Abstract
Pits and fissure are still the most liable areas to suffer tooth decay. Unlike caries lesions in smooth areas, the development of caries in oclussal surfaces is less susceptible to fluoride action. Besides, tooth decay diagnosis in oclussal surfaces is becoming more difficult due to changes that occur in the patter of these lesions because of the use of fluoride. Enamel appears undamaged due to superficial remineralization, but such remineralization does not reach the dentine. Dentists have nowadays, a wide range of therapeutic options to handle occlusal lesions. Choosing the kind of treatment should be based on the diagnosis, and the accuracy of this diagnosis is of great importance: it is crucial to distinguish lesions that could be treated by non invasive methods from those that would justify a restorative treatment.
On this essay, several oclussal caries lesions methods will be described, as well as different therapeutic options.
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