What Causes Fissure Caries?
Fissure caries occurs when plaque and bacteria that accumulate in the deep grooves (fissures) on the chewing surface of the tooth decay the tooth over time. The naturally occurring indentations and protrusions in these areas of the teeth can cause food residues and plaque to accumulate. Especially since these areas are difficult to reach during brushing, bacteria multiply here and create an acidic environment. The acidic environment weakens the tooth enamel and leads to the decay process. Preventive measures such as regular tooth brushing, flossing and fissure sealants can be taken to prevent the formation of fissure caries.
What are the Symptoms of Fissure Caries?
Fissure caries is caries that occurs in the deep grooves on the chewing surface of the tooth and is usually characterised by the following symptoms
- Brown or black spots on the surface of the tooth: At the onset of fissure caries, discolouration can be seen at the site of the caries.
- Tooth sensitivity: Sensitivity and pain sensation may occur with hot, cold, sweet or acidic foods.
- Pain: As fissure caries progresses, the pain becomes more pronounced due to bacteria reaching the inside of the tooth.
- Cracking of the tooth: As the caries progresses, cracks can be seen in the tooth structure around the fissure.
- Bad breath: Bacteria in the caries area can cause bad odour in the mouth.
How is Fissure Caries Treated?
Fissure caries is a type of caries that develops in the deep grooves on the chewing surface of the tooth. Treatment of these caries usually begins by cleaning the tooth and exposing the decayed part. Then, the decayed area is properly scraped and cleaned. To preserve the structural integrity of the tooth, composite fillings or amalgam fillings are usually used to treat fissure caries. A fissure sealant may also be applied to close the fissures. This helps to prevent the progression of decay by adding a thin protective layer to the surface of the tooth. During treatment, it is important that the dentist assesses the size and location of the decay and selects the appropriate treatment method.
What are the Methods Used in Fissure Caries Treatment?
Fissure caries occurs when tooth enamel accumulates and decays in cracks or fissures. Different methods are applied in the treatment of such caries. Here are the main methods used in the treatment of fissure caries:
- Dentist Examination and Diagnosis: Fissure caries treatment begins with a comprehensive examination by the dentist. Whether the decay is advanced or not, the general condition of the tooth is evaluated.
- Fissure Sealant Application: For early stage caries, a substance called fissure sealant (fissure protector) is applied on the tooth. This substance prevents the progression of caries and protects the tooth.
- Fillings: In cases where the decay progresses, the decayed part of the tooth is cleaned and filled with filling material. Composite filling materials are aesthetically preferred.
- Abrasion and Cleaning of the Tooth: To prevent the spread of decay, the decayed part of the tooth is mechanically cleaned and the surface is levelled.
- Laser Treatment: Laser technology is a modern method used in the treatment of fissure caries. This method does not damage the surrounding tissues while cleaning the tooth.
What Precautions Can Be Taken for Fissure Caries?
Fissure caries is a type of caries that develops on the chewing surfaces of the teeth, especially in deep pits. Various measures can be taken to prevent this type of caries. Firstly, it is important to get into the habit of brushing your teeth regularly, as these cavities are usually caused by the accumulation of food debris and bacteria. Also, flossing and keeping the mouth clean with mouthwash can help reduce the amount of bacteria in these areas. Your dentist can prevent cavities from forming by applying a protective coating (fissure sealant) into the fissures. In addition, limiting the consumption of sugary and acidic foods plays an effective role in maintaining the health of the teeth. Going to the dentist for regular check-ups is also very important in terms of early detection and treatment of caries.
What are the Effects of Fissure Caries on Dental Health?
Fissure caries are caries that occur in the thin crevices on the chewing surfaces of the teeth. These caries usually start with the accumulation of food residues and plaque that enter the deep recesses on the surface of the tooth. Fissure caries can weaken the structure of the tooth and can deepen over time, leading to bigger problems. If left untreated, the decay can lead to further damage to the tooth, pain, infections and even tooth loss. If left untreated in the early stages, fissure caries can cause tooth sensitivity, inflammation and progress to the nerve of the tooth, leading to more complex treatment requirements. Therefore, it is very important to check fissure caries regularly and treat it if necessary to maintain dental health.
How Should Dental Care Be Performed After Fissure Caries Treatment?
Dental care after fissure caries treatment is very important to ensure the longevity and health of the treated area. Firstly, no matter how strong the filling or material placed on the treated teeth, it is necessary to brush the teeth regularly. By brushing your teeth at least twice a day with a soft-bristled toothbrush and fluoride toothpaste, you can prevent the formation of caries. It is also important to remove debris between the teeth using dental floss. Avoiding extremely hot or cold foods in the first few days after treatment helps the filling material to complete the hardening process. Limiting the consumption of sugary foods and drinks will also help maintain dental health. Finally, the treated area should be followed up with regular dentist controls, and possible problems should be detected at an early stage.
