Fissure Sealants

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Fissure Sealant is a fluent substance that covers the masticator surfaces of molar teeth and protects the teeth against caries. First molar teeth erupt in the ages between 5 and 7 in children. Second molar teeth become visible in mouth in 11 -14 in children. Researches showed that %90 of tooth decays begin in the small, deep and tight pits and fissures on the surfaces of molar teeth. Because of the fact that tooth enamel is not fully calcified when teeth erupts, newly erupted teeth are more vulnerable against caries.

Ideal time for application of fissure sealants is the first months of eruption of these teeth. Also, milk teeth may be protected against caries by fissure sealant application. If caries progressed to the dentine area which is the lower layer of the enamel, Preventive Resin Restoration application may be more proper for the oral and dental health of your child. Do not forget that tooth decays progress very fast in young teeth which newly erupted. Thus, application of fissure sealants without losing time is very important.

Fissure sealant applications are a painless and easy procedure. Only in cases in which saliva flow is excessive, nausea is present and mouth is opened less, the application may get difficult. Children’s fear of dentists is a well known condition. Fissure sealants may help beating this fear. With this application, the relations between pedodontist-child-family may get to highest levels.

Application of fissure sealants:

First the tooth which will be applied fissure sealant is isolated from the saliva via cotton tampons or rubber dams. This procedure is very important for the fissure sealant to hold onto the outer surface. Then, gelous surface pitter is applied on the teeth and the area is prepared. Fissure sealant which is fluent is administered on the tooth and its hardening is maintained by blue wave light (beam filling tool). All these procedures approximately take 3-5 minutes and your child does not feel pain. Your child may eat and drink right after the application of fissure sealants.

Before the application: Pitting the surface, washing and drying, fissure sealant application

After the application: Beam use

Endurance: Fissure sealants may erode in time, but even though it is proven that they stay on the teeth in %85-90 after many years. Bruxism and consumption of hard foods may cause fissure sealants to break and fall on teeth. Ligation force of fissure sealants is important for a long lasting application. The most efficient factor in ideal fissure sealant application is your child’s cooperation. If fissure sealant falls off in spite of everything, protection will continue when it is noticed in 6 months and replaced. If your child does not care for oral hygiene and go to routine dentist controls, it is almost impossible to protect the teeth against tooth decays.

Dr. Ahmet KİĞILI

Dişhekimi / Prostodonti ve Estetik Diş Hekimliği

1986 yılında başladığı Gazi Üniversitesi Diş hekimliği Fakültesinden 1992 yılında mezun oldu.

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