PREVENTIVE RESIN

RESTORATION

PREPARED BY: GROUP

C
GROUP MEMBER
• Nurul Amidah
• Nur Awanis
• Norliza
• Nor Afiqah
• Nur Fahira
• Nur Nadiah
• Nurul Syahidah
• Siti Sarah
• Suraya
• Zaidah 2
OUTLINE
• Introduction
• Indication
• Contraindication
• Advantages
• Disadvantages
• Classification
• Procedures

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INTRODUCTION
• A preventive resin restoration is a conservative
treatment that involves limited excavation to remove
carious tissue, restoration of the excavated area with a
composite resin, and application of a sealant over the
surface of the restoration and remaining, sound,
contiguous pits and fissures (Ripa et al,1992)

• This technique is employed after caries has formed

and the caries is judged to be deeper into dentin
(Anusavice, 1989) .

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• Treatment philosophy
• Painless
• Prevention
• Preservations

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• Indication
• For small pit or fissure cavities in posterior teeth in
nonstress-bearing areas.
• Deep pits and fissures in primary and permanent
teeth that contain questionable caries areas.
• Implicit carious lesions.
• Well confined carious lesions.
• Enamel defects.

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• Contraindication
• For stress-bearing posterior restorations
• When moisture control is poor
• . Large single-or multi-surf ace carious lesions

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Advantages

• Esthetic
• Direct material (one appointment placement)
• Easy to repair
• Bonded resin may enhance tooth strength
• Conservative preparation technique results in minimal
loss of healthy tooth structure.
• Less tooth structure is removed, leaving a much
stronger tooth than when extension for prevention is
necessary.

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Disadvantages
• No self-sealing quality like amalgam or fluoride release
like glass ionomers; once the bond is broken between
the adhesive and tooth, leakage occurs with a high rate
of secondary caries
• Excessive wear under stress
• Low fracture strength
• High technique sensitivity
• Harder to manipulate for dentist in site 2 preparations
• Generation and subsequent inhalation of dust during
finishing procedures represent potential hazard for the
patient and especially for dental staff.
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 INVESTIGATIONS
• Radiographic
• Radiographs are insufficient for the detection of occlusal
lesions, presumably because many lesions are too small to
create a radiographic image
• Show no evidence of proximal caries that would mandate a
more extensive restoration
• Visual
• the affected area will appear a matte white in contrast to the
gloss of normal enamel.
• Tactile assessment
• The pits and fissures of the occlusal surface are carefully
probed with a sharp explorer to determine if the explorer
tip "catches‘
• (Ripa et al,1992)
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11
TYPE OF
PRR
 Type A Type B Type C
• Deep pits and • comprises of • presence of
fissures incipient deep caries and
• caries is carious lesion need for
limited to extending into greater
enamel dentin that is exploratory
• A slow speed small and preparation in
round bur is confined. dentin
used to remove
any decalcified
enamel
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 TYPE A
• L.A and R.D
• surface is cleaned
• decalcified pits and fissure are removed with a slow speed
round bur
• acid etching gel is placed over the entire occlusal surface for 60
sec.
• surface is then washed for 20 sec. , and dried for 10 sec.
• sealant is applied carefully , avoiding air entrapment in the
preparation site
• polymerization done with visible light for 20 sec.
• occlusion is adjusted ,if needed with finishing bur
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• L.A and R.D
TYPE B
• thorough prophylaxis of the surface
• caries from pit and fissures removed with slow speed round bur
• etching gel placed over the entire occlusal surface for 60 sec.
• wash for 20 sec . and dry for 10 sec.
• coat of bonding agent applied on the walls of preparation
• preparation then filled with composite material
• filled sealant material is applied over the entire occlusal surface
• all layers are simultaneously cured
• occlusion is adjusted
• surface is finished and polished

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• L.A and R.D
TYPE C
• thorough prophylaxis of the surface
• caries from pit and fissures removed with slow speed round bur . In
case of pain , anesthesia may be given
• cavo surface margins are beveled
• base of fast setting Ca hydroxide is given to cover the exposed dentin
surface
• etching gel placed over the entire occlusal surface for 60 sec.
• wash for 20 sec . and dry for 10 sec.
• coat of bonding agent applied on the walls of preparation
• preparation then filled with composite material
• filled sealant material is applied over the entire occlusal surface
• all layers are simultaneously cured
• occlusion is adjusted
• surface is finished and polished 16
 OUTCOME ASSESSMENT
• Restoration is intact and covering all involved and/or
susceptible pits and fissures.
• Normal occlusal relationship is maintained
• No evidence of caries development beneath or around
the margins of the restoration

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 References

• Book
• Richard R. Welbury, Monty S. Duggal: Paediatric Dentistry,
Oxford Medical Publication, 2005.
• Journal
• Richard J. Simonsen, D.D.S:Preventive resin restorations (I);
Dental Science and Research,1978,1(1).
• http://jalandhardentalcare.com/services/pediatric-
dentistry.php
• http://multimedia.3m.com/mws/mediawebservermwsId

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THANK
THANK YOU
YOU

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