PREVENTION OF CARIES OF THE CHEWING SURFACE MOLARS IN CHILDREN WITH RHEUMATISM

Abstract

 Despite the development of science and technology, caries remains the main problem of dentistry. In children and adolescents, caries mainly develops in the natural recesses of the milk and permanent molars-pits and fissures. The formation of a carious cavity is possible even before the full eruption of the tooth [Maslak et al., 2000]. In the absence of preventive measures for two years after the eruption of molars, signs of demineralization of the enamel fissures, or the formation of a carious cavity are detected in 70-85% of patients. In the structure of the CPU in 12-15-year-olds, up to 95 % of the removed teeth fall on the first permanent molar. However, a single approach to the prevention of caries of chewing surfaces has not been developed. Various authors suggest differentiated approaches depending on age, individual features of the structure of teeth, the degree of mineralization, the intensity of caries and other factors [Naumova et al., 2014]. There is no single approach to the choice of method of prevention: glass ionomer, composite or varnish. The expediency of using adhesive systems and fluorotic in conjunction with sealants, tactics for sealing fissures with signs of initial carious lesions, and invasive and non-invasive techniques for sealing fissures are also discussed [Deery, 2016].