What is fissure sealing? All information on the website azabuka.ru

What are dental fissures

There are fissures on both baby teeth and permanent teeth.
These are physiological folds - grooves, dimples and depressions - on the chewing surface of molars and premolars. The incisors and canines do not have fissures. Such cavities easily and quickly fill with plaque, are poorly cleaned with toothpaste and a brush - they become a common cause of carious lesions. Pediatric dentists often suggest sealing fissures - creating a thin film on the surface of the crown that will protect against pathogenic microflora and mechanical damage.

There are two main reasons for fissure sealing:

Children's inability to take good care of their teeth. Even the most responsible child is not able to clean all the cavities on the surface of molars and premolars, which leads to the development of caries and the need for treatment. Especially if the grooves differ in depth and tortuosity.
Thin enamel of teeth - milk and permanent during the period of change of bite. The thickness of the enamel of temporary units is half that of permanent ones, which explains its rapid destruction and susceptibility to caries. During eruption, molars are especially vulnerable - initially the crowns are covered with thin, slightly mineralized enamel, and only after 2-3 years the surface becomes resistant to external damage.

Rodikova Tatyana
Before recommending invasive fissure sealing to a patient, I always look at the initial level of mineralization. With a high mineral content and wide grooves, sealing cavities can be easily done without sealing, but there are cases (low mineralization, prone to caries) when sealing the teeth is the best option!

What is the procedure

Fluoridation in children is carried out to protect children from caries, since they have a very fragile bone structure. For this reason, caries in children progresses very quickly, destroying the incisors. The procedure is aimed at strengthening the enamel by applying microscopic crystals with fluoride particles to it.

Treatment of baby teeth against caries: indications

Typically, fissure sealing is carried out at the request of the parents. But sometimes dentists recommend the procedure, since sealing fissures reduces the risk of developing caries in milk and permanent teeth. The indications are:

Young age of the patient. The enamel of newly erupted teeth has a thin layer. It is not sufficiently saturated with fluorine and calcium and is susceptible to destruction.
Pathologically thin enamel. Sometimes the structure of tooth enamel does not change over time - it remains thin and susceptible to microorganisms.
Curvy and narrow grooves on the teeth. The complex shape makes daily high-quality teeth cleaning impossible.
Malocclusion and abnormal position of molars and premolars.
Insufficient oral hygiene.
Primary signs of enamel demineralization are stains on the tooth surface and superficial caries.

Among the contraindications:

Carious lesions - sealing is allowed after dental treatment.
Wide and open fissures - accessible for everyday high-quality cleaning with toothpaste.
Allergy to sealant coating - instead of sealing, enamel silvering, remineralization, and fluoridation are available.
Heavy salivation.
Long-term eruption of a baby or permanent tooth – more than 4 years ago.

Deep fluoridation of teeth

This is a more effective way to strengthen enamel.
For deep fluoridation, a more saturated fluorogel is used. It acts not only on the surface of the teeth, but also penetrates into the deep layers of enamel. Useful microelements, as a building material, restore the structure of the tooth, preventing the development of initial caries. The strengthening effect lasts up to a year. Fluoridation of teeth has a positive effect in most cases.
But before carrying out the procedure, you must consult a specialist. Oversaturation of enamel with fluoride, as well as its lack, are equally harmful to health. Do you want your teeth to be strong? Take care of them. Take just one day out of your busy schedule and visit the dentist. Fluoridation will strengthen the enamel for a long time and protect teeth from caries.

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Seal your child’s teeth from caries: how fissure sealing is carried out

Fissure sealing is a painless and short procedure. To carry it out, a “sealant” material, a fissure sealant, is used. Sealant is a high-strength composite composition that hardens under the influence of light. Its feature is increased fluidity, thanks to which the sealant is able to fill even hard-to-reach places on the tooth crown. Also among the advantages of the sealant:

Waterproof – resistant to saliva.
Durability – the coating lasts on the teeth for up to 5 years.
Aesthetics - sealants are produced in transparent, beige, and colored.

Stages of fissure sealing of primary and permanent teeth:

Removing plaque from enamel and all cavities. Polishing the crown surface.
Treatment with an antiseptic composition.
Drying teeth and protecting the treated unit from the influence of saliva.
Application of acid gel to enhance adhesion and create a slightly rough surface.
Rinse off the composition and dry the tooth.
Filling fissures with liquid sealant - applying sealant.
Creating conditions for hardening - chemical activation or using a light lamp.
Removing excess material.
Coating the tooth with a fluoride-containing strengthening gel.

The optimal age of a child for fissure sealing is 6-8 years. During this period, the first permanent molars erupt and need protection. The procedure is indicated for children aged 1.5-2 years, and adolescents aged 12-14 years. The appearance of any wide tooth is a reason to carry out dental sealing and reliably protect the enamel from destruction for several years.

Plaksina Margarita

I am often asked what they cover children's teeth with to protect them from caries. At Aza&Buka we use sealants - special gels. They not only seal the surface of the tooth, but also strengthen the enamel by releasing fluoride ions.

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Fluoride varnish is a special viscous liquid containing fluoride and other related substances that, when applied to the tooth surface, protect the enamel. Despite the fact that tooth enamel is the hardest tissue in the human body, over time it is depleted by various foods and aggressive teeth whitening methods. Fluoride varnish allows you to restore enamel and protect it from external factors. In addition, the active ingredients of fluoride varnish prevent the growth of bacteria on the enamel and prevent the appearance of carious deposits.

Why coat your teeth with fluoride varnish?

The main indication for coating baby teeth with fluoride varnish is to prevent caries.
It is very important to keep baby teeth healthy, since the health of the molars and the health of the child’s oral cavity as a whole depends on it. Fluoride varnish prevents the development of carious bacteria on teeth. In addition to protecting against caries, fluoride varnish is able to restore the natural mineral structure of teeth, thanks to the property of fluoride to draw minerals necessary for dental tissues from saliva. Fluoride varnish protects the enamel from early abrasion and keeps the gums elastic and healthy. The use of fluoride varnish ensures the prevention of many oral diseases, reduces tooth sensitivity and increases the service life of fillings.

Coating at home

Coating teeth with fluoride varnish is also possible at home.
But it is important to consult a doctor before doing this. Oddly enough, the most difficult stage of performing the procedure at home is purchasing fluoride varnish. Most pharmacies do not sell fluoride varnish, so you have to buy it in specialized stores or dental centers.

Before applying fluoride varnish, teeth must be dried with cotton wool. Next, the substance is applied in a thin layer and dried naturally for 5 minutes. After applying fluoride varnish to your teeth, it is not recommended to eat or brush your teeth for 12 hours.

Coverage in the clinic

Coating teeth with fluoride varnish in a dental center is much more effective than at home.
Before the procedure, the doctor cleans the surface of the teeth from dirt and plaque. Thanks to the cleaning procedure, the effect of fluoride varnish is enhanced. Next, the surface of the teeth is dried and isolated from saliva using cotton swabs. Using a thin brush, the doctor applies fluoride varnish to the surface of the teeth, distributing it evenly. After this, the patient sits with his mouth open for some time to allow the varnish to dry.

The advantage of doing it in a clinic is that the doctor knows exactly how much varnish needs to be applied and does it more carefully and professionally. As a result, the procedure, together with brushing your teeth, takes only 10 minutes, and the effect lasts for quite a long time.

Tomsk dentistry Dentarus employs experienced dentists who carry out similar procedures every day. By contacting them, you will receive a careful approach and effective treatment at an affordable price. Do not delay going to the doctor, as it is always easier and cheaper to treat in the initial stages. Sign up for a free examination with a doctor right now.

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Methods for filling children's teeth against caries

There are different ways to seal baby and permanent teeth. In the capital's dentistry they offer:

Non-invasive sealing - the procedure is carried out without compromising the integrity and structure of the tooth. The method is suitable for healthy teeth with a wide distance between the cusps on the crown. The doctor sequentially applies the compounds, closing and protecting the cavities.
Invasive sealing - the doctor processes the enamel for better access to hidden areas on the surface of the molar in the presence of narrow and deep fissures. The procedure is also indicated if it is necessary to treat caries.

Dolotova Marina
Experience shows that sealing fissures reduces the risk of developing caries several times. This can be seen if we observe patients with a similar enamel structure and attitude towards dentistry. Children with sealed fissures keep their teeth intact and healthy for a long time.

Indications for fluoridation

IMPORTANT: Only the pediatric dentist can determine whether fluoridation is necessary.

Fluoridation can be done for children after 1.5 years. There are a number of indications for the procedure.

If children have sensitive teeth to hot, cold or sweets.
In the presence of caries.
If your drinking water is low in fluoride.
When, during the replacement of milk teeth with permanent ones, there is a high risk of damage to the enamel.
If most of the baby's teeth are prone to caries.
When in adolescence, due to hormonal disorders in the body, the enamel is destroyed or becomes thinner.
If your baby wears braces. Their long-term use contributes to thinning and damage to the enamel.

How to protect baby teeth from caries

Fissure sealing is an effective method of caries prevention. But you can't rely on the dental procedure alone. To maintain and preserve the health of children's teeth it is also necessary:

Proper nutrition - more solid vegetables and fruits, fermented milk and dairy products, minimizing sweets.
Systematic dental care - you need to brush your teeth twice a day, and when correcting your bite with braces, after every meal.
Scheduled visits to the doctor - dentists invite you for an appointment every six months, and sometimes more often.
Selection of toothpaste and toothbrushes according to age - when purchasing care products, you should focus on the dentist’s recommendations.

Pediatric dentistry today offers non-invasive and invasive techniques for fissure sealing. When choosing a doctor, you should focus on the dentist’s experience, reviews and recommendations. To increase the effectiveness of the procedure, make an appointment immediately after the chewing surface has erupted - when the crown becomes visible and accessible for treatment.

What does Dr. Komarovsky say about dental fluoridation in children?

Regarding fluoridation of teeth in children, Komarovsky claims that this procedure is not therapeutic, but for preventive purposes it gives a positive result, preventing damage to the enamel surface from mechanical stress and caries. This technique ensures the integrity of the dental teeth and, after replacing them, the permanent incisors remain healthy for a long time.

It is not recommended to use the application if children have an advanced stage of caries. In this case, it is necessary to either carry out treatment or remove the diseased incisor. The doctor believes that if parents monitor the condition of their children’s oral cavity from an early age and use toothpastes containing fluoride, their children’s teeth will be healthy and snow-white without additional procedures.

Therefore, this method is a forced preventive measure, which is prescribed not for the aesthetic beauty of the oral cavity, but to prevent the development of caries and destruction of the enamel surface.

In order for the baby to have healthy teeth, parents need to select toothpastes that contain fluoride, teach the child to use a mouthwash, and also visit the dentist regularly to prevent oral diseases

Category Children Published by Mister stomatolog

What it is

The structure of tooth enamel is a crystalline network consisting of tiny prisms of hydroxyapatite. The porous structure of this mesh allows acids to penetrate the enamel layer and remove minerals that are so important for the health of the enamel. Such an aggressive effect leads to demineralization of dental tissues and the onset of a carious process, which gradually destroys all layers of the tooth from enamel to pulp.

And this is where remineralization of tooth enamel comes to the rescue, which helps restore mineral content and prevent the development of caries.

Remineralization is a restorative process that helps replenish missing minerals in tooth enamel, starting with a decrease in acidity in the oral cavity.

In a normal, healthy body, remineralization of teeth occurs constantly, along with demineralization. Both processes are completely natural, demineralization occurs when eating food, especially with a high content of acids and sugar, and saliva plays the main role in replenishing the mineral content of enamel. It reduces the level of acidity and, due to its composition, replaces previously destroyed minerals.

If the body is not completely healthy, the acid-base balance is disturbed and saliva ceases to fulfill its natural role as a reducer. Minerals are destroyed, a fertile environment for pathogenic bacteria is formed, and caries begins to develop rapidly. In this case, at the initial stage of development of the carious process, artificial remineralization of tooth enamel can help. This procedure not only restores the structure of the enamel layer, preventing further development of caries, but also reduces the increased sensitivity of the tooth to external irritants.

Consultation with a dentist: The tooth feels cold and hot

Remineralization is carried out not only to eliminate existing carious destruction, but also for prevention, so it can be prescribed even to children from the age of six. Remineralizing gel, varnish or enamel contains fluorine, calcium, phosphorus and other useful minerals. Of course, only a dentist can carry out this procedure correctly and without errors.