How to cure fissure caries? nuances of the procedure. Symptoms and appearance of teeth affected by fissure caries. Video: sealing fissures for children

Early diagnosis caries is one of the main conditions for oral health, since in the initial stages the disease is easier and faster to treat. Its determination is carried out by a dentist-therapist at preventive examinations with the help of an arsenal of means intended for this purpose.

Caries diagnostic device: price

Early diagnosis of deep caries, as well as superficial lesions enamel in fissures and on smooth surfaces of teeth is carried out using the Diagnodent apparatus. Its action is based on laser fluorescence analysis - this allows you to detect the disease even with visible tooth health.

The effectiveness of diagnostics using the device is based on different level fluorescence of healthy and diseased tissues. Pulsed light waves, falling on the tissues of the tooth, cause them to fluoresce in waves different lengths. It is fixed by the device, and the information is displayed on the display of the device in a digital value. This helps the doctor determine the level of enamel damage. In addition, the status evaluation is accompanied by an audible signal.

The main advantages of using the device are:

The ability to assess hard-to-reach areas, areas of demineralization, fissure caries
Painless diagnostic procedure and patient comfort
Wireless technology
Possibility of use for diagnostics in children

Such a device for the diagnosis of fissure caries, the price of which is relatively low, is an indispensable device in therapeutic dentistry.

Caries: diagnosis, treatment

Differential Diagnosis initial caries can be carried out with the help of special preparations:

Chewable tablets
Liquids

These funds act on a single principle: getting on the surface of the tooth, coloring pigment manifests itself in its demineralized or already carious areas, which allows the specialist to assess the size and localization of the lesion.

It should be noted that most products tend to appear on enamel areas with large quantity plaque or tartar, so they can be used as a material for teaching oral hygiene, including in children: areas with dental deposits that appear indicate that the patient does not carefully conduct oral hygiene.

Main active ingredients depending on the manufacturer and the form of release, iodeosin, brilliant green, sour fuchsin can act. Despite the fact that the main task of such tools is the diagnosis of medium caries and its initial stages, they can be useful for:

Visualization of residual areas of tissues affected by caries after cavity preparation
The need for a clear distinction between healthy and affected tissues when planning further treatment
Recognition of obliterated root canals
Detection of microcracks filling material previously set

The role of means for diagnosing caries cannot be overestimated - it is known that after destroying a small area of enamel and penetrating into the dentin, caries tends to spread in width and depth, forming large cavity in more soft tissues tooth. That is why it is important to determine the presence of a pathological process in a timely manner.

The range of goods is presented according to comparatively low prices, and delivery is carried out in short time in Russia and within a day in Moscow. You can ask questions and get advice from the manager by calling the phone in the "Contacts" section.

fissure caries affects the chewing surface of premolars and molars. First on the enamel appear dark spots, then the tooth begins to react painfully to cold, sweet and sour. Delayed treatment often leads to tooth loss.

Fissure caries affects children over the age of 3 years and adults. Moreover, women are twice as many as men. How to prevent it and what to do if the tooth has already suffered from caries - read on.

What are fissures

Fissures are anatomical grooves and depressions on chewing surface crowns. They are on big teeth- premolars and molars. Depending on the structure, there are:

grooved;
conical;
drop-shaped.

Deep and narrow fissures are especially vulnerable to the influence of cariogenic bacteria. Microbes clog into the recesses and actively multiply in them. Even thorough oral hygiene will be powerless, since it is completely cleaned from hard-to-reach areas pathogenic flora will not work.

Symptoms of fissure caries

The insidiousness of the disease is its asymptomatic course. Signs of fissure caries appear in stages in this order:

Darkening of fissures - the first sign of onset carious process. As a rule, spots first appear in the center of the crown. In addition to visual defects, no symptoms at this stage make themselves felt.

Hypersensitivity, slight soreness.

Appears over time pathological reaction cold, sour, sweet. When the irritant is removed, the discomfort goes away.

Involuntary pains and from hot drinks and food.

When the lesion reaches the neurovascular bundle of the tooth, patients suffer from aching and shooting pains that increase at night. The reaction to hot lasts for about half an hour after the elimination of the stimulus. With such symptoms, we can talk about pulpitis.

Fissure darkening

Features of diagnostics

In most cases, the diagnosis of fissure caries does not cause difficulties for the dentist. When fissures darken due to caries, the tissues in the area of the stain soften, a metal probe, a tool for examining teeth, easily “clings” to them.

However visual inspection will not give complete picture if the fissures are deep and narrow, and it is impossible to “look” into them with a probe. In addition, the grooves on the chewing surface are already darker than the rest of the coronal part, since plaque and plaque accumulate in them, which are difficult to clean with a brush. This plaque often hides caries and complicates the diagnostic process.

Auxiliary methods for diagnosing fissure caries

X-ray examination

The pictures clearly show carious lesions, this method is effective even at the initial stage of the disease. Its disadvantage is that without complaints of pain, radiography is usually not prescribed.

fissurotomy

This study is carried out already upon the detection of fissure caries. The method helps to establish the size and depth of the affected area. How exactly? With the use of carbide bur. "Suspicious" areas of fissures are opened by about 0.6-1.1 mm. Next, the doctor may conduct a visual inspection of the recesses in the enamel.

Laser fluorescence

The method gives an almost 100% guarantee of detection of affected areas at any stage of caries - even in patients with capsular fissures. Healthy and damaged enamel reflect light differently laser beam. The device itself calculates the difference and signals the pathology, if any. There is only one minus: not every clinic has an argon laser necessary for diagnosis.

How to treat fissure caries

Traditional treatment of fissure caries in stages:

Removal of affected tissues with a drill.
Treatment of the cavity with an etching liquid containing an acid to cleanse the tissues.
Application of adhesive composition for better attachment of the filling.
Sealing. Reliable option - polymer materials frozen in the rays of special lamps.
Filling correction and polishing.

With pulpitis between the second and third stages, the removal of the pulp, the neurovascular tissue of the tooth, is required.

Filling alternative - ceramic inlay. This is a micro prosthesis, which is selected individually for each client. The inlay fits more closely to the crown and provides more assurance that germs cannot seep into the drilled cavity.

Treatment without a drill

If the darkening of the fissures was noticed in time and the patient turned to the dentist at the initial stage of caries, the treatment is carried out without drilling. For example, according to the Icon method: a special polymer composition is applied to the spot, which “seals” the damaged area and prevents bacteria from spreading to neighboring tissues. There are other methods of treatment without a drill:

ozone therapy - sterilization of the affected area with ozone;
laser treatment - under the influence of a laser beam, infected tissues seem to evaporate (only healthy ones remain).

Prices for treatment

The cost of traditional treatment:

Installing a photopolymer filling - an average of 2,000 rubles.
Tab - about 5,000 rubles.

Prices for treatment without a drill:

800-1300 rubles for the Icon method;
from 1000 rubles for ozone treatment;
2500 rubles for laser therapy.

Darkening of fissures in milk teeth

Why children are especially prone to fissure caries:

The enamel of newly appeared milk and molars has not yet fully mineralized and is not strong enough.
Children do not follow oral hygiene very carefully.

The lower root “sixes” are at risk - they cut through the first of all permanent teeth. Since they do not have antagonists (paired teeth on the other jaw), self-cleaning does not occur during chewing - the lower crowns do not come into contact with the upper ones.

Parents are encouraged to give Special attention caries prevention and regular visits pediatric dentist from the moment the baby's first tooth erupts. Even if caries affects the milk tooth, you can not leave it without treatment. It has been proven that the disease can affect the rudiments of molars.

Preventive measures

Preventive measures at the dentist for fissure caries:

Before and after fissure sealing

Prevention at home

A huge role in prevention is given to the oral care that people perform on their own - day after day at home.

Complete dental hygiene includes:

brushing and toothpaste (ideally after each meal);
the use of floss or brushes to clean the interdental spaces after eating;
the use of anti-caries rinses, which include aminofluoride or sodium fluoride with a fluorine concentration of 250 ppm.

Pastes with calcium (President Unique, R.O.C.S., Splat "Biocalcium", etc.) and fluorine (President Classic, El-ce med Total Care, Splat Arktikum, etc.). They need to be alternated with each other.

Caries - infection, which leads to the destruction of the hard surface of the tooth and enamel. To determine the stage of caries, you need to seek help from a specialist who can correctly draw conclusions and prescribe treatment.

How to determine the stage of the disease?

To find out the stage of caries, you need to contact a specialist. AT modern dentistry distinguish four stages this disease:

White spot stage or initial stage. At this stage, it is impossible to diagnose caries on your own. The disease is asymptomatic and painless. The patient may only notice a small whitish or dark spot on the enamel.

surface stage. The surface of the enamel becomes rough, a defect may form. Dentin damage is not observed.
Middle stage. Carious formation begins to spread to the upper and middle layers of dentin. Pulp damage is not observed.
deep stage. The intensity of the process is gaining momentum destruction, the distant layers of dentin and near the pulp suffer. The patient suffers from pain and bad breath.

It should be understood that treating caries is better, faster and safer at the initial stage. To determine it, you need to regularly undergo a preventive examination.

Initial caries

This condition is also called a carious spot. It is very difficult to identify such a stage on your own, but it is quite possible. Caries in this stage has no symptoms, and the affected tooth looks without any noticeable changes. But if you look closely, you can see a small White spot on enamel, looseness and dullness.

At its core, the initial stage is the process of enamel demineralization. It mainly occurs at the isthmus of the tooth, since in this place the enamel is the thinnest. If you do not treat caries in the initial stage, then the stain quickly increases in size and acquires a darker shade.

Most often, the initial stage is diagnosed in adolescents and children. young age, as well as in those patients who have a weakened immune system. Therefore, experts recommend that after diseases that have been transferred, contact the dentist for a preventive examination.

Diagnosis of this disease in the stain stage occurs during a professional examination, so it is necessary to go to the dentist every six months.

A carious stain can be identified by staining it with a solution of methylene blue. Before such a procedure, the surface is probed. A carious spot that is located on the lateral surface is almost impossible to notice.

To diagnose a stain, the dentist must first remove plaque with hydrogen peroxide, then rinse the cavity and dry it. If the stain was not noticed, then you should not miss the early stage of the formation of a carious cavity. For this, regular visits to the dentist are recommended.

Medium caries

Determining the stage of caries occurs either independently or with the help of a professional. The average degree of the disease is characterized by the initial destruction of enamel and dentin. A defect and short-term pains with moderate intensity appear on the surface of the tooth, there is hypersensitivity. After probing, the dentist can detect a carious cavity.

A dental examination reveals a shallow carious cavity, which can be seen at home if it is in a prominent place. Deep probing is required. If a thermal test is carried out, then it has positive character. X-rays do not show changes in periodontal tissues.

deep caries

Diagnosis of caries at this level can be done independently at home. deep caries is considered a severe stage that can lead, if left untreated, to tooth loss, pulpitis or periodontitis. The term itself reflects the depth of the problem and changes. In this situation, a small thin film of dentin separates the carious cavity from the pulp.

Deep or complicated caries due to untreated medium caries, as well as under a filling and as a hidden form. In general, the etiology and pathogenesis of this caries is similar to carious disease in general. main reason such caries become fermentation organic acids and intensive reproduction of bacteria and microorganisms. This all happens due to improper and poor oral hygiene, untimely removal of plaque and treatment of a diseased tooth.

When diagnosing, the dentist must take into account the patient's complaints and the data obtained after the clinical examination, instrumental research. On examination, the doctor will be able to identify significant tooth decay that causes discomfort and worsens appearance teeth. If the patient has acute form, the doctor will find deep cavity with light softened dentin. When washing the cavity with liquid, the patient experiences pain.

If the patient has chronic stage, then the dentin of the cavity will be dark, even black. Probing and percussion are painless. When using thermodiagnosis, the patient will experience short term pain. During the examination, differential diagnosis is necessarily carried out in relation to other pathologies.

Caries marker voco

To determine the stage of caries, a caries marker is very often used. So what is it?

A caries marker is a substance for application to the affected surface, which is able to fix itself, and due to its bright color, marks the boundaries of the carious cavity. If there is no damage on the tooth, then this substance is washed off very quickly and easily.

But there are also the terms "caries-detector" and "caries-indicator". “Caries detector” is a broader concept and it refers not only to substances that help to identify problem areas, but also to devices, apparatus and technologies. As for the term "caries indicator", it is a synonym for caries marker.

These markers and detectors are used to more effectively diagnose caries. They stain the affected surface at any stage of the disease, including the stage of the chalky spot. It penetrates inside to the level that was affected, which helps the doctor determine the complication of caries and remove the dead areas. Sometimes a caries marker is applied during differential diagnosis and in teaching dental students. It is also very often used to control the enamel near a crown or filling, in fissures.

The caries marker makes therapy more qualitative and reliable, but the speed of treatment decreases. They are also available and used in most clinics. The marker is based on sour fuchsin, rare cases methylene blue.

As for the instructions, it is simple, but there is one limitation - the marker cannot be used at home. To start the diagnosis, you need to flush oral cavity water and dry it. Then the drug is applied to the surface of the enamel for 9 seconds, then washed again with water. If the area is affected, then the color remains. To be effective, the surface must be perfectly dry. It is worth remembering that it is painted not only carious lesion, but also plaque and tartar.

Apparatus for diagnosing caries fissures averon

Fissure caries is the most common and affects fissures that look like depressions or grooves. Milk teeth are most susceptible to this type of caries, but it happens that molars with deep or closed fissures also suffer.

Currently, there are several ways to diagnose fissure caries, but in most cases a special device using a laser is used. This method is 100% effective. Helps diagnose carious formations at any stage of development. This device is used in all good dental clinics. With fissures of the "capsular" type, this method of diagnosis is considered optimal.

So that you are never disturbed by the problems of caries, it is necessary to treat the health of your teeth as carefully and attentively as the health of the whole organism.

Caries is a common oral disease. There are varieties of caries that develop more often and earlier than others and are located in places where the enamel is thinner, and it is harder to clean them thoroughly. One of these places is fissures.

Fissures are folds of enamel, they are especially noticeable on chewing teeth. Due to their structure, food particles easily accumulate in them, which are then difficult to clean out. A plaque in which bacteria multiply leads to disease.

Fissure caries: what is it

Fissure caries is caries located in the recesses of fissures. Often it is difficult to recognize it visually: fissures are often covered with a dark brown coating, so neither its natural shade nor the color of the caries itself is visible in the early stages. This type of disease is widespread. Often caries occurs in children, because their teeth are not yet fully formed, the enamel in the fissure area is very thin and easily destroyed.

Another feature of fissure caries is reversibility to initial stages. This disease develops relatively slowly. If you notice in time that something is wrong with your teeth and take necessary measures, it will turn out to be stopped at early stage, in which enamel or dentin is not yet destroyed.

The reasons

The main cause of fissure caries is an insufficient level of hygiene. Another disadvantage essential minerals and useful substances affects the density of enamel, which means it provokes the development of the disease.

Role play individual characteristics structures of teeth. In some people, fissures are easily accessible for a toothbrush, in others, on the contrary, even special cleanings will not help remove plaque from the recesses.

stages

At an early stage, when caries is considered initial, the process is reversible, it is not necessary to resort to serious treatment. The enamel is in a loose state, but urgent surgical intervention is not yet required.

When the disease thoroughly gets to the enamel and begins to destroy it, early caries turns into dentine caries. The enamel of the tooth becomes noticeably darker, and all the symptoms begin to manifest themselves in full. Here, treatment is no longer enough, and the process of tooth decay go where faster, the dentin is not as dense and durable.

Symptoms of the disease

Symptoms of caries of fissures are similar to the symptoms of other types of this disease. On the initial stage there are usually no noticeable sensations, and it is impossible to determine with the naked eye whether a person develops caries.

In the later stages, the affected area begins to darken greatly. Experienced Dentist can immediately recognize caries on open fissures. The diseased tooth becomes more sensitive, it begins to react to cold and hot food, often sweet. Similar symptoms- an obvious indicator that it's time to see a doctor.

Otherwise, you can start caries to a terrible state. The tooth will start to hurt continuously, it will collapse, which means that the treatment will be much longer and more difficult.

To detect fissure caries, an x-ray is not needed at all, ordinary probing is enough. Therefore, any simple prophylactic reception can determine the presence of the disease.

Important! Only regular check-ups at the dentist will help to identify all the symptoms and start treatment in time in the early stages.

In the early stages surgical treatment not necessary if all preventive measures. As long as the enamel and dentin are not damaged, the disease process is reversible.

If the stage of caries is serious, you need to see a doctor as soon as possible. The dentist will remove damaged tissues teeth and put a filling. A variety of modern materials allows you to make it durable and outwardly invisible. Healthy fissures that are close to the sore spot are usually covered with a sealant. This protects against the formation of caries and provides additional strength to the filling.

Folk remedies

Folk remedies help to remove pain syndrome or prevent caries from developing in the early stages. If problems with the teeth are discovered suddenly, and it is impossible to get to the doctor soon, folk medicines allow you to hold out until you receive qualified treatment.

Sage

With caries, a decoction of sage will help. This plant is an excellent antiseptic and anti-inflammatory agent. It will help relieve the pain, destroy the part pathogenic bacteria affecting the development of caries.

To prepare a decoction, you need to pour 15 grams of grass into a glass hot water and leave to brew for an hour.
Rinse regularly after brushing your teeth.

Chamomile

Another soothing remedy is a collection based on chamomile. You can rinse your mouth with a decoction of this plant after eating and before going to bed.

Methods other than similar gentle herbal teas, such as brushing your teeth laundry soap, are doubtful. They are hazardous to health. Experimenting with them is not recommended.

Important! Folk remedies help only in the initial stages of any caries, including fissure. If possible, you should get to the dentist as soon as possible.

Attempts to treat caries at home - usually useless, sometimes dangerous occupation that can worsen the course of the disease. Such treatment is rarely acceptable.

On the early stages you can treat the tooth with specialized gels to restore enamel that has not yet been completely destroyed. Before using the product, a consultation with a dentist is required, he must indicate all damaged areas. Then the gel will help in the treatment.

Important! If the gel does not help, do not tighten with surgical intervention and try other, dubious means.

Prevention of fissure caries is simple and quite effective, it will help you forget about painful treatment for a long time.

Thorough oral hygiene. First of all, correct regular cleaning teeth. It is better to give up whitening pastes that are detrimental to enamel, and accustom yourself to use dental floss after eating.
Frequent check-ups at the dentist. Better times at six months, you should not visit the doctor less often.
Special preparations with calcium and fluorine. From the lack of these substances, the enamel weakens, but also abuse mineral complexes harmful. Before taking auxiliary drugs need expert advice.
If the structure of fissures does not allow them to be completely cleaned with a regular toothbrush at home, salvation is professional cleanings at the dentist. Even those people who are lucky with the structure of their teeth should sometimes have them.
Fissure sealing. Deep fissures are sealed with a special substance, then food particles do not get deep into the folds of the tooth. This method is extremely effective and suitable for adults and children.

Performance simple recommendations will help to avoid treatment in most cases. In some cases, you can contact folk recipes and rinse your mouth herbal decoctions. Most of them are safe with a competent approach, but they are quite cheap and more accessible than many. specialized funds for rinsing.

In children, the enamel in the recesses of the tooth is most vulnerable, so fissure caries is a common problem for them.

Many people think that it is not necessary to hurry with the treatment of milk teeth, they will fall out soon anyway. This opinion is erroneous, in any case, the destruction of even temporary teeth often leads to a variety of problems in the future. Children need careful care and timely examinations.

Moreover, dental diseases early age can affect the formation of bite, it is difficult and time-consuming to correct it.

In general, fissure caries is one of the most common diseases of the oral cavity, quite reversible in the early stages. The main thing is to be observed by the dentist and engage in prevention. Treatment of caries is not a problem in our time, technologies and materials are now sufficient.

Fissure caries - one of the varieties of carious lesions of the teeth, is considered quite common. characteristic feature diseases of this type is considered the fact that the lesion is difficult to recognize at an early stage of its development, since the damaged areas are located in places inaccessible to the naked eye.

At the same time, deep tooth damage, when not only enamel but also dentin is destroyed, and signs of pathology appear, such as increased sensitivity of the teeth and pain, can lead to tooth loss and the appearance of related problems.

Fissure caries. A photo.

Fissure and its varieties

Fissures are called dimples located on the chewing surface of the tooth. The tooth surface is necessary for chewing food, small depressions (fissures) contribute to its more thorough grinding. Since the tooth surface is constantly exposed to food, over time, its surface changes, the fissures become deeper, and small cracks appear in place of the recesses, covered with thin layer enamel.

There are 4 types of fissures:

Gutters. Fissures of this type are the most open, have a relatively thick layer of enamel, and are well mineralized. The specific shape of the recesses contributes to the fact that food remains do not linger in them, which means that the formation of plaque and the development of caries is extremely slow;
Cones. In the fissures of this type, the smallest food remains are retained and accumulated, which can only be removed during a thorough brushing of the teeth;
Drops. The shape of the fissures of this type contributes to the retention of food debris on the surface of the tooth. It is very difficult to remove them with a toothbrush, which means that these areas of the tooth are most susceptible to the development of caries;
Polypoid. Like the previous view, given form is difficult to clean.

Types of fissures.

Characteristics of the disease

Fissure caries is damage to fissures - natural dimples located on the chewing surface of the teeth. The rate of development of carious holes is affected by the depth of the fissure (the deeper it is, the more difficult it is to qualitatively clean the surface of the tooth, and, accordingly, the faster caries develops), as well as the degree of mineralization of tooth enamel (stronger and more durable enamel prevents the development of destructive processes).

The disease develops regardless of the age of the patient, that is, carious lesions of fissures can occur immediately after the eruption of milk teeth. The most susceptible to the development of the disease milk molars in children. This is due to the fact that the process of formation of dental tissue in a child is not yet fully completed, enamel baby tooth thinner, subject to deformation processes. In addition, the child younger age still unable to brush their own teeth. As a result, fissure caries is a fairly common occurrence in children.

Important! A lesion in fissure caries occurs in the central area of the chewing surface of the tooth. The root remains intact, however, over time, the disease progresses, deformation processes affect deeper tissues of the tooth, as a result of which inflammation can also affect the root. In this case, the extraction of the affected tooth will be required.

Reasons for the development of the disease

The main reason for the occurrence of fissure caries is considered to be poor oral hygiene, or its absence. There are other predisposing factors that contribute to the development of the problem. These include:

Features of the structure of fissures (when they are deep enough and wide enough);
Insufficient degree of mineralization of tooth enamel, as a result of which the protective layer becomes softer and thinner;
Consumption a large number sweets, products containing carbohydrates;
Chronic diseases that lead to a change in the composition of saliva.

Symptoms of caries fissures

You can recognize the presence of fissure caries by the following characteristic features:

Tooth enamel in the area of anatomical recesses changes its color (becomes darker), carious cavities;
The patient feels sharp pain, which occurs during mechanical action on the tooth, for example, when chewing food;
The sensitivity of the diseased tooth increases. When using hot or cold foods and drinks, the patient feels discomfort, discomfort.

Fissure sealing - prevention of fissure caries.

Should fissure caries be treated?

Certainly yes. Like any other type of caries, fissure lesions require timely treatment. Otherwise, the deformation process extends to the deeper tissues of the tooth, causing the development of such complications as pulpitis, periodontitis. Lack of therapy can lead to root damage, mobility and tooth loss..

However, some dentists are of the opinion that it is necessary to start treatment only when there is a deep damage to the enamel and dentin. At the stain stage, it is only necessary to apply procedures to strengthen the enamel.

Treatment

There are 2 ways to treat fissure caries. The choice of one or another method is carried out depending on the degree of damage to the tooth, from anatomical features its buildings.

filling

Before installing a filling, it is necessary to expand the carious cavity, clean it from plaque and tissues damaged by caries. A drill is used to clean the cavity. After removal of the affected areas, sealing can be carried out.

For the manufacture of seals using high-strength modern materials such as glass and light polymers. In the event that there is deep defeat tooth tissues, it may be necessary to open the pulp, remove the root of the tooth. In this case, it will be necessary to use special temporary fillings, which allow creating a layer that separates the dentin from the pulp.

Using the recovery tab

With significant tooth decay, a special insert is used, which is made according to an individual cast from materials such as gypsum, gold, silver, and medical alloys. First, it is necessary to thoroughly clean the carious cavities, after which a cast of the tooth is made, according to which an inlay is made.

This method of treatment is considered the most effective, since a well-made tab adheres much more closely to the walls of the dental canal, and when filling, small gaps may remain, into which pieces of food fall, and, accordingly, conditions are formed and the reproduction of pathogenic microorganisms.

Treatment of fissure caries.

Caries after fissure sealing

It happens that a previously sealed fissure is again exposed to destructive processes. Caries after fissure sealing requires more difficult treatment, during which the previously installed filling or tab is removed, after which the dental canal is cleaned. And only then can the affected tooth be sealed again.

Prevention

It is not difficult to prevent the development of fissure caries, for this you need to follow simple rules prevention:

Regularly visit a dentist for preventive examination;
Keep your mouth clean. It is important not only to brush your teeth regularly with toothpaste and brush, but also to periodically use dental floss to clean hard-to-reach places, as well as use special mouth rinses;

You need to watch your diet. Excluding from it harmful products facilitating the growth of bacteria.