EFFECTIVENESS OF USING REMINERALIZING THERAPY WITH “TOOTH MOUSSE” AND “FLUORLAK” IN INITIAL CARIES TOOTH IN CHILDREN

Abstract

Summary. Dental caries in young children is a serious problem for the health care system due to the high prevalence of the disease and the low effectiveness of treatment and prevention measures. The traditional process of treating dental caries in young children is technically complicated, therefore improving the methods of prevention and treatment of early forms of caries during the eruption of permanent teeth is quite urgent. The purpose of the study. Conduct to evaluate the effectiveness of the use of remineralizing therapy with the help of “Tooth Mousse” and “Fluorlak” for the treatment and prevention of initial dental caries (in the white spot stage) in children of primary school age. Materials and Methods. We examined 79 children aged 6 to 8 years (1-2 grades of the Shumsky Lyceum), who were treated for initial caries (in the white spot stage). All examined children were divided into 2 subgroups (according to remineralization therapy): “Tooth Mousse” was used in children of the 1st subgroup (n=32), and “Fluorlac” was used in the 2nd subgroup (n=33). The intensity of enamel demineralization in dental caries was assessed by staining carious spots with a 2 % methylene blue solution on the 10-point Aksamit scale. Results. In 1 subgroup of children, after the treatment, all carious spots on tooth enamel remained, but they were not stained with a 2 % solution of methylene blue (0 points) in all examined children (100 ). In the patients of the 2nd group, who were treated with the initial caries of teeth with the use of “Fluorlac”, caries spots were also preserved, but were not stained with a 2% solution of methylene blue (0 points) in 30 examined children (46.15%) and faintly stained with a 2% solution of methylene blue (1 point) in 53.85% of cases. The data we obtained showed a high prevalence of lesions hard tissues of teeth with caries in children aged 6-8 years (93.67±1.86%) on background of high intensity (9.04±0.40 points, and the average value index of caries intensity of permanent teeth was 4.11±0.40 points). From of the total number of examined, the specific weight of children with initial caries of the white spot stage was 87.84%, which could be due to the low the level of caries resistance of the hard tissues of the teeth in a significant amount examined and the risk of caries development. In accordance with the recommendations of the WHO, when determining the KPV+kp index we did not take into account the initial forms of dental caries in the form of foci demineralization of enamel, however, based on one examined them availability was 3.87±0.37 points. After applying “Fluorlac” the number of foci of tooth enamel demineralization was 3.24±0.17 points, in that while after remineralizing therapy with the drug “Tooth Mousse” – 2.17±0.19 points based on one examinee. Conclusions. The use of means of directed therapeutic and preventive and hygienic action helps to reduce the intensity of dental caries in children. Carrying out treatment and prevention measures with the use of remineralizing therapy made it possible to reduce the intensity of dental caries growth. We have established that the use of a microinvasive method in the treatment of dental caries in the white spot stage – the "Tooth Mousse" gel at home is more effective compared to the use of the drug “Fluorlac” in the dental office.