Liyana, Anten Siti Sundari, Rosada Sintya Dwi, Yetty Herdiyati Sumantadireja, Iwan Ahmad

ABSTRACT

Background: Pit and fissure sealants have been used for almost 50 years to prevent and control caries lesions in primary and permanent teeth. The main purpose of fissure sealants is to prevent further caries by covering the surface of pits and deep fissures which can be a place of cariogenic bacteria colonization by a thin layer of sealant material. The material penetrates and polymerizes into pits and fissures, until has covered the area from bacterial invasion and debris. Patients who have bad habits can suffer malocclusion. For example, patients who breathe by using their mouth and like to bite their nails. Oral screen is one of the orthodontic equipments that can overcome the condition due to these bad habits. Objective: This case aimed to describe one of caries prevention measures by doing deep pit and fissure filling used Alkasite and Glass Ionomer cement. Case: A 7-year-old girl came to the Pedodontics Department of the Padjajaran University Dental and Oral Hospital in Bandung, Indonesia with complaints of her protruding teeth and difficult to close her mouth and had no complaints with other teeth. There was no abnormalities or caries found in the examination, but there were deep pits and fissures in teeth number 16, 26, 36 and 46. Case Management: Myofunctional therapy was given to overcome that bad habits and train hypotonus in the lip muscles and this therapy was still going on until now and deep pits and fissures covering were done on teeth number 16, 26, 36 and 46 by using alkasite and Glass Ionomer cement as precautionary measure. Conclusion: oral screen is one of myofunctional equipments that can be used for muscle hypotension of the lips and the use of Alkasite and Glass Ionomer cement can be used to restore deep pits and fissures