Uso da resina flow como selante terapêutico no tratamento de lesões incipientes de cárie oclusal: relato de caso clinico

Abstract

Therapeutic sealing of pits and fissures is characterized by the construction of a physical barrier between the dental surface and the buccal microbiota to inhibit the nutritional supply of cariogenic bacteria, thereby halting the progression of caries lesions. Flowable composite has proven to be an excellent sealing agent compared to other resin sealants regarding material retention and caries recurrence in the sealing of non-cavitated lesions in permanent teeth. Additionally, it has demonstrated effectiveness in sealing cavitated lesions involving dentin; however, documentation of such cases is limited to primary teeth. Therefore, this study aims to report a clinical case of therapeutic sealing of an incipient caries lesion extending to the outer third of dentin in a permanent molar using flowable composite, considering the International Caries Detection and Assessment System – ICDAS II. A 28-year-old female patient presented with an occlusal caries lesion classified as code 4 according to ICDAS II on tooth 48. Following radiographic examination, therapeutic sealing was performed using Tetric N-Flow flowable composite and Single Bond Convencional Adhesive. Follow-up evaluations were conducted at one and six months post-treatment. During this period, the clinical and radiographic evaluation showed that the carious lesion remained arrested, indicating the success of the proposed treatment throughout the follow-up period.