Palabras clave
lesiones cariosas incipientes
fosas y fisuras
Cómo citar
Resumen
La indicación del uso de sellantes en las superficies oclusales ha cambiado en los últimos 20 años. Actualmente los sellantes se utilizan con fines terapéuticos, intentando detener las lesiones cariosas activas, se impone un tratamiento no quirúrgico y mínimamente invasivo siempre que la extensión de la lesión así lo permita, buscando la preservación de la estructura dental a lo largo del ciclo de vida del individuo. Este trabajo de revisión tiene como objetivo analizar la evidencia disponible respecto al uso de los sellantes con fines terapéuticos en lesiones cariosas activas en superficies oclusales. Se realizó una revisión de la literatura disponible en las bases de datos Pubmed y SciELO, publicados desde el año 2006 al 2024.La evidencia actual indica que la aplicación de sellantes en lesiones cariosas activas incipientes en caras oclusales es un tratamiento efectivo y seguro para detener la progresión de dichas lesiones. Se deben establecer criterios claros a la hora de seleccionar el uso de sellantes como tratamiento de lesiones cariosas. En las lesiones cariosas activas de las superficies oclusales ICDAS 1, 2, 3 y en ICDAS 4 donde la extensión de la lesión se limita al tercio externo dentinario, (basado en la radiografía) los sellantes son efectivos, eficaces y seguros, el sellado terapéutico es un excelente tratamiento para detener la progresión de las lesiones cariosas incipientes. En las lesiones de ICDAS 4 que se extienden al tercio interno dentinario y en ICDAS 5 y 6 el tratamiento restaurador es el indicado.
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Derechos de autor 2024 Verónica Cueto Rostom