Results after 1 year of non‐operative occlusal caries treatment of erupting permanent first molars

Abstract

The aim of this study was to evaluate a treatment program designed to control occlusal caries on the basis of intensive patient education and professional toothcleaning. The sample consisted of 56 6-8-yr-old children with their permanent right first molars in different stages of eruption. Data from the program were compared with previous data recorded in a similar sample of children. After 1 yr the majority of children in the study group had their permanent right first molars in full occlusion. A significant decrease of surfaces with easily detectable plaque and an increase of surfaces without plaque was observed. The proportion of arrested lesions increased and active enamel lesions decreased. Fissure sealing was only needed in two teeth in contrast to more than 2/3 of molars in a comparable sample of children. The program proved to be an efficient alternative to fissure sealing in preventing occlusal caries in erupting teeth.

Clinical comparison of Fuji VII and a resin sealant in children at high and low risk of caries

“…This agrees with Oulis, who discovered that children of a high baseline caries risk status showed higher occlusal caries prevalence following sealant loss compared with those of moderate and low risk status 35) . Researchers pointed out that sealants block a susceptible surface without reducing etiologic factors of the caries activity of an individual 36,37) . Another explanation was that more questionable or incipient fissure caries might have been sealed in those HR children and higher microleakage happened.…”

Comparison of Different Fissure Sealants Applied to Erupting First Permanent Molar Teeth in Terms of Retention

“…4,[15][16][17][18][19] Bu yöntemler arasında fissür örtücü uygulamalarının daha başarılı bir yön-tem olduğu kabul edilmektedir; ancak, tükürük ve nem izolasyonu zor olduğunda uygulanabilecek fissür örtücü materyali için araştırmalar devam etmektedir. 6,7,[20][21][22][23][24] Çalışmamızda da sürmekte olan dişlere uygulanan giomer, hidrofilik ve hidrofobik yapıdaki rezin içerikli fissür örtücüler retansiyon açısından değerlendirilmiştir.…”

“…3 Bu nedenle, çocuk diş hekimliğinde özellikle henüz olgunlaşmamış daimi azı diş-lerin çürükten korunmasına yönelik çalışmalara ağırlık verilmektedir. 2,4,5 Daimi dişlerin sürme döneminde, koruyucu tedavilerin en kısa sürede uygulanması gerekmektedir; ancak nem izolasyonunun zor olduğu bu diş-lerde hangi materyalin fissür örtücü olarak kullanılmasının daha uygun olduğu henüz belirlenememiştir. 2,5,6 Rezin içerikli fissür örtücüler klinisyenler tarafından sıkça tercih edilmesine karşın, izolasyonun zor olduğu durumlarda nemi tolere edebilecek materyallere ihtiyaç duyulmaktadır ve bu amaçla koruyucu diş hekimliğinde kullanılmak üzere yeni materyaller piyasaya sunulmaktadır.…”

Minimal invasive treatment of carious pits and fissures: preventive measures

“…This lead to alteration in treatment philosophy from immediate surgical treatment of caries after diagnosis to early diagnosis and conservative non-invasive treatment [1,2] . Therefore, there was shifting from the concept : if you doubt about caries occurrence you should restore, to the concept if you doubt, make a sophisticated diagnosis, record caries localization, enhance patient oral hygiene, wait and re-evaluate again [4,5] . Daily observation by clinicians of large numbers of young child patients that suffering from variable degree of caries became a routine.…”

“…Parents' responsibility at this stage should be totally explained. Some studied revealed that individualized dental programs with non-aggressive technique could decrease dental plaque formation and reduced the activities of dental caries on the occlusal surface through the patient's education accomplished with periodic professional control of dental plaque [4,5].…”