Hevinga M A, Roeters F J, Spierings Th A
Afdeling Preventieve en Curatieve Tandheelkunde van het Universitair Medisch Centrum Sint Radboud, Nijmegen.
Ned Tijdschr Tandheelkd. 2003 Dec;110(12):504-9.
Sealing of pits and fissures depends on patient- and tooth factors. Prevention of occlusal carious is indicated for children with a high caries risk and especially when the morphology makes teeth more susceptible for developing caries (deep pits and fissures). Good occlusal caries diagnosis is difficult and a golden standard does not exist. When sealing of pits and fissures is indicated a preventive or a therapeutic approach can be chosen. A generally accepted guideline for sealing is still missing. Every approach has its advantages and disadvantages and depends on the individual operator.
窝沟封闭取决于患者和牙齿因素。对于患龋风险高的儿童，尤其是当牙齿形态使牙齿更易患龋（深窝沟）时，应预防咬合面龋。良好的咬合面龋诊断很困难，且不存在金标准。当需要进行窝沟封闭时，可以选择预防性或治疗性方法。目前仍缺乏普遍接受的窝沟封闭指南。每种方法都有其优缺点，并且取决于个体操作者。
