RESUMEN
The purpose of the study is comparative evaluation of modern mineralizing means and determine the effectiveness of dental caries prevention in adults. The study was conducted on 210 patients between the ages of 35 to 55 years old, divided into 6 equal groups with different means and modes of prevention (gel Tooth Mousse GC, Japan; gel Apaden-Pro Sangi, Japan; gel Fluokal Septodont, France). For dynamic monitoring and evaluating the effectiveness of prevention interventions used CPU index, OHI-S, the evaluation of cariesresistance by Nedoseko, acid biopsy of enamel. The most stable results after using gel Tooth Mousse; Apadent-Pro provides the fastest mineralization. Already after the first Apadent-Pro application was a high cariesresistance (Ca/P=1.80±0.41; p<0.01). While rubbing gel Tooth Mousse mineralization was growing gradually. In our view, it is appropriate to combine these medications: one or double rubbing gel Apadent-Pro combine with semi-annual course gel Tooth Mousse. Clinical data and laboratory studies on the effectiveness of the application of various means of preventing persons have senior age groups demonstrated that when personalized approach to the choice of the means of prevention and the multiplicity of their application It is possible to achieve increasing enamel cariesresistance and thus reduce the increase of caries in the population.
Asunto(s)
Caries Dental , Remineralización Dental , Adulto , Atención Odontológica , Esmalte Dental , Humanos , Persona de Mediana EdadRESUMEN
The paper presents the assessment of tooth decay prevalence in clinically homogenous groups of children receiving long-term preventive program (PP) in school dental facilities. Five-years PP were introduced in clinical practice in 2 Moscow schools. Preventive treatment was performed by dental hygienist. The results show that systematic preventive treatment in school dental offices starting from elementary school allows reducing dental caries incidence 46-53% and stabilize the incidence of caries complications. It should be mentioned though that analysis of individualized outcomes proves heterogeneity of study results despite of equal conditions of PP. Potentially significant hence is early diagnostics and treatment of initial caries forms as demineralization foci, especially in children with intensive tooth decay. Optimization of pediatric dentist and dental hygienist activity in school dental facilities is the main factor of caries prevention efficiency.
Asunto(s)
Caries Dental/epidemiología , Caries Dental/prevención & control , Higiene Bucal/métodos , Prevención Primaria/métodos , Niño , Instituciones Odontológicas , Humanos , Moscú/epidemiología , Prevalencia , Instituciones Académicas , Desmineralización Dental/terapiaRESUMEN
Ways of development of Russian school dentistry are defined and justified based on the analysis according to logistics, personnel, legal, financial and economic basis for the reorientation of the service for preventive direction, which should be a priority in the current conditions. The implemented model of school dental care based on team work of the dentist and dental hygienist proved to be highly efficient and may be recommended for wide introduction in practice.
Asunto(s)
Atención Dental para Niños/tendencias , Higiene Bucal/tendencias , Servicios de Odontología Escolar/tendencias , Adolescente , Niño , Femenino , Humanos , Masculino , Federación de RusiaRESUMEN
The destruction of human serum albumin was studied under the influence of the preparations used for chemical-mechanic removal of carious dentine (GK-101 and Caricleans, gel #2) and model systems containing sodium hypochlorite and amino compounds. Control contained hydroxide and sodium chloride but not hypochlorite. The degree of albumin destruction was determined by the amount of low molecular weight fragments precipitated by phosphotungstic acid but not by trichloracetic acid. From the results of the study the conclusion was made that in order to reduce the injuring action of hypochlorite upon dental tissues and soft tissues of oral cavity it is more preferable to use systems containing the addition of neutral and basic amino compounds.
Asunto(s)
Cloraminas/química , Caries Dental/tratamiento farmacológico , Dentina , Glicina/análogos & derivados , Aminas/química , Cloraminas/uso terapéutico , Glicina/química , Glicina/uso terapéutico , Humanos , Hidróxidos/química , Ácido Hipocloroso/química , Albúmina Sérica/química , Cloruro de Sodio/químicaRESUMEN
Alternative methods for prevention and treatment of dental caries are presented, based on the use of laser and magnetic laser exposure (patent No. 2053818, in Russia) with a new generation laser device with Optodan microprocessor monitoring (patent No. 2014107, Russia). The methods are intended for wide clinical application in children and adolescents in pedodontic departments and outpatient centers and particularly for group and individual use in dental rooms at school.
Asunto(s)
Caries Dental/prevención & control , Caries Dental/radioterapia , Terapia por Láser , Terapia por Luz de Baja Intensidad/instrumentación , Terapia por Luz de Baja Intensidad/métodos , Magnetismo/uso terapéutico , Contraindicaciones , Esmalte Dental/efectos de la radiación , Pulpa Dental/efectos de la radiación , Humanos , Saliva/metabolismo , Saliva/efectos de la radiaciónRESUMEN
The authors define the complex of criteria for analysis of cytograms of gingival impressions in health and periodontal diseases. Such criteria are needed for objective diagnosis and monitoring of periodontal status over the course of treatment. All the cellular elements were taken account of: different types of epithelial cells, including those with signs of cytopathology and bacterial contamination, connective tissue cells, mononuclears, leukocytes, and fibroblasts. The cytological picture correlated with the status of periodontium and forms and severity of pathological processes developing in it.