Escolar Documentos
Profissional Documentos
Cultura Documentos
Restorative Dentistry
Most
conservative
approach
The long term
objective of treatment
should be helping the
child reach adulthood
with an intact
permanent dentition.
Principles of Minimal
Intervention dentistry
• Unfilled • Clear
(Concise, Delton, • Opaque
Helioseal)
Factors that affect bonding
of sealant
• Topography of the etched enamel
• Etching time
• Etching agent
• Etchant concentration
• Clean enamel (dry, free of
salivary contamination)
Handelman etal. J Dent Res
75, 1996
15 seconds
Weerheijm etal,
J Dent Child,
1989, 1990,
1992
PREVENTIVE RESIN
RESTORATION
(PRR)
Simonsen 1978
Croll TP & Cavanaugh RR; 1997
• Sealant
• Bond + composite + sealant
• Primer + bond + composite
+ sealant
Extension for
prevention
• TUNNEL
• ROUNDED SLOT: OCCLUSAL ,
BUCCAL OR LINGUAL APPROACH
• PROXIMAL SLICE
• OPEN STYLE