Clinical procedure in sealing pit and fissure using technological aids: VistaCam iX Proof and Combi

Abstract

The effectiveness of sealants in preventing pits and fissures decay is currently assessed by retention as principal clinical evaluation
criteria. Among the determinants for sealant retention, an incomplete removal of plaque debris can cause lack of adhesion at the
sealant-enamel interface. Therefore, in order to optimize the caries prevention outcome, clinical procedures of biofilm detection and
cleansing are crucial. Technological aids can help clinicians in these critical phases. A clinical procedure is described of sealant
application using VistaCam iX Proof fluorescence camera for quantitative assessment of surface demineralization and Combi air
polishing unit for plaque removal. Pre and post air polishing intraoral VistaCam iX Proof images show the effectiveness of glycine airpolish
technology in plaque removal. The results encourage technological aided clinical procedures in enhancing sealant application for
pit and fissures caries prevention. Further clinical research is needed to validate our preliminary outcomes.