Pulpdent Embrace WetBond
Pit and fissure sealants have been available to dentistry for more than 40 years and have been recommended by the National Institutes of Health for the prevention of pit and fissure caries since 1983. Sealants are intended to fill pits and fissures that reside on the occlusal surfaces of teeth. Because these areas harbor bacteria, plaque, and food particles, they are susceptible to the formation of carious lesions. While brushing is an effective means of plaque control, it is not as effective at cleaning these smaller grooves because these surface irregularities are smaller than the bristles of a toothbrush. Pit and fissure sealants are indicated to protect at-risk teeth that exhibit this form of susceptibility. 1,2 However, the level of use of pit and fissure sealants, especially for patients at a higher risk for caries, has not reached the goal set by Healthy People 2000 of having sealant applied to at least one permanent tooth in 50% of children under the age of 14.3 This goal has been pushed out to 2010, but the reason for the lack of greater usage in clinical practice is not entirely clear. This lack of use may be the result of the challenges associated with effectively placing the material. Technique Simplification With Embrace WetBond Pit and Fissure Sealant, Pulpdent (Watertown, MA) has sought to address some of the issues associated with the application of sealants by simplifying the technique with a proprietary, self-adhesive resin formulation. Introduced in 2002, Embrace WetBond Pit and Fissure Sealant was the first sealant that could be effectively applied onto moist tooth structure without compromising the bond and without requiring a separate bonding agent. Embrace WetBond Pit and Fissure Sealant is available in 1.2 mL or 3 mL syringes in both natural and off-white shades. Until Embrace WetBond Pit and Fissure Sealant was launched, dentists and hygienists faced the challenge of achieving a clean, dry field under isolation before bonding agent and then sealant could be applied. Achieving these conditions and the proper “frosty” appearance of etched enamel for bonding is difficult enough under normal conditions. Add to these requirements the difficulties associated with working on children, who are the primary recipients of sealants, and the reliable application of sealants becomes even more technique sensitive, leading to less predictable results. Self-etch bonding agents with or without a primer step do simplify the bonding process, but still require the extra bonding step(s) that Embrace WetBond Pit and Fissure Sealant incorporates with the sealant application itself. The self-adhesive nature of Embrace WetBond Pit and Fissure Sealant eliminates the need for a separate application of bonding agent, saving material as well as steps. In addition, the material’s affinity for moist bonding not only reduces technique sensitivity, but also saves additional drying steps. The demand for materials that are better and faster are just that much more important when children are involved because their patience and cooperation during treatment can be unpredictable. When treating children, speed is essential for patient compliance and effective treatment. Long-Term Effectiveness While the ease and reliability of application of Embrace WetBond Pit and Fissure Sealant is intuitively clear, the ultimate test of the material is its long-term clinical effectiveness. With in vitro studies verifying its effectiveness against marginal microleakage and a long-term clinical study that at 2 years exhibited 100% effectiveness with regard to caries control, Embrace WetBond Pit and Fissure Sealant has proven its ability to effectively seal teeth at risk for carious lesions. The 5- year results for the clinical study are due out this year.4,5 Clinicians experience the effectiveness of the material at placement through its seamless integration with tooth structure. Margins not only disappear visually, but blend so well that they cannot be found with an explorer. The improved adhesion of Embrace WetBond Pit and Fissure Sealant along with its ability to create smooth margins, contribute to its longevity and clinical effectiveness. As an added benefit to its proprietary formulation, Embrace WetBond Pit and Fissure Sealant is one of the few sealants that does not include Bis-GMA and therefore contains no Bisphenol-A, which has generated some public concern regarding potential harmful effects. Among the leading sealants on the market, Embrace WetBond is the only sealant able to make the claim of being Bisphenol-A free. From Education to Adoption In addition to making a sealant that is more readily accessible to dentists by simplifying technique, Pulpdent promoted the increased use of sealants in 2007 by donating 60,000 units of Embrace WetBond Pit and Fissure Sealant to the National Sealant Alliance’s Smiles Across America program sponsored by Oral Health America, and is donating another 60,000 units in 2008. Education of the public and clinicians alike on the use and benefits of sealants is critical for their increased adoption, and products like Embrace WetBond Pit and Fissure Sealant that simplify technique and increase reliability can help to increase the frequency of clinical use and ultimately reduce the incidence of caries in both children and adults. —Monica Roy-Smith References 1. Heller KE, Reed SG, Bruner FW, et al. Longitudinal evaluation of sealing molars with and without incipient dental caries in a public health program. J Public Health Dent. 1995;55(3):148-153. 2. Feigal RJ, Donly KJ. The use of pit and fissure sealants. Pediatr Dent. 2006;28(2):143-150; discussion 192-198. 3. Rindal DB, Rush WA, Boyle RG. Clinical inertia in dentistry: a review of the phenomenon. J Contemp Dent Pract. 2008;9(1):113-121. 4. Degrange M, Courson F, Legoff S, et al. Penetration and marginal leakage of Embrace WetBond Pit & Fissure Sealant. Available at: http://www.pulpdent.com/embrace_products/ michel_degrange.html. Accessed February 25, 2008. 5. O’Donnell JP. A longitudinal study assessing the clinical performance of a new pit and fissure sealant material: Embrace WetBond (Twoyear report, May 2005). Available at: http://www.pulpdent.com/embrace_products/j oe_odonnel.html. Accessed February 25, 2008.
Pulpdent Embrace Wetbond
I really like how easily this product flows into grooves of teeth and how it holds even if slightly moist. Only complaint I have is that edges of seal start to come away from tooth some. Seem to stay in place fairly well overall long term.
Meggan Ingram ,04/16/2014
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my favorite sealant material
I have used various sealant materials in the past 35 yrs, all have had various quirks. It has always been a challenge to maintain a dry field when working on a 6 yr old's 1st molars. Then to try to seal partially erupted 2nd molars and maintain a dry field was very difficult unless you had an assistant to maintain suction. I wanted a sealant material that would be less traumatic to a child. I didn't want to fill their small mouths with numerous cotton rolls, nor hold cotton in place with clamps, or expose them to a rubber dam. I wanted their first experience, in the dental chair, to be minimally invasive. I discovered Embrace WetBond and find it to be the easiest, quickest and most successful to use. It's hydrophilic properties make it much easier to use and apply successfully, and less stressful to my young patients. I feel it is a great opportunity to build a good rapport with our young patients.
Judy Howell ,04/16/2014
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Pulpddent embrace is AWESOME!!!
I have used many different sealants at many different office, but none compare to pulpdent embrace wetbond. It is escellent to use on not so cooperative children!! I love the consistency of it not to liquidy but just perfect!
NICHOLE OATES ,04/16/2014
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