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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?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.
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