that chalky white color. Otherwise you wont get that micromechanical retention and the sealant will end up popping off. I temped at a pedo office in Dallas, Texas and the Dr had invested in the isolite system that is attached to the unit. It was amazing! I felt like I had 2 extra people helping me. I didn’t know what to do with my free hand. It lights, suctions, and retracts the tongue & cheek all at once!

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I used to have a tough time keeping a dry field even with cotton rolls dry angles etc. and I would sometimes have sealants fail. Now we have a new sealant material that is awesome!!!! I believe it is called ultraseal hydro and I have not had a single sealant fail in the past year since I have been using it!

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I use most of the above tips, but nearly always use a bite block, especially when I am doing them solo. Even older kids don’t often stay open wide enough or even realize that they are closing their mouths. Usually don’t have a problem with kids balking at the bite block ( once in a while), but if I feel the child will be too challenging to do it in my schedule alone, they get done by the doc and the assistant.

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Ultradent has a new sealant material that is hydrophilic so you don’t have to keep the tooth completely dry (although it is recommended). OR you could have your doctor get you an Isolite. They help out with sealants and SRP.

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