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Back teeth showing fissure system. Dental caries is an upset of the balance between loss and gain of minerals from a tooth surface. [3] The loss of minerals from the teeth occurs from the bacteria within the mouth, fermenting foods and producing acids, whereas the tooth gains minerals from our saliva and fluoride that is present within the mouth. [3]
The retention rate of ART sealants using HVGIC [8] has improved significantly compared to low and medium viscosity-viscosity glass-ionomers previously used. [9] ART sealants appear to have a high caries preventive effect. [10] ART/HVGIC sealants are effective in controlling dentine-carious-lesion development in pits and fissures. [1]
The type of filling material used has a minor effect on how long they last. The majority of clinical studies indicate the annual failure rates (AFRs) are between 1% and 3% with tooth colored fillings on back teeth. Root canaled (endodontically) treated teeth have AFRs between 2% and 12%.
RTV silicone rubber can be used to cast materials including wax, gypsum, low-melt alloys/metals, and urethane, epoxy, or polyester resins (without using a release agent). A more recent innovation is the ability to 3D print RTV silicones.
There is evidence that when using sealants, only 6% of people develop tooth decay over a 2-year period, in comparison to 40% of people when not using a sealant. [9] However, it is recommended that the use of fluoride varnish alongside glass ionomer sealants should be applied in practice to further reduce the risk of secondary dental caries. [10]
This page was last edited on 24 October 2010, at 05:35 (UTC).; Text is available under the Creative Commons Attribution-ShareAlike 4.0 License; additional terms may apply.
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