Минимально инвазивный метод лечения кариеса зубов у детей

Abstract

The aim of this work was to study the effectiveness of a minimally invasive method of caries treatment of permanent teeth, with unformed roots. A study was made through 90 children aged 7-13 years of school No 42 in Tashkent. The subjects are divided into 2 groups. In 1 group, treatment of dental caries with the example of 1 permanent molar (1PM) was carried out by minimally invasive method, followed by filling of the «Argion molar AC» (102 fillings). In the second, caries treatment (1PM) was carried out using the traditional method of Black preparation and sealing of carious cavity with silicophosphate cement «Belotsin» (129 seals). Treatment with a minimally invasive method was carried out step by step under the control of the caries of the detector with a 0.5% solution of fuchsin. In this case, only the pathologically altered upper layers of dentine were stained, which was carefully removed to a dense light layer. Necrotomy was repeated several times until all the colored areas were removed. A comparative study revealed a significant effectiveness of the minimally invasive method over the traditional one. So, with the traditional method of treatment, after 6 months, they were noted after filling up the three criteria studied. In the first place, the development of secondary caries is 28,7 ± 3,1%, in contrast to 4,5 ± 1,6%, on the second - the violation of the marginal fit of the seal 22,3 ± 2,7% in group 1 - 5,3 ± 1,5% and the violation of the anatomical form of the seal 12,3 ± 1,8, vs. 3,1 ± 1,2%. Thus, a comparative assessment of the methods of treatment and sealing in the treatment of caries 1PM during the formation of the root of the tooth and the incompleteness of the mineralization of hard tissues of the teeth showed a sufficiently high clinical efficiency of the minimally invasive method of preparation with the use of SIC «Argion Molar AC» in comparison with the traditional method and the use of silicophosphate cement «Belotsin».