A preventative procedure that reduces the risk of the formation of cavities.
Recesses in the teeth (fissures) are covered with a special hermetic seal, which prevents food from getting caught in the recess as a result of which bacteriaforms. This helps secure and preserve the chewing teeth for 1.5-2 years.
STAGES OF TREATMENT
- The dental surface is thoroughly cleaned of plaque and bacteria, and then air-dried.
- Fissure treatment with phosphoric acid solution for sealant adhesion.
Fissures are filled with liquid material.
- Sealing (curing the sealant) with a photopolymer lamp and sanding.
Covering with fluoride
Fissure sealing is a method of protecting teeth from caries, which consists in filling the grooves and other natural anatomical depressions located on the surfaces of molars (chewing teeth) and premolars with special materials - sealants.
Its purposes are to create a barrier for bacteria that cause caries, to reduce the likelihood of accumulation of food residues, to strengthen the enamel due to the fluoride content in the sealant.
Efficacy of the procedure in combination with proper care and comprehensive prevention of diseases of the oral cavity can reach 90% or more, which allows reducing the likelihood of carious damage to the chewing surfaces of the teeth.
What are sealants?
Sealant is a material intended to fill teeth fissures. It is able to penetrate even the narrowest depressions to the very bottom.
There are different types of sealants: cement, composite, photopolymerizable, and compomers. They differ in composition, as well as in the method of curing - chemical or using light.
Modern sealants, which are used in the Porcelain clinic, are biocompatible with tooth tissues, dense and white, allow to maintain aesthetics and control the state of the enamel under them. They contain fluoride, which can further protect the tooth surface.
They can be used to seal permanent teeth in children and adults, since they do not have a negative effect on metabolic processes and promote enamel mineralization.
Depending on the anatomical features, indications for sealing teeth fissures are established:
- - funnel-shaped fissures are open, with sufficient mineralization of the enamel, in which food residues are almost not retained, since the oral fluid washes them freely, the risk of caries is minimal, therefore sealing is usually not recommended;
- - cone-shaped - food residues and microorganisms can be retained, mineralization can be insufficient; immediately after eruption, the dentist may recommend a course of topical application of mineral-containing preparations, followed by sealing;
- - drop-shaped, polypoid - poorly mineralized surfaces, food can be retained for a long time in depressions, there is a high risk of carious damage, sealing or preventive filling is necessary.
Thus, fissure sealing in children and adults is indicated:
- 1. In childhood - as a prevention of carious lesions of low-mineralized permanent teeth soon after eruption.
- 2. At any age - in the presence of deep fissures of molars and premolars, which are difficult to clean during the traditional hygienic procedures using a toothbrush and toothpaste.
Fissure sealing is contraindicated in the presence of carious lesions.
Sealing is an absolutely painless procedure that is carried out in compliance with all the necessary steps. Only in this case the sealant will perform its functions to the full extent.
How often should fissure sealing be done?
Usually, the effect of the procedure, which was carried out to protect recently erupted teeth from caries, is enough to complete the process of enamel mineralization.
The sealant applied to a surface remains unchanged for up to 2 years and longer. The sealing can be repeated as necessary.
The cost of sealing depends on the materials used, the teeth to be treated and other factors. The price is specified after dental examination, assessment of the condition of the teeth and determination of indications.
It becomes easier to take care of the teeth after treatment. Regular check-ups and professional cleaning are prerequisites for effective caries prevention.
Reduces the risk of the appearance of cavities by 40-60%
Procedures takes 5-10 on average for each tooth.
With time the hermetic seal disappears on its own by a mechanical method..
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MYTHS AND QUESTIONS ANSWERS
1. At what age is it recommended to seal fissures?
In the milk bite, when the first milk molars have erupted (approximately 1.5-2.5 years). In a constant bite, when standing molars have erupted.
2. How long does the sealing of fissures last?
Depending on individual habits and food preferences. The sealant remains on the tooth surface for about 4 years.
3. If the fissures are sealed - it means caries will never appear?
Caries may appear on other surfaces of the tooth (for example, on the side), so regular professional and personal hygiene, the use of dental floss during daily individual hygiene are very necessary.