Prevention of the initial stage of caries of milk teeth in children of primary school age with the help of “ICON” and “R.O.C.S. Medical Minerals”

Authors

  • N. O. Gevkaliuk I. Horbachevsky Ternopil National Medical University
  • I. V. Nazarenko I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/2311-9624.2022.3.13325

Keywords:

remineralizing therapy, caries prevention, remineralizing gel, carious infiltration, children

Abstract

Summary. In recent years, there is a tendency to increase the prevalence and intensity of dental caries in children. It is known that the prevalence of caries before 4 years in different regions ranges from 20 to 80 %. Therefore, prevention of dental caries in children is a guarantee of their health throughout life.

The aim of the study – to evaluate the effectiveness of remineralizing therapy using "ICON" and "R.O.C.S. Medical Minerals" for the treatment and prevention of initial dental caries (in the white spot stage) in children of primary school age.

Materials and Methods. We examined 62 children aged 6 to 8 years (grades 1-2 of the Shumsk Secondary School, grades 1-2), who were treated for initial caries (in the white spot stage). According to the type of remineralizing gel, all examined children were divided into 2 subgroups: 1 subgroup (n=30) used "ICON", 2 subgroup (n=32) - "R.O.C.S. Medical Minerals". The intensity of demineralization in caries was assessed by staining carious spots with a 2 % solution of methylene blue according to the 10-point Aksamit scale.

Results and Discussion. After a 3 month of preventive measures, in patients of subgroup 1, who were treated for initial caries in the dental office, carious spots remained, but they were not stained with a 2 % solution of methylene blue (0 points). In the patients of subgroup 2, 3 month after treatment and preventive measures, the state of tooth enamel was as follows: all carious spots remained, but most of the carious spots were not stained with a 2 % solution of methylene blue (0 points) in 29 examined children (90.6 %) . In 3 children, 2 subgroups of carious spots were faintly stained with a 2 % solution of methylene blue (1 point).

Conclusions. The use of remineralizing therapy with the help of remineralizing gels and preparations in the scheme proposed by us allows to reduce the number of visits to the dental office and reduces the intensity of caries progression, while the use of the "ICON" system in the conditions of the dental office is more effective (according to the clinical picture) compared to the use of gel "R.O.C.S. Medical Minerals" at home.

References

(2020). World Health Organization. World Oral Health Report. Accessed 25 March. [Online]. Retrieved from: https://www.who.int/ru/news-room/fact-sheets/detail/oral-health.

(2007). Oral hygiene: an action plan for advocacy and comprehensive prevention diseases. Resolution WHA 60.17. Sixtieth session World health assembly.

Geneva, [Online]. Retrieved from: https://apps.who.int/gb/ebwha/pdf_files/WHASSA_WHA60-Rec1/E/WHASS1_WHA60REC1-en.

Zadorozhna, I.V., & Povorozniuk, V.V. (2014). Prevalence and intensity of dental caries in Ukrainian children: results of a clinical and epidemiological survey [Poshyrenist ta intensyvnist kariiesu zubiv u ditei ukrainy: rezultaty kliniko-epidemiolohichnoho obstezhennia]. Bil. Suhloby. Khrebet – Pain. Joints. Spine, 1-2 (13-14), 26-29 [in Ukrainian].

Garcia, B.A., Acosta, N.C., & Tomar, S.L. (2021). Association of Candida albicans and Cbp+ Streptococcus mutans with early childhood caries recurrence. J. Sci Rep, 11(1), 10802.

Bottner, A., He, R.Y., & Sarbu, A. (2020). Streptococcus mutans isolated from children with severe-early childhood caries form higher levels of persisters. Arch. Oral Biol, 110, 104601.

Lamba, G.S., Dufour, D., & Nainar, S.M.H. (2020). Association of Streptococcus mutans collagen binding genes with severe childhood caries. Clin. Oral Investig., 24(10), 3467-3475.

Krzyściak, W., Kościelniak, D., & Papież, M. (2017). Effect of a Lactobacillus Salivarius Probiotic on a Double-Species Streptococcus Mutans and Candida Albicans Caries Biofilm. Nutrients, 9(11), 1242.

Amaechi, B.T. (2015). Remineralization Therapies for Initial Caries Lesions. Curr. Oral Health Rep, 2, 95-101. DOI: 10.1007/s40496-015-0048-9.

Yee, R. (2009). Efficacy of silver diamine fluoride for arresting caries treatment. J. Dent. Res, 88, 644-647. DOI: 10.1177 / 0022034509338671.

Cherepyuk, O.M., Stadnyk, U.O., & Musiyk-Sementsiv, H.G. (2015). Dosvіd vikorystannya ftormіsnih zasobіv mіstsevoi dіi u kompleksі profіlaktyky karіyesu tymchasovih zubіv u dіtei doshkіlnoho vіku [Experience of the use of fluory means of local action in complex prevention complexes of temporary teeth in preschool children]. Vіsnyk problem bіolohіi і medycyny – Bulletin of Problems of Biology and Medicine, 4(1), 124, 308-313 [in Ukrainian].

WHO releases new report on global problem of oral diseases // World Health Organizatin, 2009. [Електронний ресурс]. Доступно: http://www.emro.who.int/.

Seow, W.K. (2018). Early Childhood Caries. Pediatr. Clin. North Am, 65(5), 941-954.

Folayan, M., & Olatubosun, S. (2018). Early Childhood Caries - A diagnostic enigma, Eur. J. Paediatr. Dent, 19(2), 88.

Alazmah, A. (2017). Early Childhood Caries: A Review, J. Contemp. Dent. Pract., 18(8), 732-737.

Ravikumar, D., Ramani, P., & Gayathri, R. (2021). Genotypic diversity of Streptococcus mutans in children with and without early childhood caries - A systematic review. J. Oral Biol. Craniofac. Res., 11(2), 308-312.

Xiao, J., Alkhers, N, Kopycka-Kedzierawski, D.T. (2015). Prenatal Oral Health Care and Early Childhood Caries Prevention: A Systematic Review and Meta-Analysis. Caries Res., 53(4), 411-421. 9.

Kirthiga, M., Murugan, M., Saikia, A., & Kirubakaran, R. (2019). Risk Factors for Early Childhood Caries: A Systematic Review and Meta-Analysis of Case Control and Cohort Studies. Pediatr. Dent., 41(2), 95-112.

Hemadi, A.S., Huang, R., Zhou, Y., & Zou, J. (2017). Salivary proteins and microbiota as biomarkers for early childhood caries risk assessment. J. Int. J Oral Sci., 9(11), e1.

Smolyar, N.I., & Chukhray, N.L. (2015). Osobennosti mineraliziruyushchei funktsii rotovoi zhydkosti u detei raznogo vozrasta [Features of mineralizing function of oral fluid in children of different ages]. Stomatologicheskii zhurnal – Dental Journal, 2, 105-108 [in Russian].

Denga, O.V., Denga, А.Е., Horokhivsky, V.N., & Denga, Е.М. (2013). Vliyanie infiltracionnogo fotopolimera «Icon» na biohimicheskie i biofizicheskie parametry rotovoj zhidkosti [Influence of infiltration photopolymer "Icon" on biochemical and biophysical parameters of oral fluid]. Vіsnyk stomatolohіi. – Bulletin of Dentistry, 1, 118-120 [in Russian].

Published

2022-11-21

How to Cite

Gevkaliuk, N. O., & Nazarenko, I. V. (2022). Prevention of the initial stage of caries of milk teeth in children of primary school age with the help of “ICON” and “R.O.C.S. Medical Minerals”. CLINICAL DENTISTRY, (3), 36–41. https://doi.org/10.11603/2311-9624.2022.3.13325

Issue

Section

Children’s stomatology