Odontología restauradora: protocolos clínicos

Prolocolo de Sellanles de Puntos y Fisuras En el control inmediato posterior a la aplicación del sellante, se debe verificar: • Retención al ser examinado con la sonda de caries. • Aplicación limitada al surco o fisura. • Ausencia de poros. Monitoreo de sellantes. Para una eficiencia óptima, el sellante debe estar presente en todos los puntos y fisuras presentes, siendo nece– sario un monitoreodel sellant e en forma regular, reaplicándolo según sea necesario. 6 · 21 • Deberán efectuarse controles cada 3 meses (pacientes de alto riesgo cariogénico) o cada 6 meses (pa– cientes de bajo riesgo cariogénico). • En caso de observar pérdida total o parcial del sellante, éste deberá ser reaplicado o reparado. REFERENCIAS BIBLIOGRAFICAS 1. Pitts N, Deery C, Evans D, Gerrish A, Haughney M, Hunter 1, lamont H, MacCafferty J, Merret M, Sutcliffe P, Sweeney P, Topping G. Preventing Dental Caries in Children at High Caries Risk. Targeted prevention of dental caries in permanent teeth of 6-16 year olds pre– senting for dental care. A National C!inical Guideline. Scottish lntercollegiate Guidelines Network. (SIGN) Publication Nº47, Diciembre 2000. 2. Mertz-Fairhurst EJ, Schuster GS, Fairhurst CW. Arresting caries by sealants; results of a c!inical study. J Am Dent Assoc1986,112:194- 197. 3. Mertz-Fairhurst EJ, Curtis JW, ErgleJW, Rueggeberg FA: Ultraconservative and cariostatic sealed restorations: results at year 10.J Am Dent Assoc 1998,129:55-66 4. Mejare 1, lingstróm P, Petersson LG, Holm AK, Twetman S,Kallestal C, Nordenram G, lagerlóf F, Sóder B, Norlund A, Axelsson S, Dahl– gren H. Caries-preventive effect of fissure sealants: a systematic review. Acta Odontol Scand. 2003 Dec;61(6):321-30. S. Jodkowska E. Effícacy of pit and fissure sealing: long-term clinical observations. Quintessence lnt. 2008Jul-Aug;39(7):593-602. 6. Beauchamp J, Caufield PW, Crall JJ, Donly K, Feigal R, Gooch B, lsmail A. Kohn W, Siega! M, Simonsen R, American Dental Association Council on Scientific Affairs. Evidence-basedclinical recommendations for the use ofpit-and-fissure sealants: a report of the American Dental Association(ouncil on Scientific Affairs. JAm Dent Assoc 2008 Mar139 (3):257-68. Bravo M, Montero J. Bravo JJ, Baca P, llodra JC. Sealant and fluoride varnish in caries: a randomized trial. J Dent Res. 2005 Dec;84(12):1138-43. 8. Llodra JC, Bravo M, Delgado-Ramirez M, Baca P, Galvez R. Factors influencing the effectiveness of sealants - a meta-analysis. Commu- nity Dent Oral Epidemiol1993; 21:261-8. 9. Reeves A, Chiappelli F, Cajulis OS. Evidence-based recommendations for the use of sealants. J Calif Dent Assoc. 2006 Jul;34(7):540-6. 10. Simonsen RJ. Glass ionomer as fissure sealant - a critica! review. JPublic Health Dent 1996; 56:146-9 11. Kilpatrick NM, Murray JJ, Mc(abe JF. A clinical comparisonofa light cured glass ionomer sealant restoration with a composite sealant restoralion.JDenl 1996; 24:399-405 12. Baria-Fidalgo F, M aroun S, de Oliveira BH. Effectiveness of aglass ionomer cement used as a pit and fissure sealant in recently erupted permanent first molars. J Dent Child (Chic). 2009 Jan-Apr;76(1):34-40. 13. Ahovuo-Satoranta A. Hiiri A, Nordblad A, Worthington H, Makela M. Pit and fissure sealants for preventing dental decay in the perma– nent teeth of children and adolescents.Cochrane Database Syst Rev 2004(3):CD001830. 14. Griffin SO, Oong E, Kohn W, Vidakovic B, Gooch BF; CDC Dental Sealant Systematic Review Work Group, Bader J, Clarkson J, Fon– tana MR, Meyer DM, Rozier RG, Weintraub JA,Zero DT. The effectiveness of sealants in managing caries lesions. J Dent Res. 2008 Feb;87(2):169-74. 15. Moneada G, Urzúa l. "Cariología Clínica. Bases Preventivas y Restauradoras··. Primera Edición, año 2008. Capítulo 6, páginas 134-138 16. Mertz-Fairhurst EJ. Smith CD, Williams JE, Sherrer JD, Mackert JR, Richards EE. Cariostatic and ultraconservative sea!ed restorations: six year results. Quintessence 1992; 23:827-38 17. Weerheijm Kl, de Soet JJ, van Amerongen WE. de Graaff J. Sealing of occlusal hidden caries lesions: an alternative for curative treatment? ASCD JDent Child 1992; 59:263·8. 18. Asselin ME, Sitbon Y, Fortín D, Abelardo L, Rompre PH. Bond strenght of a sealant to permanent enamel; evaluation of three applica– tions protocols. Pediatr Dent. 2009 Jul- Agost;31(4): 323-8. 19. Kolavic Gray S, Griffin SO, Malvitz DM, Gooch BF. A comparison of the effects of toothbrushingand handpiece prophylaxis on retention of sealanls. J Am Dent Assoc.2009 Jan;140(1):38·46. 20. Simonsen RJ. Pit and fissure sealant. Practical Hygiene. Jan/Feb1996; 37-38 21. Deery C, Fyffe HE, Nugent Z, Nuttall NM, Pitts NB. lntegrity, maintenance and casies susceptibility of sea1ed surfaces in adolescents receiving regular care from general dental practicioners in Scotland. lnt J Pediatr Dent 1997; 7:75-80. 28 FacultadOdontologia, UniverSidodde Chile