Genç Daimi Dişlere Uygulanan Fissür Örtücülerin Klinik Başarısının Değerlendirilmesi

Year 2025, Volume: 7 Issue: 1, 19 - 28, 28.04.2025

Hilal Özbey İpek , Ceylan Çağıl Ertuğrul , Fulya Sarı

https://doi.org/10.51122/neudentj.2025.138

Abstract

Amaç: Fissür örtücülerin (FÖ) başarısı genellikle retansiyonuyla ölçülmektedir ancak FÖ tamamen kaybolsa bile çürük önleyici etkisinin devam edebileceği bildirilmektedir. Bu çalışmanın amacı fissür örtücülerin klinik başarısını, uygulanan dişlerin tipine, lokalizasyonuna ve takip süresine göre değerlendirmek, ayrıca retansiyon ve çürük prevalansına göre fissür örtücünün klinik başarısını belirlemektir.
Gereç ve Yöntemler: Daimi küçük azı ve/veya büyük azı dişlerine, fluorid salgılayan rezin içerikli FÖ (Clinpro Sealant™, 3M ESPE, St. Paul, MN, ABD) uygulanmış olan çocuklar kontrol için kliniğe davet edilmiştir. FÖ'nün klinik başarısı, modifiye USPHS kriterleri ile değerlendirilmiştir ve veriler Ki-kare testi ile analiz edilmiştir.
Bulgular: Toplamda 1272 FÖ 2, 3 veya 4 yıl süreyle incelenmiştir. Takip süresi ile retansiyon oranları arasında anlamlı bir ilişki bulunamamıştır (p=0,150). Kenar renklenmesi, kenar adaptasyonu ve retansiyon skorlarının küçük azı dişlerinde anlamlı olarak daha başarılı olduğu tespit edilmiştir (p≤0,05). Küçük azı ve büyük azı dişlerinde çürük oranları tam retansiyonlu FÖ'de %0,5 ve %0, kısmi retansiyonlu FÖ'de %14,2 ve %25,7 total kayıplı FÖ'de ise sırasıyla %6,2 ve %11,2 olarak belirlenmiştir.
Sonuç: Tam retansiyon en yüksek çürük önlemeyi sağlamaktadır. Ancak, tamamen kaybedilen FÖ'ler çürük önlemede hala etkilidir ve başarıları kısmi retansiyonlu FÖ'e göre daha yüksektir. Gelecekte ağız ve diş sağlığını sağlayabilmek için, mümkün olan her çocuğun daimi azı dişlerine fissür örtücü uygulanması önemlidir.

Keywords

Fissür Örtücü , Retansiyon , Çürük , Çocuk diş hekimliği

Evaluation of the Clinical Success of Fissure Sealants Applied to Young Permanent Teeth

Abstract

Aim: The success of a fissure sealant (FS) is usually measured with maintained retention, but it is reported that even if the FS is completely lost, the caries prevention effect may continue. The aim of the study was to evaluate clinical success of a fissure sealant according to the type, localization of applied teeth and the follow-up time and also determine the clinical success of the FS according to retention and caries prevalence.
Material and Methods: Children whose permanent premolar and/or molar teeth were treated with a fluoride-releasing resin-containing FS (Clinpro Sealant™, 3M ESPE, St. Paul, MN, USA) were invited for control. The clinical success of FS was evaluated by modified USPHS criteria and the data were analyzed by Chi-square test.
Results: In total, 1272 FS were examined for 2, 3 or 4 years. There was no significant relationship between the follow-up time and retention rates (p=0.150). Marginal discoloration, marginal adaptation and retention scores were significantly more successful in premolars (p≤0.05). The rates of caries in premolars and molars were 0.5% and 0% in FS with full-retention, 14.2% and 25.7% in FS with partial-retention, and 6.2% and 11.2% in FS with total loss, respectively.
Conclusion: Full retention ensures the highest caries prevention. However, FS that have been completely lost are still effective in preventing caries and their success is higher than FS with partial retention. It is important to apply fissure sealants to permanent molars and premolars in every possible child to ensure their oral health in the future.

Keywords

Fissure Sealant , Retention , Caries , Pediatric Dentistry

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