Name of the Procedure:

Preventive Resin Restoration (PRR) - Moderate to High Caries Risk Patient - Permanent Tooth (D1352)

Summary

Preventive Resin Restoration (PRR) is a dental procedure designed to protect teeth that are at high risk of developing cavities (caries). It involves applying a resin material to seal deep grooves and pits on the chewing surfaces of permanent teeth, preventing bacteria from causing decay.

Purpose

PRR addresses the issue of tooth decay in patients who have a moderate to high risk of caries. The primary goal is to prevent cavities from forming by creating a barrier that blocks harmful bacteria and food particles from settling into the grooves and fissures of the teeth.

Indications

• Patients with a history of frequent cavities.
• Deep pits and fissures on the chewing surfaces of permanent teeth.
• Moderate to high caries risk as assessed by a dental professional.
• Patients without current decay or filling in the area to be treated.

Preparation

• Comprehensive dental examination to determine caries risk.
• Dental cleaning to ensure the tooth surface is free of debris.
• No specific fasting or medication adjustments are typically required.

Procedure Description

1. The dentist cleans the tooth surface with a dental cleanser.
2. The tooth is isolated with a dental dam to keep it dry.
3. An etching solution is applied to the tooth to roughen the surface.
4. The tooth is rinsed and dried.
5. A bonding agent is applied to the etched surface.
6. The resin material is carefully placed into the pits and fissures.
7. The resin is hardened using a special curing light.
8. The dentist checks and adjusts the resin as necessary for proper fit and bite.

Duration

The entire procedure typically takes about 15 to 30 minutes per tooth.

Setting

The procedure is performed in a dental office.

Personnel

• Dentist
• Dental Assistant

Risks and Complications

• Mild sensitivity in the treated tooth.
• Allergic reaction to resin material (rare).
• Improper fit leading to bite issues (can be adjusted).

Benefits

• Effective prevention of cavities in high-risk patients.
• Minimally invasive and painless.
• Long-lasting protection for the teeth.
• Immediate benefit as the resin provides an instant barrier.

Recovery

• No downtime; patients can resume normal activities immediately.
• Avoid eating hard or sticky foods for a few hours post-procedure.
• Regular dental check-ups to monitor the integrity of the sealant.

Alternatives

• Dental sealants: thin plastic coatings applied to chewing surfaces, suitable for low to moderate risk patients.
• Fluoride treatments: applied to strengthen tooth enamel and reduce decay.
• Regular fillings: used if decay is already present but more invasive.

Patient Experience

• Patients typically feel no pain during the procedure.
• Mild tooth sensitivity might occur but subsides quickly.
• The procedure is quick and comfortable, with minimal discomfort. Pain management and comfort measures:
• Local anesthesia is usually not needed.
• Over-the-counter pain relievers can be used if sensitivity occurs, although this is uncommon.