DOI:
10.37988/1811-153X_2018_1_4Delayed filling with caries of permanent teeth in children with unformed roots
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Abstract
The purpose of this study is to select the optimal method for caries treatment of permanent teeth in children during the period of root formation at different levels of enamel caries resistance (CR). Ninety children of primary school age (7-12 years) were examined during the eruption of permanent teeth and the root formation. A new technology was studied of tooth preparation by a minimally invasive method, followed by sealing with Argion Molar AC glass ionomer cementum. Using enamel resistance test, 4 CR levels of the enamel were revealed in children. Depending on the CR level, appropriate treatment was provided: children with high and moderate CR had traditional treatment. Children with low and very low enamel CR had a comprehensive treatment and prevention approach in 3 directions: i) promptly restorative treatment by the method of microinvasive preparation; ii) local pathogenetic remotherapy by deep fluorination 3-4 times, combined with oral hygiene lessons, followed by filling with Argion Molar AC glass ionomer cementum; iii) general pathogenetic therapy - in conjunction with the pediatrician, oral administration of calcium preparations: Active Liquid Calcium A, AG Vitamin complexes, probiotics (2-3 times a day after meals) and rational nutrition. This complex approach to the treatment of permanent tooth caries in children with low and very low CR enamel was highly reliable (p<0.001) effective during the formation of the tooth roots. It also helped prevent the development of secondary caries around the filling due to the permanent release of active fluoride ions and the bactericidal action of fine silver ions in the applied Argion Molar AC cementum.Key words:
caries resistance of tooth enamel, deep fluoridation, Gluftored, SIC, microinvasive preparationFor Citation
[1]
Mirsalihova F.L. Delayed filling with caries of permanent teeth in children with unformed roots. Clinical Dentistry (Russia). 2018; 1 (85): 4—7. DOI: 10.37988/1811-153X_2018_1_4
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Published on
March 1, 2018