GÜNCEL FİSSÜR ÖRTÜCÜLER – LİTERATÜR DERLEMESİ

Günümüzde, diş çürüğü, oral sağlığı etkileyen önemli bir problem olma durumunu hala korumaktadır. Pit ve fissür çürükleri oldukça erken yaşlarda görülen bir hastalıktır ve bukkal ve lingual yüzeylerdeki çürükler dikkate alındığında pit ve fissürlerde oluşan çürükler, çocuk ve ergenlerdeki tüm çürük deneyiminin %80’inden fazlasını oluşturmaktadır. Pit ve fissürleri korumak için daha etkili önlemler alınması gerekir; bunlar arasında pit ve fissür örtücü maddesi kullanımı bulunur. Fissür örtücüler, diş çürüklerini önlemek amacıyla dişlerdeki pit ve fissürlere uygulanan materyallerdir. Örtücü uygulaması, örtücü maddelerinin çürüklere yatkın dişlerin pit ve fissürleri içerisine girmesini sağlayan koruyucu bir yaklaşımdır; bu örtücü maddesi daha sonra dişe mikromekanik olarak yapışarak bakterileri besin kaynaklarından uzak tutan fiziksel bir bariyer görevi görür Farklı örtücü malzemelerin arasında en iyi sseçimin belirlenmesi karmaşık olabilir. Diş hekimleri seçebileceği ürünleri, çürük önleyici etki, florür salınımı ve retansiyon oranı gibi farklı özelliklere bakarak karar vermektedir. Bu derlemede, literatür gözden geçirilerek, pit ve fissür örtücülere genel bir bakış, örtücü olarak kullanılan materyallerdeki gelişmeler, ayrıca endikasyonlar, uygulama yöntemleri ve olası yan etkileri hakkında bilgi vermek amaçlanmıştır. Anahtar Kelimeler: pit ve fissür örtücü, çürükten korunma, daimi ve süt dişi ABSTRACT Today, tooth decay remains a major problem affecting oral health. Pit and fissure caries is a disease that occurs at a very early age, and when the caries on the buccal and lingual surfaces are taken into account, caries formed in pits and fissures constitute more than 80% of all caries experience in children and adolescents. More effective measures must be taken to protect the pit and fissures; these include the use of pit and fissure sealant. Fissure sealants are materials that are applied to pit and fissures in the teeth to prevent tooth decay. The application of the sealant is a protective approach that allows the sealants to penetrate into the pits and fissures of the teeth prone to decay; this sealant agent then adheres to the tooth micromechanically and acts as a physical barrier that keeps bacteria away from food sources. Determining the best choice among different sealant materials can be complex. Dentists decide the products they can choose by looking at different characteristics such as caries preventive effect, fluoride release and retantion rate. In this review, it is aimed to give a general overview of pit and fissure sealants, developments in materials used as coverings, indications, application methods and possible side effects. Keywords: pit and fissure sealant, caries prevention, permantent and deciduous teeth

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