The concept of caries diagnosis the proper management of dental caries in clinical practice requires an accurate diagnosis before deciding on a treatment plan which may include a range of clinical techniques the characteristics of the manifestations of the caries disease of the individual child must be assessed. The purpose of this presentation is to explain the poten tial impact of hidden caries and current ly available diagnostic methods on treatment approaches for fissure caries and to present a novel approach for treating fissure caries in light of these problems. Incidence of pit and fissure caries constitutes a higher pro dortion of the total caries inci dence among us teens and i children than in the past air abrasive technology may provide a more conservative alternative in the diagnosis and treatment of pit and fissure caries than tra ditional techniques using hand pieces. Modern caries treatment concepts like caries management by risk assessment cambra entail diagnosing early caries lesions in a precavitated stage to make it possible to reverse the caries process with remineralization and bacteria reduction efforts newer sensitive caries diagnostic tools can serve not only for early detection but also for monitoring of caries lesions to confirm the
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