scholarly journals FISSURE CARIES: DIAGNOSTIC ASPECTS OF CURATION IN THE SCHOOL DENTAL OFFICE

2020 ◽  
Vol 15 (4) ◽  
pp. 149-154
Author(s):  
Leysan Muratova ◽  
Oskar Ismagilov ◽  
Elena Statseva ◽  
Aydar Ablyazov

Subject. The problem of fissure caries remains one of the key in modern cariesology. For individual prevention, the most effective is the method of sealing fissures and fossae of the surface of the teeth. By sealing (sealing) fissures, the creation of a physical barrier for cariogenic factors and microbial plaque, remineralization of hard tooth tissues is achieved. The goal is to evaluate the effectiveness of fissure sealing in 9-year-old children living in Kazan. Methodology. The study was conducted using the clinical method and statistical analysis of the data. In total, 137 children aged 9 years old, studying in the third grades of the gymnasium No. 102 of Kazan, took part in it. The main group included 82 schoolchildren who performed non-invasive fissure sealing (the first permanent molars) with UltraSeal XT plus sealant, the comparison group consisted of 55 students who did not have fissure sealing. Results. After 12 months, out of 165 teeth previously coated with sealant, sealant on 95 teeth was completely preserved (57.6 % of cases), sealant fell out or partially retained (tooth is intact) in 36.4 %, fissure caries at the place of sealant was detected in 6.1 % The effectiveness of fissure sealing, which consists in maintaining a healthy masticatory surface of hard tooth tissues, after 12 months of follow-up was 91.9 % with a reduction of caries of 76.7 %. A comparison of the data clearly showed that the condition of the first molars, which was used to seal the fissures, allows us to talk about the preservation of intact fissures in 88 % of cases, while 56 % of unsealed molars are prone to caries of fissures and only 44 % remain intact after a year. Conclusions. A clinical study confirms that sealing fissures is a reliable and reasonable method for the prevention of fissure caries.

BDJ ◽  
1978 ◽  
Vol 144 (1) ◽  
pp. 7-10 ◽  
Author(s):  
K W Stephen ◽  
M Kirkwood ◽  
K C Young ◽  
F C Gillespie ◽  
E E MacFadyen ◽  
...  

Children ◽  
2021 ◽  
Vol 8 (10) ◽  
pp. 923
Author(s):  
Luísa Bandeira Lopes ◽  
Vanessa Machado ◽  
João Botelho

Hypomineralized primary second molars (HPSM) are characterized by enamel opacities accompanied by hypersensitivity and atypical caries lesion, on one to four primary second molars. The correct treatment and follow-ups of those teeth have an important impact on a correct eruption of the first permanent molars and future occlusion. Hence, this report aims to describes a case of a severe HPSM in all second molars of a four-year-old girl and subsequent four-year follow-ups. The rehabilitation involved the placement of four stainless steel crowns on all four second primary molars under general anesthesia. Concerning the available literature and the case severity of HPSM, the treatment approach proposed for the case provided good functional outcome.


Author(s):  
Leonor Sánchez-Pérez ◽  
María Esther Irigoyen-Camacho ◽  
Nelly Molina-Frechero ◽  
Marco Zepeda-Zepeda

This study aimed to evaluate the association between the fissure depth (tooth morphology) of permanent molars and dental caries incidence with a five-year follow-up period. In total, 110 Mexican schoolchildren aged seven years were recruited at baseline, of which 88 children completed the follow-up assessments. The fissure depths of the first permanent lower molars were recorded, and dental caries [decayed, missing, and filled deciduous surfaces (dmfs) and decayed, missing, and filled permanent surfaces (DMFS)] was evaluated annually. A generalized estimating equation model was constructed for evaluating the association between dental caries and fissure depth. The initial and final DMFS scores were 0.02 (±0.2) and 1.55 (±2.49), respectively. The generalized estimating equation model showed that children with deep molar fissures were more likely to develop caries lesions, (Odds Ratio OR = 3.15, p = 0.028) compared to children with shallow fissures. Moreover, dental caries in primary teeth (OR = 1.07, p = 0.005) was associated with the development of carious lesions in the permanent dentition. Fissure depth was a useful predictor of dental caries, according to this five-year follow-up study. The detection of deep occlusal fissures in the lower first permanent molars could contribute to the identification of children at high risk of dental caries. Tooth morphology may be used to identify children at a higher caries risk, particularly in settings with limited resources.


2021 ◽  
Vol 30 (02) ◽  
pp. 107-112
Author(s):  
Abul Khair Zalan ◽  
◽  
Anser Maxood ◽  
Mohammad Haroon Dalili ◽  
Hira Zaman ◽  
...  

OBJECTIVES: To correct dental origin anterior crossbite by placement of Glass Ionomer cement occlusal stops on mandibular first permanent molars for maximum of two weeks. METHODOLOGY: 16 patients (age: 7-11 years) with dental anterior crossbite were treated by placement of Glass Ionomer cement occlusal stops on mandibular first permanent molars for maximum of 2 weeks to create 1mm anterior open bite. The patients were then recalled after 1 month, 3 months and 6 months for follow up visits. Fisher’s exact test applied using SPSS version # 25. RESULTS: 13 out of 16 patients were treated successfully within two weeks of placement of occlusal stops. Follow-up at six months showed no relapse in any of the corrected cases. CONCLUSION: Placement of glass ionomer cement occlusal stops for two weeks on mandibular first permanent molars is an easy approach to correct dental anterior crossbite. KEYWORDS: Crossbite, Malocclusion, Glass ionomer cement, Corrective orthodontics


2020 ◽  
Vol 47 (2) ◽  
pp. 140-147
Author(s):  
Nayoung Oh ◽  
Soonhyeun Nam ◽  
Jaesik Lee ◽  
Hyunjung Kim

This study analyzed the longevity of preformed metal crowns (PMCs) in first permanent molars and evaluated factors influencing their survival during a long-term follow-up period. In all, 115 first permanent molars treated with PMCs between June 2008 and June 2018 were retrospectively analyzed. The overall combined success rate for the study group was 84.3%. The 5-year survival rate was 82.8%. Multivariate Cox regression analyses identified distal cavities and mandibular PMC placement as risk factors for restoration failure. Careful placement of PMCs at the final try-in stage augments the longevity of the crown.


2020 ◽  
Vol 30 (4) ◽  
pp. 497-504
Author(s):  
Alfonso Escobar‐Rojas ◽  
Diego Fernando Rojas‐Gualdrón ◽  
Cecilia María Martínez ◽  
Lourdes Santos‐Pinto ◽  
Manuel Restrepo

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