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Fissure Sealing In Children

It’s a preventive procedure, which is aimed primarily at preserving teeth in children Fissure sealing is a preventive procedure, which is aimed primarily at preserving the teeth in children. The term “fissure” refers to small depressions in the upper part of primary teeth. These areas are most susceptible to caries in patients in childhood. Accordingly, the treatment of fissures in children helps to preserve in the future the teeth that are formed on the basis of milk.

Reasons for the appointment of fissure sealing

We recommend sealing fissures as soon as possible. After all, children’s teeth are much more susceptible to caries than teeth in adults. Pathogens enter the tooth through fissures. If they are temporarily sealed, the path to the bacteria will be closed, and the teeth will not decay. Under such a “filling,” the tooth quietly develops, saturated with calcium and fluorine. The doctor, examining the baby’s mouth, notes how loose the tooth structure is. If the enamel looks dangerously thin, then tightening with sealing is not recommended.

Types of fissures

Currently, a classification of fissures according to their structure has been developed. Researchers note in children the following types of fissures in the form of:

  • Cone
  • Gutters
  • Polyp
  • Drops

Gutter fissures are the least problematic type. The mineralization in them is usually good. Such a fissure looks open, so the food remains in it almost do not linger. Cone-shaped fissures present a risk for tooth decay. Mineralization in this case is slower, and food residues remain inside the fissure. Drop-shaped fissures are a fairly complex type. Mineralization in this case is usually carried out by the pulp. Such fissures need to be sealed, as they contribute to the retention of food debris and tooth decay. Poly-shaped fissures are of the same type, but have an even greater complexity of the structure.

Types of fissures

Fissures usually do not appear on the incisors, but on the chewing teeth, which are difficult to rinse and clean. Therefore, sealing fissures is an ideal method of caring for children’s teeth.

Types of fissure sealing

Sealing involves the use of fluid materials called sealants. Such substances easily penetrate deep into the fissure, but do not have adhesion properties. For this reason, the tooth must be prepared before sealing.

The sealing itself occurs in two types, namely:

  • Non-invasive
  • Invasive

Non-invasive sealing is used in cases where therapeutic agents can be dispensed with. This happens when the teeth do not have a complex structure and the doctor can examine the fissure for possible caries without resorting to dental tools. In a similar situation, the chemical preparation of the tooth is used. Invasive sealing is activated if the fissures are deep enough and it is impossible to seal them in the usual way, since it is impossible to conduct a visual inspection. Then the specialist is forced to resort to the help of dental equipment, expanding the fissure.

Canine fenestration when the teeth do not erupt well

Do they talk to you about fenestration and you don’t know what it is all about? Don’t worry, you’re not the only one. The tooth fenestration is a treatment is to remove bone and mucosa that accumulates around a tooth that has unerupted normally. This anomalous rash can damage the adjacent teeth, damage the roots of the teeth and cause cysts, so that, with this process, the tooth is released and its crown is visible. From there, after the fenestration, a bracket is placed on the tooth in order to take it to the arch.

The symptoms of Orofacial pain

If you experience any of the following symptoms, it is best to visit us:

  • Noises when opening and closing the jaw or difficulty moving it.
  • Feel pain when you open your jaw.
  • Suffer dizziness
  • Notice pain and tension in the neck.
  • Suffering headaches persistently or chronic orofacial pain.
  • Feel muscle spasms or inflammation in the chewing muscles.

When and why do you have to do fenestration in the canines?

Fenestration is usually carried out with the fangs, since they usually give more eruption problems. The path they have to travel when they develop is long and sometimes it can be hindered by certain problems:

  • Due to lack of space due to the loss of premature teeth.
  • Supernumerary teeth.
  • Congenital absence of lateral incisors.
  • Odontomas (benign tumors).
  • Dental transpositions.

When one of them shows up is when we should go to the dentist.

Fenestration, step by step.

Canine eruption usually occurs at the age of 13. However, it is important not to reach that age and start making revisions from 8 – 9 years. If there are rash problems, we will proceed to analyze the angulation, position and relationship with adjacent teeth, Then, after a painless surgery, which lasts about 25 minutes, a surgeon will remove the bone and mucosa that prevents tooth eruption. After fenestration, a soft diet must be carried out for two or three days.

Finally, in the postoperative phase, the fenestration points are removed and a bracket is placed on the tooth in order to pull it into the arch. Traction should always be within an orthodontic treatment plan. Previously, the space in the archway will have been created so that the tooth can move there. Although each pathology implies a different treatment, a multidisciplinary and integrated one is usually carried out which, in turn, requires the collaboration and follow-up of several specialists.