IMPROVING ENAMEL RESISTANCE IN CHILDREN THROUGH REMINERALIZATION THERAPY

Abstract

Caries prevention and treatment is one of the main dentist problem in childhood. Remineralization therapy is one type of local effects on hard tooth tissues. Tooth Mousse TM (GC) is a complex of casein-phosphopeptide amorphous calcium phosphate, the main effect of which is to bind and stabilize calcium phosphate ions in an amorphous, non-crystalline state, which ensures their penetration into the structure of the enamel layer. Nowadays is needed optimization of initial caries forms remineralizing therapy protocols. The purpose of our investigation was to study the effectiveness of using the «Tooth MousseTM» (GC) in the treatment of initial caries of permanent teeth in children of different age groups (6, 12 and 15 years). The object and methods of research. The study group consisted of 60 patients: 20 children 6 years of age, 20 children 12 years and 20 children 15 years of age. To evaluate the structural resistance of the enamel to the action of the acid factor, a CRT test was used. The resistance of the enamel to the defeat of the caries was determined using a modified TER test. Results and discussion. The TER-test among patients aged 6 years and above determined that 10.0 % had a maximum risk of caries and 23.33 % had a significant reduction in resistance and a high risk of caries. In the group of patients at the age of 12 years, the number of children with a maximum risk of progression of caries was 11.67 %, while the number of patients with a significant decrease in the structural-functional resistance of enamel – 21.67 %. In the group of patients 15 years of age, 11.67 % had a maximum risk of caries, and 21.67 % had a significant reduction in resistance and a high risk of caries. The CRT-test in the group of patients over the age of 6 years was higher in 60 seconds in 3 patients, in the group of patients at the age of 12 years – in 4 patients, in the group of patients aged 15 years – none. One month after the treatment, the first changes in the enamel resistance parameters were noted after the TER-test. Documented decreases in the levels of maximum and high risk of caries, and the increase in the proportion of patients with average structural and functional tooth resistance. Three months after the treatment, more progressive changes in the enamel resistance parameters were recorded according to the TER tests. The obtained results confirm the data of earlier studies. Conclusions. The results indicate that the use of Tooth Mousse helps to improve the caries resistance of the enamel. Based on the same statistical conditions of distribution of localization and the degree of violations of enamel in different age groups, it was possible to achieve an increase in the enamel resistance parameters in 100 % of the examined children, however, the growth rate of this criterion was different and ranged from 24.6 % to 67.9 %. In all patients there was a decrease in the area of carious lesions, but none of them noticed complete disappearance. Such a result may be justified by the absence of a pre-conducted local disinfectant effect on the area of intervention, which would ensure the elimination of the primary provoking caries of bacterial agents. Therefore, it is still promising to conduct a study aimed at determining the effectiveness of treatment only with the use of a disinfectant and a combination therapy

Keywords

• children
• caries
• enamel resistivity of teeth
• remineralizing therapy
• «Tooth MousseTM» (GC).