Clinical Case Sealing of Pits and Fissures in Children

We present the clinical case of a 13-year-old patient with erupted molars that presented different cracks and fissures, favoring the appearance of caries. After evaluating the teeth and their corresponding risk, the pediatric dentist indicates the pit and fissure sealing treatment. Glass ionomer sealant was chosen and the procedure was performed, which did not require anesthesia or aftercare on the part of the patient. In subsequent visits to the Pronins office, the correct state of the seals and oral hygiene were verified. The grinding wheels fulfill the primary function of grinding and crushing food for its correct processing. Therefore, they are the teeth that have more contact with carbohydrates and substances that favor the development of caries. In children and adolescents, with the eruption of the first and second molars, their morphology should be reviewed, in terms of fissures and pits, to assess the risk of caries. At this stage, the molars are developing and may have cracks. It is in those grooves and channels that the teeth have where plaque accumulates frequently, due to the difficulty of correct cleaning with daily brushing. In these clinical cases, the pediatric dentist will indicate the application of pit sealants to create a physical barrier on the molars and premolars. Two types of fissure sealants can be chosen: Glass Ionomers and Resin sealants. The former also provide the benefit of gradually releasing fluoride, thereby helping to strengthen tooth enamel. Learn more about dental fluoridation treatment in children. The steps to follow for sealing are the following: First, the area and the teeth to be sealed must be cleaned with a brush, isolating them from the adjacent pieces. Second, the most appropriate sealant is applied, together with adhesive substances to guarantee the adhesion of the resin. After this application, the patient can lead a normal life and the seal usually lasts several years. Periodic check-ups are recommended to assess the state of the seals and prevent a partial loss from increasing the risk of caries.