Get the free Duplicate Pit and Fissure Sealant Certificate Request Form - tsbde texas

Texas State Board of Dental Examiners DUPLICATE PIT & FISSURE SEALANT CERTIFICATE REQUEST FORM 333 Guadalupe, Tower 3, Suite 800 Austin, Texas 787013942 Phone: (512× 4636400 Fax: (512× 4637452 www.tsbde.texas.gov

How to fill out duplicate pit and fissure

How to fill out duplicate pit and fissure:

1. Start by thoroughly cleaning the area of the tooth where the duplicate pit and fissure is located. Use a toothbrush and toothpaste to remove any debris or plaque.
2. Dry the area using a cotton swab or air from a dental air syringe. This will ensure that the duplicate pit and fissure material adheres properly.
3. Apply a small amount of dental bonding agent to the cleaned and dried area. This bonding agent will help the duplicate pit and fissure material bond securely to the tooth surface.
4. Take the duplicate pit and fissure material, which is usually a composite resin, and apply it to the prepared area. Use a dental instrument or spatula to shape and contour the material to match the natural tooth anatomy.
5. Once the duplicate pit and fissure material is in place, use a dental curing light to harden it. Follow the manufacturer's instructions for the recommended curing time.
6. After the material has hardened, check the occlusion of the tooth to ensure that it does not interfere with the patient's bite. Make any necessary adjustments to the shape or height of the material if needed.
7. Finally, polish the duplicate pit and fissure material to achieve a smooth and natural appearance. Use dental polishing instruments or a prophy cup with a polishing paste to achieve a glossy finish.

Who needs duplicate pit and fissure:

1. Individuals with deep, narrow pits and fissures in their teeth are more prone to dental decay, as bacteria and food particles can easily become trapped in these areas. Therefore, individuals with such dental anatomy may benefit from having duplicate pit and fissure fillings placed as a preventive measure.
2. Children and teenagers who are at a higher risk of developing cavities in their back teeth may need duplicate pit and fissure fillings. This age group may have difficulty maintaining proper oral hygiene practices, making them more susceptible to tooth decay.
3. Adults who have a history of dental decay or those with restorative dental work in their back teeth may also require duplicate pit and fissure fillings. These fillings can provide an additional layer of protection to prevent further decay and maintain the longevity of previous dental work.

For pdfFiller’s FAQs

What is duplicate pit and fissure?

Duplicate pit and fissure is a form used to provide information about any additional or duplicate pit and fissure found during an inspection or examination.

Who is required to file duplicate pit and fissure?

Dentists or dental professionals who discover duplicate pit and fissure during an inspection are required to file the form.

How to fill out duplicate pit and fissure?

To fill out a duplicate pit and fissure form, dentists should provide detailed information about the additional or duplicate pit and fissure, as well as relevant patient information.

What is the purpose of duplicate pit and fissure?

The purpose of the duplicate pit and fissure form is to document any additional or duplicate pit and fissure found during an inspection for record-keeping and regulatory compliance purposes.

What information must be reported on duplicate pit and fissure?

Information such as the location of the additional or duplicate pit and fissure, its size, shape, and any recommended treatment should be reported on the form.

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