Sealing fisur for older and children

25.11.2021 29

Billions of bacteria live in the oral cavity of each person, which, if the critical level is exceeded, can cause significant harm to health. In order to prevent the harmful effects of the waste products of microorganisms and to avoid further development of caries in dentistry sealing of teeth fissures is used.

What are fissures?

Dental fissures are natural grooves and depressions (grooves) located on the chewing surface of the teeth, where food debris can accumulate.
Depending on the relief depth, shape and size, 4 types of fissures are distinguished:

  1. Tapered;
  2. Funnel-shaped;
  3. Droplet;
  4. Polypoids.

Prevention is at the heart of all treatment plans for a patient’s dental caries and is strictly individual in nature, and the direct procedure is usually recommended in relation to:

✔ a history of decay teeth caries;
✔ molars with mild hypoplasia (underdevelopment of the tooth or its tissues during the formation period);
✔ teeth with too deep physiological grooves and pits.

The main indication is complex-shaped fissures (drop-shaped and polypoid), which are difficult to clean with daily hygiene.

Sealing fissures in Kiev , in childhood, helps not only to additionally protect the teeth of young patients, but also allows them to saturate them with microelements.

How is the sealing of fissures at the Vinogradar?

There are 2 main methods of fissure sealing : invasive and non-invasive , one of which the dentist chooses based on visual examination and individual characteristics of the patient’s teeth condition …

Non-invasive method is a surface sealing of grooves and grooves of teeth, applied to deciduous and permanent teeth in cases where the fissures are completely visible, passing in several stages:

  1. Examination of the oral cavity;
  2. Cleaning the tooth from plaque and food debris;
  3. Treatment of the fissure surface with a special gel based on phosphoric acid;
  4. Apply sealant to fissures with a syringe;
  5. Exposure of the material with a light-curing lamp.
  6. Sanding Smoothing all unevenness and ensuring a smooth surface

Invasive method is a deep sealing of fissures of complex shapes, which do not allow full visibility of their walls and bottom, and also do not provide the dentist with the opportunity to diagnose the absence of caries in the fissures or it is enough to seal the grooves with a sealant so that no voids remain in them.

Invasive sealing takes place in several stages:

Examination of the oral cavity;
Cleaning the tooth from plaque and food debris;
Pain relief if necessary;

Expansion of narrow fissures by opening with a drill to make them accessible for inspection;

Fissure surface treatment with a special gel based on phosphoric acid;

Application of sealant to fissures with a syringe;

Curing the material with a light-polymer lamp.

Sanding Smooths out any irregularities and ensures a smooth surface.

Sealants are used to prevent occlusive caries of the first permanent molars, and immediate preventive success is due to the achievement of a strong seal that protects against micro-leakage into the space of pits and grooves.

It should be noted that sealing of fissures is an effective preventive measure, it is performed by a dentist at one time. And the development of caries on the surface of the tooth immediately stops, and does not require special care after installation. Almost immediately after the end of the procedure, the patient can lead a normal life: take food and drinks.

When to seal fissures

It is most effective to seal the fissures of teeth in children in the first 2 months after the eruption of a permanent chewing tooth. During this period, tooth enamel is prone to caries, being not mature enough.

Preventive sealing of fissures of teeth in adults is performed with closed fissures and an active course of the carious process.

The frequency of this procedure is purely individual, depends on how quickly the sealant wears off, and can take from 5 to 8 years, but in any case, it is necessary to undergo a preventive examination every six months.

Who is most likely to have their teeth sealed

Teeth sealing is necessary for both adults and children if they have thin and deep fissures, since this physiological feature makes hygiene difficult.

In practice, fissure sealing in children is most often used to maximize the preservation of milk teeth,

  • then at the age of 6-8 on the first permanent molars (6th teeth),
  • at 10-11 years old – on premolars (4th and 5th teeth),
  • at 12-13 years old – on the second permanent molars (7th teeth).

The composition of the sealant used includes anti-caries substances: fluoride and calcium, which contribute to the nutrition of the teeth and reduce the risk of caries.

Benefits of sealing teeth

The main advantage of sealing fissures price in adults and children is the ability to maintain dental health without the use of a drill. In addition, the sealant produces the following key results:

✔ provides additional protection for the tooth;
✔ strengthens the enamel, even with poor genetic inheritance;
✔ restrains the occurrence of caries at the initial stage;
✔ fixes and extends the service life of primary or permanent teeth.

Sealing of fissures at Vinogradar, at the Dental Center LIPINSKY with high-quality sealants and proper preparation of the tooth surface by our qualified dentists will lead to the fact that your teeth will be reliably protected for one and a half- two years.


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