Palavras-chave
lesão cariosa precoce
fossetas e fissuras
Como Citar
Resumo
A indicação do uso de selantes em superfícis oclusais mudou nos últimos 20 anos. Atualmente os selantes são utilizados para fins terapêuticos, tentando estancar lesões de cárie ativas, sendo imposto um tratamento não cirúrgico e minimamente invasivo sempre que a extensão da lesão o permite, procurando a preservação da estrutura dentária ao longo do ciclo de vida do indivíduo. . Esta revisão tem como obje lesões cariosas ativas em superfícies oclusais. Foi realizada uma revisão da literatura disponível nas bases de dados Pubmed e SciELO, publicada de 2006 a 2024. Evidências atuais indicam que a aplicação de selantes em lesões de cárie ativas incipientes em superfícies oclusais é um tratamento eficaz e seguro para interromper a progressão da doença. essas lesões. Critérios claros devem ser estabelecidos ao selecionar o uso de selantes como tratamento para lesões cariosas. Nas lesãoes cariosas ativas das superficies oclusais ICDAS 1, 2 e 3 e no ICDAS 4 onde a extensão e limitada ao terco externo da dentina, conm base na radiografia, os selantes são eficazes,eficientes e seguros, oselamento terapeutico e um excelente tratamento para interrompera progressao de lesãoes cariosas incipientes. Nas lesãoes ICDAS 4 que se estendem ate o terco interno dea dentina e nas ICDAS 5 e 6 o tratamento restaurador está indicado.
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