Davletshin A. R.

PREVENTION OF DENTAL CARIES DURING ORTHODONTIC TREATMENT

Bashkir State Medical University, Ufa, Russia

The risk of dental caries and its complications during orthodontic treatment, removable and non-removable devices increases significantly [1,2,3]. There are several reasons.

Poor oral hygiene is determined by the different color tests, the easiest of which is the available water with iodine. Of course you can and should refer patients to the hygienist, but rather to the doctor-periodontist [5,6,8,]. It should be stated that at different stages of treatment, even at each visit, the patient can be used for professional oral hygiene, using a soft toothbrush with abrasive pastes and air-abrasive machining and ultrasonic cleaning with the obligatory polishing of restorations particularly of edge sealing. Also need patient education oral hygiene, information about various hygiene during orthodontic treatment.[6,7,8,9,10]

The surface of the teeth with a high risk of tooth decay. On the teeth there are places where it is very likely the development of caries usually is fissures of molars and premolars, as well as the area of the blind holes on the lateral upper incisors and buccal surface of lower molars. It is believed that the best method of prevention of caries in areas of natural depression of your teeth is fissure sealing.[7]

The process of fixing braces is based on the principle of treatment of enamel with phosphoric acid, the purpose of which is the creation of microporosity for better adhesion of the retaining material with enamel. [4] In the process the acid is removed, a thin layer of biofilm, which is an amorphous deposition of glycoproteins, surface layer of enamel undergoes decay. Further to a depth of 15-20 microns reveals the area of the transverse section of enamel . Also, it draws attention to the way the braces are fixed at the JRC (glass ionomer cements).[1] Research has revealed the advantages of the bracket at the JRC, such as:

1) the possibility of using the material in a wet environment, for example, immediately after surgery, exposure of impacted teeth crowns, as well as with the installation of lingual braces.

2) Excellent prospects for the treatment of people with fluorosis of the teeth, because the JRC does not require the etching of enamel.

3) the Possibility of fixing the material to amalgamate seals.

All these studies indicate significant untapped potential of SIC in the matter of fixation of non-removable orthodontic equipment.

There are many preventive methods aimed at increasing the resistance of hard tissues of teeth, from the simple taking into account the level of hygiene to individualization methods in groups that have certain characteristics .[2] [6][7] For local application effective: an application of remineralizing agents (gels based on calcium, magnesium, phosphorus), teeth cleaning fluoride toothpaste, application of phosphate toothpaste on the area of retention areas in a period when there is supplementation inside: 15 min 20-30 sessions, treatment teeth fluoride varnish 2 times a year for 3 days between applications of the paste, applied a well-established method of Leus–Borovsky, consisting in the sequential application of the remineralizing solutions. According to this method all the teeth before the procedure to clean with a brush, and then subjected to the application of 10% solution of calcium gluconate for 10-15 mins, then proceed to a 2 minute application with 2% solution of sodium fluoride.

We carried out observation of dental caries in a place fit basis removable orthodontic apparatus to the teeth with palatal side of the incisors and molars, the probable cause to assume violation of technology of manufacturing plates or at the stage of pripravki apparatus for removing excess basis

List of used literature:

1. Аверьянов С.В., Авраамова О.Г., Акатьева Г.Г., и др.Детская терапевтическая стоматология. Национальное руководство. Москва, 2017.

2. Аверьянов С.В., Авраамова О.Г., Акатьева Г.Г., и др. Детская терапевтическая стоматология Национальное руководство / Москва, 2010.

3. Аверьянов С.В., Зубарева А.В. Оценка уровня качества жизни у пациентов с зубочелюстными аномалиями // Современные проблемы науки и образования . 2015 №4 с. 308

4. Варавина О.А. Индивидуальное прогнозирование кариеса при коррекции зубочелюстных аномалий с использованием несъемной ортодонтической аппаратуры: автореф. дис. канд. мед. наук. М., 2004, С.25.

5. Герасимова Л.П., Гуляева О.А., Чемикосова Т.С., Тухватуллина Д.Н., Дубова О.М. Эффективость метода Perio-Flow в комплексе поддерживающей пародонтальной терапии у пациентов с воспалительными заболеваниями пародонта при ортодонтическом лечении//Пародонтология 2016 №3 – С.-72-77.

6. Гуляева О.А. Способ профилактики воспалительных заболеваний пародонта у пациентов с несъемной ортодонтической техникой с применением инъекционной формы аутологичной тромбоцитарной плазмы/ патент на изобретение RUS 2626825 08.11.2016

7. Гордеева Н.О., Егорова А.В., Магомедов Т.Б., Венатовская Н.В. Методология снижения риска патологии твердых тканей зубов при ортодонтическом лечении несъёмной аппаратурой // Саратовский научно-медицинский журнал – 2011, том 7, N 1, C.230-233.

8. Гуляева О.А., Саляхова Г.А., Тухватуллина Д.Н., Маматов Ю.М., Ильчигулова О.Е. Роль немедикаментозных методов в комплексе поддерживающей пародонтальной терапии // Проблемы стоматологии. – 2017. - №1 . – С.65 -70.

9. Гуляева О.А., Буляков Р.Т., Чемикосова Т.С., Тухватуллина Д.Н. Применение метода Perio-Flow в комплексном лечении пародонтита средней степени тяжести // Проблемы стоматологии. 2012. № 2. С. 14-18.

10. Коржукова М.В. Анализ состояния тканей полости рта и смешанной слюны у пациентов, пользующихся современной несъемной ортодонтической техникой: диcс. … канд. мед. наук. М., 2012. 135 с.