<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-9339</journal-id>
<journal-title><![CDATA[Odontoestomatología]]></journal-title>
<abbrev-journal-title><![CDATA[Odontoestomatología]]></abbrev-journal-title>
<issn>1688-9339</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Odontología - Universidad de la República]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-93392024000201337</article-id>
<article-id pub-id-type="doi">10.22592/ode2024n44e337</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Uso de sellantes terapéuticos en superficies oclusales]]></article-title>
<article-title xml:lang="pt"><![CDATA[Uso de selantes terapêuticos em superfícies oclusais]]></article-title>
<article-title xml:lang="en"><![CDATA[Use of therapeutic sealants on occlusal surfaces]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cueto Rostom]]></surname>
<given-names><![CDATA[Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Odontología Cátedra de Operatoria Dental I]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>26</volume>
<numero>44</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-93392024000201337&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-93392024000201337&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-93392024000201337&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The indication of the use of sealants on occlusal surfaces has changed in the last 20 years. In the past, occlusal surfaces were sealed to prevent the development of carious lesions, however, currently sealants are also used for therapeutic purposes, trying to stop active carious lesions. Formerly, carious lesions were treated with surgical interventions, currently a non-surgical and less invasive treatment is imposed, provided that the extension of the lesion allows it, seeking the preservation of the dental structure throughout the cycle of live of the individual. The therapeutic approach must evolve to provide solutions adapted to the needs of patients, that are easy to implement and whose effectiveness is supported by scientific evidence. This review work aims to analyze the available evidence regarding the use of sealants for therapeutic purposes in active carious lesions in occlusal surfaces. A revision of the available literature in the Pubmed and SciELO databases published from 2006 to 2024 was carried out. Current evidence indicates that the application of sealants in incipient active carious lesions on occlusal faces is an efficient and safe treatment to stop the progression of such lesions. Clear criteria must be established when selecting the use of sealant as treatment for carious lesions. In active carious lesions of the occlusal surfaces ICDAS 1,2 y 3 and 4 where the extension is limited to the external third of the dentin based on the radiography, sealants are effective, efficient and safe, therapeutic sealing is an excellent treatment to stop the progression of incipient carious lesions. In ICDAS 4 lesions that extend to the inner third of the dentin and in ICDAS 5 and 6, restorative treatment is indicated]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[sellantes]]></kwd>
<kwd lng="es"><![CDATA[lesiones cariosas incipientes]]></kwd>
<kwd lng="es"><![CDATA[fosas y fisuras]]></kwd>
<kwd lng="pt"><![CDATA[selantes]]></kwd>
<kwd lng="pt"><![CDATA[lesão cariosa precoce]]></kwd>
<kwd lng="pt"><![CDATA[fossetas e fissuras]]></kwd>
<kwd lng="en"><![CDATA[sealants]]></kwd>
<kwd lng="en"><![CDATA[early carious lesion]]></kwd>
<kwd lng="en"><![CDATA[pits and fissures]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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