OPTIMIZATION AND IMPROVEMENT OF CARIES TREATMENT IN THE FIELD OF PERMANENT TEETH FISSURES IN CHILDREN

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.