Uvod: Karijes je patološki proces koji se odvija u tvrdim tkivima zuba nakon erupcije zuba i smanjuje kvalitet života zbog značajnih komplikacija, posebno kod dece. Izuzetno visoka učestalost zubnog karijesa kod dece koja žive u transkarpatskom regionu zahteva obiman program prevenicje. Cilj ove studije bio je da se utvrdi efikasnost kompleksnog programa prevencije karijesa kod dece koja permanentno žive u područjima biogeohemijske deficijencije fluora. Materijal and Metode: Prilikom pregleda 346 dece uzrasta 3-8 godina, među kojima 163 (46.9%) dečaka i 183 (53,1%) devojčica ,utvrdilo se da je napravljen program u fazama kompleksne profilakse osnovnih bolesti zuba kod dece koja žive stalno u deficijentnim uslovima i koji uključuje: edukaciju dece predškolskog uzrasta i njihovih roditelja o higijeni, medikamentoznu spoljnu prevenciju, ranu identifikaciju i tretman karijesa korišćenjem konvencionalnih metoda prema protokolima lećenja, endogenu ne-medicinsku prevenciju, korekciju ishrane koji je dokazao svoju efikasnost. Rezultati: Indikator efikasnosti prevencije karijesa predloženim projektom iznosi za decu 5-7 (3-5) godina, 69,5%; za decu 8-10 (6-8) godina-66,9%. Zaključak:Osnovni pravac pedijatrijskih stomatoloških usluga u Ukrajini treba da bude za dečju populaciju (starosti do 18 godina) formiranje nacionalnih i regionalnih programima za primarnu prevenciju glavnih bolesti zuba sa pružanjem adekvatnog finansiranja u dovoljnom obimu u cilju očuvanja zdravlja zuba nacije u dugom vremenskom periodu na 20 godina.
Objective: To compare the use of two different restorative materials placed in deciduous teeth. Material and Methods: Clinical observations were formed in the number of 58 patients aged 3 to 12 years; 23-with deciduous dentition, 35 with mixed dentition. The total number of teeth was 266. The Index of destruction of the occlusal surface of the teeth (IROPZ) and the following materials were used: Ionofil Molar ® (VOCO) and Twinky Star ® (VOCO). Microphotographs of the sections selected for illustration were performed using a Biorex-3 VM-500T microscope with a digital DCM-900 attached photo element using for interpretation of the results adapted data research software. The Spearman correlation coefficient [r] was used to examine the relationship between the parameters evaluated. The level of significance was set at 5%. Results: The Twinky Star ® compomer has been found to be optimal for restoring the teeth with an IROPZ of less than 0.55, pH levels of <6.2 and any values of the degree of acidity of the enamel [r = 0.89]. Ionofil Molar ® showed to be a material of choice with high and average degrees of acidity of the enamel [r = 0.65]. Conclusion: Choice and usage of different types of restorative materials depend on the period of bite, the condition of root formation, group membership of the teeth, depth and topography of the carious, the level of the pH of the saliva, the degree of acid resistance enamels and areas of destruction of the occlusive surface of the tooth.
Introduction: The effectiveness of caries treatment depends on many factors, such as the condition of dental tissues, the stage of root development, the period of dentition, the quality of preparation and isolation, the optimal choice of material for restoration. The problem of choosing the filling material is acute in each treatment of caries in children with mixed and permanent dentition. The aim: Todetermine and statistically substantiate parameters for choosing restorative material for permanent teeth in children with different stages of root development. Materials and methods: 248 children aged 7 to 11 (122 boys and 126 girls) and 246 children aged 12 to 17 (120 boys and 126 girls),students of Uzhhorod Secondary School №20 were examined. Restoration materials -"Polofil Supra" (VOCO, Germany) and "DyracteXtra" (Densply, USA). The following criteria were investigated: saliva pH, area of destruction of the occlusal surface of masticatory teeth, stage of root development, depth of the lesion and cavity topography, the acid resistance of the enamel. For the purpose of statistical justification of the selected parameters that pointed as significant in the choice of restorative materials, and for the analysis of the interrelations of the parameters studied, the Spearman correlation coefficient (r) was determined. The correlation coefficient was considered statistically significant when p <0.05. Results: For children aged 7-17 years to restore permanent teeth during the period of mixed and permanent dentition, the best materials in use were: "Polofil Supra" (VOCO, Germany) and "DyracteXtra" (Dentsply, USA). Conclusion: To restore permanent teeth in any stage of root development, it is rational to use a compomer material "DyracteXtra" (r = 0.80), and a composite material "Polofil Supra" -under the conditions of the formed root, at a pH level of more than 6.2, a high degree acid resistance of the enamel and the area of destruction of the occlusal surface less than 0.55 (r = 0.72).
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