A Clinical Scenario: Watch and Wait or Explore and Restore?
The occlusal fissure of this molar looks suspicious for a carious lesion because of subsurface staining and decalcification; but the explorer does not ‘stick’, indicating a lesion, and there is no x-ray evidence of such. However, radiographs do not detect all occlusal lesions. Enamel thickness can be deceptive.
You’re still suspicious. A cross section of the same tooth would confirm your suspicion. It clearly shows the lesion deep in the enamel.
Solution: Fissurtomy is ideally designed for the ultraconservative pit/fissure exploration of adult molars, primary teeth & adult premolars, enameloplasty and improved sealant retention.
Why use Fissurtomy to explore and restore?Tip of bur is smaller and more conservative than 1/4 roundFine carbide tip will not strip quickly like thin diamondsVirtually pain free to the DEJ... in most cases no anesthesia is neededIdeal cavity preparation form for a flowable compositeCleaner, more controlled and less costly than air abrasionMultiple bur tip sizes to suit adult and deciduous teeth
Fissurotomy instruments allow early diagnosis, conservative preparation and treatment of hidden fissure caries, often without the use of anesthesia. Developed in collaboration with Temple University, the Fissurotomy bur head shape allows conservative exploration of fissures with a patient-friendly technique that is virtually pain-free and creates an ideal cavity form. You can explore and restore in just 3-5 minutes.
Are you spending too much time on some Class I preparations? Discover how doctors reported a chairtime savings of 10 minutes for shallow Class I procedures using Fissurotomy Burs with no anesthesia. Read more on Exceptional Efficiency Gains with Fissurtomy and other SS White products.
SpecificationPack Size: KitAmalgam Restoration: YesPedodontics: YesCaries Removal: YesSingle-Patient-Use: Yes
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