He had pit and fissure caries
in # 46, otherwise his oral hygiene was satisfactory (fig-3).
Comparison of different methods for the diagnosis of fissure caries
Using Air-abrasive technology to Diagnose and restore pit and fissure caries
. J Am Dent Assoc 1995; 126: 761-6.
Electrical Resistance Effective for early pit and measurement fissure caries
It can also monitor the progress of caries Qualitative laser Detecting incipient caries fluorescence Monitor enamel erosion Convenient and fast Phosphor imaging system Low radiation Instant imaging Image manipulation facilities Optic coherence High depth and transverse tomography resolution Non invasive operation Contact free Diagnodent Good reproducibility Computerized image Quantification of smaller analysis lessons is possible Digital radiography Large amount of information Xeroradiography Two times more sensitive Methods Demerits Digital imaging Not measure the depth of the fieber optic caries lesion.
The application of Ozone therapy in the treatment of dental caries is extensively studied and many studies have proved its effectiveness in the treatment of pit and fissure caries
, root caries and interproximal caries.
On the other hand, in the results from in vitro study conducted to determinate which nondestructive diagnostic method is clinically applicable and reliable at resolving early enamel changes in occlusal fissure caries
created in the laboratory, SOPROLIFE demonstrated only additional light scattering due to the demineralization process .
Validity of diagnostic and treatment decisions of fissure caries
. Caries Res.
Any caries detected was fissure caries
with the exception already noted.
In a study done in Arizona maxillary anterior caries developed as early as 10-12 months of age whereas fissure caries
of molars were detected as early as 13-15 months of age and posterior proximal caries by 19-21 months(24).
 studied the validity of three different methods for fissure caries
detection in 144 second molars with intact occlusal surfaces in 41 young adults, including visual examination, bitewing radiographs, and the use of a DIAGNOdent.
Chlorhexidine varnish has limited effectiveness on pit and fissure caries
, where sealants have been shown to be effective, but may have promise in prevention of root caries in adults.
Dental sealants are 100 percent effective in preventing pit and fissure caries
as long as the sealants remain intact. One year after placement, 92 to 96 percent of dental sealants are still intact.