EIJMRMS ISSN: 2750-8587
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OPTIMIZATION AND IMPROVEMENT OF CARIES TREATMENT IN THE FIELD OF
PERMANENT TEETH FISSURES IN CHILDREN
Turumova Marjona
Assistant Department of orthopedic dentistry, Samarkand State Medical University, Samarkand,
Uzbekistan
AB O U T ART I CL E
Key words:
Dental caries, pediatric therapeutic
dentistry, Optimization and Improvement.
Received:
12.10.2024
Accepted
: 17.10.2024
Published
: 22.10.2024
Abstract:
Dental caries is the most common
dental disease in children. The problem of timely
diagnosis, prevention and adequate treatment of
this pathology occupies one of the leading places
in pediatric therapeutic dentistry. However,
before applying the sealant, the dentist faces the
difficult task of assessing the condition of the
fissure, diagnosing a possible latent carious lesion,
and choosing adequate tactics for therapeutic and
preventive measures. Fissure caries occupies the
first place in the structure of carious lesions of the
teeth. Based on this, the problem of prevention
and treatment of fissure caries is extremely
urgent. It has been established that fissure caries
occurs immediately after teething. The high
incidence of fissure caries is associated with the
features of the anatomical structure of the
fissures, the accumulation of food residues and the
formation of aggressive dental plaque in the
natural recesses of the tooth and a longer period
of hypomineralization compared with smooth
tooth surfaces. There is a direct relationship
between the initial level of mineralization of the
enamel of fissure teeth and the risk of fissure
caries.
INTRODUCTION
The purpose of the study
. To improve the effectiveness of prevention and treatment of fissure caries
of permanent teeth in children.
VOLUME04 ISSUE10
https://doi.org/10.55640/eijmrms-04-10-14
Pages: 78-84
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AND MANAGEMENT STUDIES
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Research objectives
.
1. To compare the clinical effectiveness of the use of various types of boron for therapeutic and
prophylactic fissurotomy. 2. To investigate the effectiveness of the clinical application of various filling
materials and techniques for invasive sealing and therapeutic and prophylactic filling of fissures with
initial signs of carious lesions. 3. To develop algorithms adapted to the conditions of practical dentistry
for assessing the condition of permanent teeth fissures in children, as well as carrying out their
preventive sealing and therapeutic and preventive filling. 4. To study the prevalence and intensity,
dynamics of fissure caries of permanent teeth in school-age children.
METHODS
To determine the initial level of dental morbidity, the development and clinical and laboratory
evaluation of minimally invasive FC treatment methods, the study was conducted in several stages.
During the clinical study, dental examination and treatment of fissure dental caries using minimally
invasive methods in children aged 6 to 13 years was carried out on the basis of the Faculty of Dentistry
at the clinic of the Department of Pediatric Therapeutic Dentistry. The inclusion of patients in the study
was carried out on the basis of the developed inclusion criteria and with the informed voluntary consent
of the parents. Highly filled composite sealants "Ultrasil" and "Fissurite" were used as sealants, glass
ionomer cement (CIC) "Fuji II LS" and liquid-flowing composite "Charisma flow" in combination with
highly filled composite sealant "Ultrasil" were used as preventive seals.
RESULTS
The state of oral hygiene in children in all surveyed was approximately the same (the values of the IG-
Y indicators were 2.03±0.19 in 6-year-olds, 2.13±0.27 in 10-year-olds, 2.49±0.21 in 13-year-olds) and
corresponded to a satisfactory level of oral hygiene. When assessing the condition of periodontal
tissues, a significant increase in the indicators of the communal periodontal index CPI was found with
the age of children. So if the average value of the CPI index for 6-year-olds was equal to for 7-year-olds
- 0.09±0.05, for 10-year-olds - 0.17±0.09, and for 13-year-olds it reached 0.56±0.18. Assessment of the
condition of periodontal tissues according to the gingivitis index GI also showed an upward trend in
older age groups. Based on the conducted clinical study, the reduction of fissure caries during the
preventive filling method was 100%, while the traditional method of filling permanent molars led to a
pronounced increase in the intensity of fissure caries - 36.55%. According to laboratory research, when
using the preventive sealing technique, the bond strength of a combination of a liquid-flowing
composite with a composite sealant is 1.4 times higher than with preventive sealing when combined
EUROPEAN INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH
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with a composite sealant. The developed algorithm for conducting minimally invasive technologies for
the treatment of fissure caries of permanent teeth in children made it possible to achieve 95-97%
reduction of fissure caries after a 12-month follow-up.
CONCLUSIONS
1. The choice of methods and materials used for the prevention and treatment of caries in the field of
fissures of chewing teeth in children is based on a comprehensive assessment of the morphological
structure of the chewing surface of teeth, the activity of the course of caries in the patient, the state of
his somatic health and the level of oral hygiene. 2. The most important condition for success in carrying
out non-invasive sealing of fissures is a reliable assessment of the condition of the hard tissues of the
tooth to exclude hidden carious lesions, in cases of "open" fissures, "closed" fissures, provided there is
no pigmentation and a delay probe in the lumen of the fissure and compliance with the technological
rules for performing therapeutic and preventive measures. 3. When assessing the condition of the hard
tissues of permanent teeth in children and adolescents, it is proposed to introduce the index "G" (the
presence of sealant). This indicator reflects the availability of preventive measures, the quality of
preventive care for children. 4. In order to prevent and treat fissure caries, minimally invasive methods
of treating fissure caries should be widely used.
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