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Clinical Time-saving advantages


Dr Melanie Elger describes the modern method for fissure sealing and minimally invasive restorations using Constic, DMG’s new self-adhesive flowable composite


I


t is important, in one’s own prac- tice, to have and establish routine protocols, not only for quality management, which is becoming ever more important, but also with


regard to treatment processes designed as economically as possible. In the paediatric department of our


practice, this plays a large role in terms of rapid treatment. Only proven and safe treatment processes allow the focus to be on behavioural guidance of children for atraumatic treatment. Since the opening of our practice in 2004,


we have consistently used new materials which have improved our processes. Even in the case of restorative materials or adhesives, which many a colleague will understand, there are initially some concerns such as modified handling and material properties. This is even more the case if the prior system worked well. So why should I change my system? There can be many reasons for this, for


example, the material used is no longer produced or a new material promises advantages which improve the economics, either with regard to shortened treatment times or purchasing costs. When we learned that Ionosit-Seal


would no longer be manufactured by DMG, we were forced to look around for a new fissure sealer. I appreciated Ionosit- Seal particularly because of its unique applicator and its opaque-white shade, which in my opinion allowed better control of sealant loss than tooth-coloured or even transparent materials. In our practice, we use enamel bonding during fissure sealing in addition to the


Baseline situation Fig 1


Cleaning Fig 2


Fig 3 Conditioning


Fig 4 Application


sealing material, this increases the life-span of the sealing. Studies prove better bonding when an additional enamel bond is used. However, the disadvantages of this method are that it requires an increased amount of materials and time. The new free-flowing composite


Constic, from DMG, has the advantage of reducing the number of working steps. I would like to demonstrate the simple


Fig 5 Working in using a brush


application of the new self-etching and self-adhesive material on the following patient study.


Case study The patient has very deep fissures on all his first molars (Fig ı). Due to his lack of ability with regard to oral hygiene, we


Continued » Ireland’s Dental magazine 31


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