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The journal publishes original articles revealing recent research results in public health and management, review articles providingup-to-date analysis or discussion on research previously published by others, case reports describing interesting and exceptional clinical cases the authors have confronted with.

 

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Starting with issue 1/2015, Acta Medica Transilvanica journal will publish the articles in English language only.

 

Published since 1996

THE MECHANISM OF TOOTH DECAY PRODUCTION IN GROOVES AND FOSSAE

Abstract:

Over time, several sealants have been tried to protect deep fissures and pits on occlusal surfaces. In 1895, Wilson placed dental cement in the grooves and fissures to prevent cavities. In 1929, Bodecker suggested that deep fissures could be enlarged with a large round burr to make the occlusal areas more accessible to self-cleaning, a procedure now known as enameloplasty. In 1923, Hyatt advocated the early introduction of small restorations in grooves and fossae before carious lesions had a chance to develop. He called this procedure prophylactic odontotomy. Again, this procedure is more of a treatment than a preventive approach. Several methods have been used unsuccessfully to seal, or to make fissures more resistant to decay. These attempts have included the use of topically applied zinc chloride, potassium ferrocyanide, and the use of ammonium silver nitrate. Fluorides that protect smooth tooth surfaces are less effective in protecting occlusal surfaces. The use of fluorides led to a large reduction in the incidence of surface caries, but also to a smaller reduction in occlusal caries in grooves and fossae.


 
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