Modern conceptions of initial dental caries treatment

Authors

  • S. P. Yarova Donetsk National Medical University, Kramatorsk, Ukraine,
  • V. V. Sanoyan Donetsk National Medical University, Kramatorsk, Ukraine,

DOI:

https://doi.org/10.14739/2310-1210.2018.02.125534

Keywords:

initial caries, tooth remineralization, amelogenin, infiltration

Abstract

Quick and efficient initial caries treatment (a white spot stage) is an important and burning issue of the modern practical dentistry. At the spot stage, cariosity is reversible and thus, the scientists direct their attention to the techniques development for the restoration of the enamel crystal structure. Technique of a minimally invasive caries infiltration makes it possible to remove "white spots" on the teeth after a single visit.

The objective is to analyse a specialized medical literature devoted to modern techniques and medicines for early dental caries treatment. The article represents data on the modern medicines for remineralization of the early caries focuses such as nanohydroxyapatite, silver diamine fluoride, casein phosphopeptide. Particular attention is paid to the analysis of literature data on the recently developed amino acid analogue of the human enamel proteins called amelogenin and its first user experience. New data on the minimally invasive technique of infiltration have been revealed.

Conclusions. A wide range of modern medicines and techniques for initial caries treatment enables the dentist to make the correct choice in each specific clinical situation.

Further studies on the latest developments are required to confirm their clinical efficiency. 

References

Zharkova, O. A., & Lobkova, A. S. (2012). Remineraliziruyushchaya terapiya s ispol'zovaniem GC Tooth Mousse [The usage of gc tooth mousse in remineralization therapy]. Problemy stomatologii, 1, 33–37.

Greenwall, L. (2013). White lesion eradication using resin infiltration. International dentistry – african edition, 3(4), 54–62.

Amaechi, B. T. (2015). Remineralization therapies for initial caries lesions. Curr Oral Health Rep, 2, 95–101. doi: 10.1007/s40496-015-0048-9.

Kamina, T. (2013). Vybor remineraliziruyushchego preparata – vopros seryoznyj [The Choice of a Fluoride-Containing Re-Mineralizing Preparation is a Serious Question]. Visnyk problem biolohii i medytsyny, 4(1), 104, 53–56. [in Russian].

Leontieva, E. Y., Tkachuk, O. E., & Nektarevskaya, I. B. (2013). Remineraliziruyushchaya terapiya s ispol'zovaniem Tooth Mousse и MI Paste Plus (GC) [Remineralizing therapy with tooth mousse and paste plus]. Problemy stomatologii, 1, 31–35. [in Russian].

Najibfard, K., Ramalingam, K., Chedjieu, I., & Amaechi, B. T. (2011). Remineralization of early caries by nano-hydroxyapatite dentifrice. J Clin Dent, 22(05), 139–143.

Yee, R., Holmgren, C., Mulder, J., Lama, D., Walker, D., & van Palenstein Helderman, W. (2009). Efficacy of silver diamine fluoride for arresting caries treatment. J Dent Res, 88, 644–647. doi: 10.1177/0022034509338671.

Kugel, G., Arsenault, P., & Papas, A. (2009). Treatment modalities for caries management, including a new resin infiltration system. Compend Contin Educ Dent., 3, 1–10.

Gugnani, N., Pandit, I. K., Gupta, M., & Josan, R. (2012). Caries infiltration of noncavitated white spot lesions: A novel approach for immediate esthetic improvement. ContempClin Dent., 3(2), S199–S202. doi: 10.4103/0976-237X.101092.

Yarova, S. P., & Sanoyan, V. V. (2017) Sravnenie e'ffektivnosti lecheniya nachal'nogo kariesa [Comparison of the effectiveness of initial caries treatment]. Medychna nauka na peretyni spetsialnostei: sohodennia i maibutnie. Proceedings of the Scientific and Practical Conference, (P. 126). Kharkiv. [in Russian].

Nikolaev, A. I., Kuzminskaya, O. Yu., Stepanova, T. S., Dotsenko, A. V., & Vasilevskiy, S. A. (2010). Metodika infil'tracii novaya tekhnologiya lecheniya nachal'nykh karioznykh porazhenij zubov [Infiltration method – a new technology of treatment initial cariogenic affection of teeth]. Klinicheskaya stomatologiya, 2(54), 14–18. [in Russian].

Gran'ko, S. A., Zapashnik, T. A., & Zinovenko, O. G. (2013). Klinicheskaya e'ffektivnost' primeneniya maloinvazivnykh metodov lecheniya tverdykh tkanej zuba [Clinical efficacy of minimally invasive methods in hard tooth tissues treatment]. Ukrainskyi stomatolohichnyi almanakh, 5, 91–92. [in Russian].

Maslak, E. E., Matvienko, N. V., Krivtsova, D. A., & Kazantseva, N. N. (2016). Minimal'no invazivnyj podkhod k lecheniyu kariesa postoyannykh zubov u detej [Minimally invasive treatment of carious permanent teeth in children]. Vestnik Volgogradskogo gosudarstvennogo medicinskogo universiteta, 3(59), 96–99. [in Russian].

Murav'eva, M. A. (2013). E'ksperimental'no-klinicheskaya ocenka e'ffektivnosti lecheniya ochagovoj demineralizacii e'mali metodom karies-infil'tracii (Avtoref. dis…kand. med. nauk). [Experimental-clinical evaluation of the effectiveness of treatment of focal demineralization of enamel by the caries-infiltration method]. (Extended abstract of candidate’s thesis). Perm'. [in Russian].

Fattal, R. K., & Melekhov, S. V. (2015). Ocenka e'ffektivnosti metoda infil'tracii v lechenii razlichnykh form kariesa e'mail zubov [Evaluation procedures infiltration in the treatment of various forms of dental enamel caries]. Kubanskij nauchnyj medicinskij vestnik, 6(155), 117–122. [in Russian].

Kim, S., Kim, E. Y., Jeong, T. S., & Kim, J. W. (2011) The evaluation of resin infiltration for masking labial enamel white spot lesions. International Journal of Paediatric Dentistry, 21(4), 241–248. doi: 10.1111/j.1365-263X.2011.01126.x.

Uskoković, V. (2015). Amelogenin in Enamel Tissue Engineering. Advances in Experimental Medicine and Biology, 881, 237–254. doi: 10.1007/978-3-319-22345-2_13.

Zamuraieva, A. U., Ajtuov, B. A., Aubakirova, D. Zh., & Yegizbekova, D. B. (2016). Innovatsiinyi metod likuvannia pochatkovoho kariiesu u ditei preparatom InnoDent™ [Innovative method of treatment of initial caries in children with InnoDent™]. Profilaktychna ta dytiacha stomatolohiia, 1, 47–51. [in Ukrainian].

Kirkham, J., Firth, A., Vernals, D., Boden, N., Robinson, C., Shore, R. C., et al. (2007). Self-assembling peptide scaffolds promote enamel remineralization. J Dent Res., 86(5), 426–430. doi: 10.1177/154405910708600507.

Brunton, P. A., Davies, R. P., Burke, J. L., Smith, A., Aggeli, A., Brookes, S. J., & Kirkham, J. (2013). Treatment of early caries lesions using biomimetic self-assembling peptides – a clinical safety trial. British dental journal, 215(4), E6. doi: 10.1038/sj.bdj.2013.741.

How to Cite

1.
Yarova SP, Sanoyan VV. Modern conceptions of initial dental caries treatment. Zaporozhye Medical Journal [Internet]. 2018Mar.7 [cited 2024Oct.6];(2). Available from: http://zmj.zsmu.edu.ua/article/view/125534

Issue

Section

Review