Unit of Oral Health and Development, School of Clinical Dentistry, University of Sheffield, Claremont Crescent, Sheffield, S10 2RN.
Br Dent J. 2013 Jun;214(11):551-7. doi: 10.1038/sj.bdj.2013.525.
The diagnosis and management of 'stained' or possibly carious pits and fissures is a difficult clinical problem. Historically, clinicians have restoratively intervened at an early stage because of concern that caries will progress unless completely removed and a restoration placed. However, this approach is destructive of tooth tissue and in the longer term may compromise the tooth as it enters the restoration re-restoration cycle. This paper aims to update the reader on developments in sealant technology and the use of sealants in caries prevention and management with an emphasis on the options available to manage the questionable fissure.
“染色”或可能发生龋损的窝沟的诊断和处理是一个临床难题。过去，由于担心龋齿会进展，除非完全去除并放置修复体，否则临床医生会在早期进行修复性干预。然而，这种方法会破坏牙齿组织，从长远来看，随着牙齿进入修复再修复循环，可能会损害牙齿。本文旨在向读者介绍密封剂技术的发展以及密封剂在龋齿预防和管理中的应用，重点介绍处理可疑窝沟的可选方案。
