We have developed a vibration etching technique in which occlusal pits and fissures are simultaneously cleansed and acid-etched using a fissure needle mounted on an electromagnetic vibrator. When tested on extracted teeth, the needle completely cleansed the fissures by removing the contents and the prismless enamel layer, and widened them to from 100 to 150 μm to the depth reached by the needle. The sealant penetrated readily and adhered to the reduced and etched fissure walls interlocking with resin tags.
Get full access to this article
View all access options for this article.
References
1.
Buonocore, M.G. and Cueto, E.I.: Adhesive Sealing of Pits and Fissures for Caries Prevention, IADR Progr & Abst44:No. 400, 1965.
2.
Houpt, M. and Sheykholeslam, Z. : The Clinical Effectiveness of Delton Fissure Sealant after One Year, J Dent Child45:130-132, 1978.
3.
Rock, W.P.; Gordon, P.H.; and Bradnock, G.: The Effect of Operator Variability and Patient Age on the Retention of Fissure Sealant Resin, Br Dent J145:72-75, 1978.
4.
Brook, J.D.; Mertz-Fairhurst, E.J.; Della-Gius-Tina, V.E.; Williams, J.E.; and Fairhurst, C.W.: A Comparative Study of Two Pit and Fissure Sealants: Three-year Results in Augusta, GA, JADA99:42-46, 1979.
5.
Simonsen, R.J. : Clinical Applications of the Acid Etch Technique , Chicago, IL: Quintessence Publishing Co., 1978, p. 20.
6.
Aoki, K.: A Study on Cleansing of Fissures, J Stomatol Soc41:225-232, 1974 (in Japanese).
7.
Aoki, K.: A Study on Cleansing of Fissures: Improvement of the Tip for Increasing Efficiency , J Stomatol Soc42 :257-262, 1975 (in Japanese).
8.
Nakajima, K. ; Kunimoto, H.; and Ohmori, I.; Utilization of the GK-101 for Pits and Fissures Irrigation, Tsurumi Shigaku5:121-132, 1979 (in Japanese).
9.
Fusayama, T.: New Concepts in Operative Dentistry, Chicago, IL : Quintessence Publishing Co., 1980, p. 165.
10.
Gwinnett, A.J. and Buonocore, M.G.: A Scanning Electron Microscope Study of Pit and Fissure Surfaces Conditioned for Adhesive Sealing, Arch Oral Biol17:415-423, 1972.
11.
Marshall, G.W. ; Olson, L.W.; and Lee , C.V.: SEM Investigation of the Variability of Enamel Surfaces after Simulated Clinical Acid Etching for Pit and Fissure Sealants, J Dent Res54:1222-1231, 1975 .
12.
Yoshimura, M. : The Structure and Amino-acid Composition of the Integuments of the Enamel Surface of Teeth, J Stomatol Soc39:16-25, 1972 (in Japanese).
13.
Meckel, A.H. : The Formation and Properties of Organic Films on Teeth, Arch Oral Biol10:585-597, 1965.
14.
Ichijo, T. and Yamashita, Y.: Studies on the Dental Cuticle, Membrane4:78-88, 1979 (in Japanese).
15.
Taylor, C.L. and Gwinnett, A.J.: A Study of the Penetration of Sealants into Pits and Fissures, JADA87 :1181-1188, 1967.
16.
Fan, P.L. ; O'Brien, W.J.; and Craig, R.G.: Wetting Properties of Sealants and Glazes , Oper Dent4:100-103, 1979.
17.
Shiota, K.; Yaoi, H.; Yamauchi, T.; Shitsuki, T.; and Miyata, M.: Submicroscopic Structures and Histogenesis of "Rodless Enamel,"Jpn J Oral Biol4:45-52, 1963 (in Japanese).
18.
Gwinnett, A.J. : Human Prismless Enamel and its Influence on Sealant Penetration, Arch Oral Biol18:441-444. 1973.
19.
Hrsted, M.; Fejerskov, 0.; Larsen, M.J.; and Thyl-Strup, A.: The Structure of Surface Enamel with Special Reference to Occlusal Surfaces of Primary and Permanent Teeth, Caries Res10:287-296, 1976.
20.
Nagano, T.: Relation between the Form of Pit and Fissure and Primary Lesion of Caries , Shikwa Gakuho60:1178-1188, 1961 (in Japanese).
21.
Mortimer, K.V. : Some Histological Features of Fissure Caries in Enamel, ORCA2:85-94, 1963.