Modern concepts of treatment of primary dental caries in children (Literature review)
DOI:
https://doi.org/10.11603/2311-9624.2021.4.12790Keywords:
initial dental caries, remineralizing therapy, carious infiltration, childrenAbstract
Summary. Tooth decay today remains one of the most pressing problems in pediatric dentistry. It is known to be a pathological process in which the processes of demineralization and softening of the hard tissues of the tooth occur, followed by the formation of a defect in the form of a cavity.
The aim of the study – to analyze the data of scientific literature on non-invasive and microinvasive methods of treatment of primary dental caries in children and their effectiveness in the practice of pediatric therapeutic dentistry.
Materials and Methods. The bibliosemantic method was used to clarify the state of the problem, to study the analysis of the results of previous research based on literature sources and electronic resources.
Results and Discussion. The review presents an analysis of studies on non-invasive and microinvasive methods of treatment of primary dental caries in children. Particular attention is paid to the analysis of experimental and clinical studies on the formation of resistance of tooth enamel to the action of cariogenic factors, the study of a high level of evidence regarding the comparison of different methods. Caries infiltration has been shown to be effective in the treatment of primary caries for some types of remineralizing therapy, but comparative studies are few and in most cases conducted in the laboratory. Experience with the use of new drugs for non-invasive and microinvasive treatment of dental caries has shown good results, but for their widespread use in clinical practice requires reliable clinical evidence, further long-term randomized clinical trials.
Conclusions. Currently, there are many drugs for the treatment of primary dental caries, which allows the dentist to make the right choice in each clinical situation. However, despite the wide arsenal of modern drugs and methods of treatment of primary caries in children, a universal remedy does not currently exist, and therefore this problem requires more careful and long-term study.
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