PRIMARY PREVENTION OF PERMANENT AND TEMPORARY TEETH FISSURES CARIES
In accordance with the epidemiologic studies data the need in caries and other pathologies of tooth hard tissues treatment is still high in each age group of many CIS countries populations. The caries primary prophylaxis presupposes oral correct and regular care using all current hygiene products, rational nutrition, exo- and endogenous use of fluoride preparations. Analysis of caries localization in children aged 5 to 15 years allows state that approximately 80% of the carious cavities are located in fissures and pits. Caries topical prevention using fluoride containing preparations results in proximal surface caries reduction by 60% to 75% and fissure caries reduction but by 7% to 36%. Thus, the researchers have been set the task to improve the fissure caries prevention. Nowadays, teeth seal reducing the caries rate increase by 70% to 96% is one of the methods used. The technique involves the dental occlusive surface sulcus and pits sealing with various dental materials preventing microorganism penetration into undermineralized and deep fissures. A differentiated approach to selecting the products and techniques for fissure seal depending on the child age, fissure anatomy, caries activity, and oral hygiene is described.