FISSURE CARIES: DIAGNOSTIC ASPECTS OF CURATION IN THE SCHOOL DENTAL OFFICE
Abstract and keywords
Abstract (English):
Subject. The problem of fissure caries remains one of the key in modern cariesology. For individual prevention, the most effective is the method of sealing fissures and fossae of the surface of the teeth. By sealing (sealing) fissures, the creation of a physical barrier for cariogenic factors and microbial plaque, remineralization of hard tooth tissues is achieved. The goal is to evaluate the effectiveness of fissure sealing in 9-year-old children living in Kazan. Methodology. The study was conducted using the clinical method and statistical analysis of the data. In total, 137 children aged 9 years old, studying in the third grades of the gymnasium No. 102 of Kazan, took part in it. The main group included 82 schoolchildren who performed non-invasive fissure sealing (the first permanent molars) with UltraSeal XT plus sealant, the comparison group consisted of 55 students who did not have fissure sealing. Results. After 12 months, out of 165 teeth previously coated with sealant, sealant on 95 teeth was completely preserved (57.6 % of cases), sealant fell out or partially retained (tooth is intact) in 36.4 %, fissure caries at the place of sealant was detected in 6.1 % The effectiveness of fissure sealing, which consists in maintaining a healthy masticatory surface of hard tooth tissues, after 12 months of follow-up was 91.9 % with a reduction of caries of 76.7 %. A comparison of the data clearly showed that the condition of the first molars, which was used to seal the fissures, allows us to talk about the preservation of intact fissures in 88 % of cases, while 56 % of unsealed molars are prone to caries of fissures and only 44 % remain intact after a year. Conclusions. A clinical study confirms that sealing fissures is a reliable and reasonable method for the prevention of fissure caries.

Keywords:
children, dental caries, prevention, fissure sealing, effectiveness
References

1. Avraamova, O. G., Muravjova, S. S. (2006). Fissurnyy kariyes: problemy i puti ikh resheniya [Fissural caries: problems and solutions]. Stomatologiya dlya vsekh [Dentistry for everyone], 1, 10–14. (In Russ.)

2. Alimskiy, A. V., Alieva, R. K. (1999). Stomatologicheskaya pomoshch' detyam v regionakh s razlichnym soderzhaniyem ftora v pit'yevoy vode [Dental services for children in regions with different concentrations of fluorine in drinking water]. Stomatologiya dlya vsekh [Dentistry for everyone], 1 (6), 44–45. (In Russ.)

3. Berezin, K. A, Shulaev, A. V., Ismagilov, O. R. (2017). Organizatsiya prognozirovaniya osnovnykh stomatologicheskikh zabolevaniy sredi detey shkol'nogo vozrasta [The organization of forecasting of major dental diseases among school-age children]. Ural'skiy meditsinskiy zhurnal [Ural medical journal], 9 (153), 87–90. (In Russ.)

4. Garifullina, A. Zh., Skripkina, G. I., Burnashova, T. I. (2018). Sravnitel'naya otsenka stomatologicheskogo zdorov'ya detey shkol'nogo vozrasta g. Omska s pomoshch'yu yevropeyskikh indikatorov [Comparative evaluation of Dental heath of school age children of Omsk with the help of European indicators]. Problemy stomatologii [Actual problems in denristry], 14, 77–81. (In Russ.)

5. Gaton, P., Ruiz, E., Blique, M. (2017). Obzor klinicheskikh sluchayev, illyustriruyushchikh primeneniye kontseptsii minimal'noy interventsii (mi) u patsiyentov detskogo vozrasta [Clinical case reviews showing use of mi approach on patients in early care croup]. Problemy stomatologii [Actual problems in denristry], 13, 81–82. (In Russ.)

6. Ekimov, E. V., Skripkina, G. I., Solonenko, A. P. (2016). Otsenka izmeneniy kliniko-laboratornykh pokazateley gomeostaza polosti rta pri lechenii nachal'nogo kariyesa emali zubov u detey s kompensirovannoy formoy kariyesa [The evaluation of changes in clinical and laboratory parameters of oral homeostasis in the treatment of initial caries of tooth enamel in children with compensated form of caries]. Problemy stomatologii [Actual problems in denristry], 12, 57–60. (In Russ.)

7. Zhorova, T. N. (1989). Process sozrevaniya emali postoyannyh zubov posle prorezyvaniya i vliyaniya na nego razlichnyh faktorov [Prosses of enamel maturing of permanent teeth after odontiasis and influence of different factors to it : abstract. diss. ... cand. medical science]. Omsk, 24. (In Russ.)

8. Ioshchenko, E. S., Brusnitsyna, E. V., Zakirov, T. V., Ozhgikhina, N. V., Vorozhtsova, L. I. (2017). Analiz osnovnoy stomatologicheskoy zabolevayemosti detskogo naseleniya g. Yekaterinburga [Analysis of main dental morbidity in the child population in Ekaterinburg]. Problemy stomatologii [Actual problems in denristry], 13, 1, 110–113. (In Russ.)

9. Kiselnikova, L. P., Boyarkina, E. S. (2010). Detskaya terapevticheskaya stomatologiya : natsional'noye rukovodstvo [Pediatric dental therapy : national guide]. Moscow : GEOTAR-Media, 896. (In Russ.)

10. Kiselnikova, L. P. (2000). Germetiki i pokazaniya k ikh primeneniyu [Sealants and their proposed clinical use]. Institut stomatologii [Dentistry Institute], 2, 54–56. (In Russ.)

11. Kiselnikova, L. P., Miroshkina, M. V., Zueva, T. E. (2019). Rezul'taty izucheniya deyatel'nosti vrachey -stomatologov detskikh s ispol'zovaniyem ryada yevropeyskikh indikatorov [Results of the study pediatric dentists' activity according to european indicators]. Problemy stomatologii [Actual problems in denristry], 15, 2, 68–73. (In Russ.)

12. Maksimovskij, YU. M., Ul'yanova, T. V., Zablockaya, N. V. (2006). Vybor metoda lecheniya fissurnogo kariyesa [The choice of therapy of fissured caries]. Cathedra [Cathedra], 5, 2, 20–25. (In Russ.)

13. Morozova, N. V., Vasmanova, E. V., Lomagin, V. V., Hromenkova, K. V. (2002). Profilaktika v detskoy stomatologii [The prevention in Children's Dentistry]. Stomatologiya detskogo vozrasta i profilaktika [Children's Dentistry and prevention], 3-4, 82–84. (In Russ.)

14. Miroshnichenko, V. V., Korol'chuk, A. A., Nechaev, T. M., Semenova, A. V., Chetvertak, P. A. (2018). Obosnovaniye vybora plombirovochnogo materiala dlya lecheniya prisheyechnogo kariyesa patsiyentam s vospalitel'nymi zabolevaniyami parodonta pri provedenii kyuretazha desny na primere eksperimental'noy modeli [Argument basis to prove choice of filling material for cervical caries treatment of patients with inflammatory periodontal disease during the curettage of gums with experimental model example]. Problemy stomatologii [Actual problems in denristry], 14, 4, 45–49. (In Russ.)

15. Naronova, N. A., Molvinskih, V. S., Belokonova, N. A., Olshvang, O. YU. (2019). Effektivnost' remineraliziruyushchey terapii u detey [The effectiveness of conservative therapy in children]. Problemy stomatologii [Actual problems in denristry], 15, 3, 47–54. (In Russ.)

16. Vinogradova, T. F. (1987). Stomatologiya detskogo vozrasta : rukovodstvo dlya vrachej [Children's Stomatology : guide for dentists]. Moscow : Medicine, 528. (In Russ.)

17. Starceva, E. YU., Shulaev, A. V., Ismagilov, O. R. (2018). Rol' i znacheniye modeli planirovaniya i organizatsii kompleksnoy profilaktiki stomatologicheskikh zabolevaniy u detey shkol'nogo vozrasta [Role and value of the model of planning and organizing complex prophylaxis of dental diseases for school age children]. Klinicheskaya stomatologiya [Clinical Dentisrty], 1 (85), 88–91. (In Russ.)

18. Skripkina, G. I., Ekimov, E. V., Mityaeva, T. S. (2019). Sistemnyy podkhod k probleme prognozirovaniya kariyesa zubov [System approach to the problem of forecasting the caries of teeth]. Problemy stomatologii [Actual problems in denristry], 15, 3, 121–126. (In Russ.)

19. Rodionova, A. S., Kamennova, T. N., Afonina, I. V., Hmyzova, T. G., Ogonyan, V. R. (2015). Sovremennyy podkhod k profilaktike kariyesa na populyatsionnom urovne [Modern approach to caries prevention at the population level]. Problemy stomatologii [Actual problems in denristry], 3-4, 25–31. (In Russ.)

20. Terekhova, T. N. (2010). Profilaktika kariesa v yamkah i fissurah zubov : uchebno-metodicheskoe posobie [Prevent dental caries in dental pits and fissures : educational guide]. Moscow : MED press-inform, 88. (In Russ.)

21. Tokmakova, S. I., Lunicyna, YU. V., Bondarenko, O. V., Voblova, T. V., Rihter, A. A. (2019). Issledovaniye krayevoy pronitsayemosti materialov dlya germetizatsii fissur [The study of boundary permeability of materials used for fissure sealing]. Problemy stomatologii [Actual problems in dentistry], 15, 3, 62–68. (In Russ.)

22. Usmanova, I. N., Khusnarizanova, R. F., Zigitbayev, R. N., Abdrakhmanova, E. R., Gilmanova, R. R., Kinyagulova, S. R., Ismagilov, O. R. (2018). Sovremennyye podkhody k diagnostike riskov razvitiya kariyesa i vospalitel'nykh zabolevaniy parodonta u lits molodogo vozrasta [Modern approaches to the diagnosis of risk of development of caries and inflammatory periodontal diseases at young age]. Ural'skiy meditsinskiy zhurnal [Ural medical journal], 7, 43–47. (In Russ.)

23. Usmanova, I. N., Gerasimova, L. P., Tuigunov, M. M., Kabirova, M. F., Usmanov, I. R., Gubaidullin, A. G. (2014). Rannyaya diagnostika riska razvitiya i progressirovaniya kariyesa i vospalitel'nykh zabolevaniy parodonta u lits molodogo vozrasta, prozhivayushchikh v regione s neblagopriyatnymi faktorami okruzhayushchey sredy [Early diagnosis of risk factors for development and progression of caries and inflammatory periodontal diseases among young individuals living in a region with hazardous environment]. Meditsinskiy vestnik Bashkortostana [Bashkir Medical Journal], 9, 6, 55–60. (In Russ.)

24. Firsova, I. V., Suetenkov, D. E., Egorova, A. V., Magomedov, T. E., Haritonova, T. P., Davydova, N. V., Lebedeva, S. I., Bahmet'eva, E. A., Gricenko, E. A. (2013). Pokazateli stomatologicheskogo zdorov'ya u detey i podrostkov Saratova i Saratovskoy oblasti [Indices OF dental health in children and adolescents from Saratov and the Saratov Reg]. Saratovskiy nauchno-meditsinskiy zhurnal [Saratov scientific medical journal], 9, 3, 484–486. (In Russ.)

25. Firsova, I. V., Popova, A. N., Krajnov, S. V. (2019). K voprosu komplayentnosti stomatologicheskikh bol'nykh shkol'nogo vozrasta [To the issue of dental patient compliance in school age]. Colloquium-journal [Colloquium-journal], 21-1 (45), 50–51. (In Russ.)

26. Parisotto, T. M., de Souza-E-Silva, C. M., Steiner-Oliveira, C., Nobre-dos-Santos, M., Gaviao, M. B. (2009). Prosthetic rehabilitation in a four-year-old child with severe early childhood caries: a case report. J Contemp Dent Pract, 1, 10 (2), 90–97.

27. Sagheri, D., McLoughlin, J., Clarkson, J. J. (2009). The prevalence of dental caries and fissure sealants in 12 year old children by disadvantaged status in Dublin (Ireland). Community Dent Health, 26 (1), 32–37.

28. Schneiderman, A., Elbaum, M. et. al. (1997). Assessment of Dental Caries with Digital Imaging Fiber-Optic Transillumination (DIFOTI): In vitro Study. Caries Research, 31, 103–110.

29. Tagtekin, D. A., Ozyoney, G., Baseren, M., Ando, M., Hayran, O., Alpar, R., Gokalp, S., Yanikoglu, F. C., Stookey, G. K. (2008). Caries detection with DIAGNOdent and ultrasound. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 106 (5), 729–735.