COMPARATIVE CHARACTERISTICS OF THE CONDITION OF HARD DENTAL TISSUES AFTER WHITENING AND USE OF THE TREATMENT AND PROPHYLACTIC COMPLEX

Abstract

Purpose of the study. Development of a therapeutic complex that helps reduce the pain sensitivity of teeth after bleaching and has a mineralizing effect, as well as the study of its clinical effectiveness. Materials and methods. In total, the studies involved 20 people aged 18 to 27 years who underwent teeth whitening. A urea peroxide bleaching gel containing fluorine was used for bleaching: Opalescence PF 35% Regular gel. Results. Of the 20 individuals who underwent tooth whitening, 18 (90%) developed tooth hypersensitivity. Cold, burning, sweet, acidic caused a painful reaction. At the same time, the majority of patients complained of cold (12 people, 60%) and sour (7 people, 35%). The reaction to Sweet was recorded in 1 person (5%), and to sour – in 3 people (15%). All patients with complaints of hypersensitivity of teeth were offered a treatment complex aimed at reducing hyperesthesia. When prescribing the therapeutic complex, 2 factors were taken into account: 1 – the prescription of drugs that contribute to the rapid blockage of dentinal tubules, as well as the use of salivation stimulating agents in order to increase the content of calcium and phosphates in saliva involved in the mineralization of teeth. Treatment is three-stage. At the first stage (2–3 days), desensitizers were prescribed to reduce the intensity of acute pain, in particular, Saturol D (manufacturer Ukraine). At the second stage, the following were prescribed: remineralizing toothpaste ApaCare®, containing medical hydroxyapatite, which, performing the function of liquid enamel, takes part in remineralization of tooth enamel. At the 3rd stage, a varnish containing fluorine was applied to the teeth. Studies showed that after the use of the treatment complex, sensitivity indicators decreased relative to the initial level by 81% and 90%, the number of people with high acid resistance of enamel increased (61%); the number of persons with minimal salivation rates decreased by almost 3 times.