Caries is the most well-known and widespread dental disease, and caries of primary teeth is much more serious. Unfortunately, according to statistics, today most children have caries at the time of the appearance of permanent teeth. There are a lot of reasons for this, it is not good oral hygiene, food that contains large amounts of carbohydrates, and lack of fluoride and calcium in the diet, and long-term use of food from a bottle, and a low level of body resistance.
It should be understood that virtually any part of the tooth can be affected by this disease. But among all these zones, there are several most prone to the appearance of caries there. This is the surface between the teeth, there are often food debris that contribute to the spread of pathogens along the tooth enamel, the cervical area and, of course, the chewing surface, and the fissures on it.
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What are fissures?
Fissures are such grooves and grooves located on the chewing surface of the tooth enamel. Everyone has different fissures, they cannot repeat themselves, someone has deep ones, someone has narrow ones, but everyone has the same plaque there. Simple cleaning with toothbrush and pasta it is almost impossible to clean the fissuresIt sinks so deeply that even professional cleaning here is unlikely to help. In this regard, all over the world for quite a long time, to preserve the integrity of the tooth using technology sealing dental fissures.
The essence of the procedure is that the dentist with a special sealant, called a silant, fills these grooves and grooves on the chewing surface in order to avoid dental plaque. It is worth noting that sealing teeth in children - this is not only protection, but also strengthening of tooth enamel, due to fluoride contained in the sealant. Covering sealants, as a rule, recommend all large molars, as they are most involved in the chewing process, you can also seal the incisors and premolars, that is, the teeth preceding the large molars.
Sealing fissure in children best carried out in the period when to replace the dairy the child erupt permanent. It is believed that the enamel in only the erupted teeth is not strong enough and can not resist various microbes. And since the oral hygiene of the child is also not ideal for the child, therefore, in the adult period of life, many people often lose their teeth before reaching 20 years of age. Therefore, it is best to seal fissures at the age of 5 to 7 years, and from 12 to 14 years.
Variety of material for sealing fissures
As the material used for sealing use silant or sealantBecause of their strength, they are very well and long held in the tooth. Most often it is the silant that is used - it is such a special composite resin that hardens as soon as light hits it. And possession of high fluidity allows it to penetrate into the most hard-to-reach places in the tooth.In addition to these qualities of his, he has another moisture resistance, it does not collapse from constant contact with saliva, due to which the service life of the sealing of fissures is quite long, from 5 to 8 years.
According to the method of solidification, the silant is divided into:
- chemical;
- light-cured.
Silanthans are still transparent and colored, transparent are mainly used if there is a risk of caries under the silant, but most often they use colored ones, this will allow observing the integrity of the coating.
How is the fissure sealed?
If you still decide to keep your child's teeth as long as possible and seal her fissures, it is not superfluous to describe the whole procedure in stages:
- First you need to hold professional teeth cleaning with the use of special pastes, it will very well clean the plaque, and makes the surface of the tooth smooth and dry.
- Then the teeth to be sealed again need rinse with distilled water, before starting the procedure, they must be lined with cotton wool to avoid saliva on the dry surface. Thereafter the tooth is covered with special glue, thanks to which the surface becomes rough, which will contribute to a much better adhesion of the sealant to the surface of the tooth.
- The tooth is treated again with water, then it is dried and only after that cover with silant. And the use of the probe during this whole procedure helps to evenly distribute the material over the surface.
- To check how well the material filled all the fissures, the doctor uses special lamp - polymerization, and with the help of the same lamp, the silant is hardened. To prevent interference with the closing of the teeth, which may be formed due to the application of the silant, use dental copy paper. When closing the jaws, it leaves dark spots in those places where there is a lot of excess material.
- Via grinding diamond or carborundovyh nozzles the doctor will quickly remove these irregularities.
Sealing fissures is a painless procedure, so do not be afraid and ask for anesthesia, children usually tolerate it very well.
Purpose of the procedure
If you still doubt whether it is worth doing a seal, then it should be noted what this procedure will lead to:
- After sealing the fissure chewing surface permanently and securely hidden from pathogens that form in plaque.
- If a already have caries, then after treatment, it can also be coated with a silant. This will leave a further defeat, and the tooth will remain whole for a long time.
- Fissure sealing also help protect a smile from secondary caries.
Contraindications
Unfortunately, the sealing can not be done to everyone, there are such contraindications:
- when the size of the fissures is very wide;
- there is already caries on the enamel surface, where sealing is impossible;
- insufficient oral hygiene;
- as a result of the special structure of the tooth.
However, it should be understood that the sealing of fissures will not be able to save your child from caries forever; this still requires careful and proper oral hygiene.
Sealing of fissures: the price of the procedure
When fissure sealing is ordered, the price is calculated for each tooth separately. It is important to understand that sometimes for carrying out sealing it will be necessary to expand the fissures with the help of boron machines. And yet, with healthy teeth, no pain will arise, and it is always better to seal the tooth with a silant than to treat it for caries afterwards. Even in financial terms, sealing is much cheaper than treating and filling teeth.
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