Study material.

Date: 2015-10-07; view: 387.

Aims: To be able to treat caries of the permanent teeth according to the development, depth of affection, cavity localization and period of tooth development.

Treatment of caries of the permanent teeth is an extremely responsible task as its quality determines the subsequent development of the permanent tooth. The choice of treatment method, medications and the sealing material depend on the child's age, period of development and the group of the permanent tooth, depth of hard tissues' affection, localization of a carious cavity and development of a pathological process. The permanent teeth with incomplete root formation differ from the teeth, the development of which is already completed. This is why an approach to the caries treatment in such teeth is different from caries treatment in adults. The caries treatment of the permanent teeth is performed using the non-operative methods: method of deep fluoridation, remineralizing therapy and non-invasive sealing. The operative methods of the permanent teeth' caries treatment are: method of invasive sealing, preventive and tunnel preparation and filling or classical preparation of the carious cavity and its sealing.

Treatment of initial caries of the permanent teeth in children.

The initial caries in the permanent teeth on stage of immature root has acute development and the treatment of such caries is performed using the remineralizing therapy. Successful remineralization of the carious spot prevents the formation of a carious cavity. The remineralizing therapy is performed by the medications, the main components of which are calcium, fluorine and phosphorus. They are applied locally as applications, oral baths and electrophoresis. For this we use solutions of calcium gluconate or calcium chloride 10%, calcium glycerophosphate 2,5%, sodium fluoride solution 0,1-0,2%. Complex remineralizing solutions are more effective in usage (Remodent).