| Popis: |
The most common method of caries treatment is the restoration of composite materials in connection with which, the problem of breaking the edge seal of composite restorations remains very relevant. In this regard, the undoubted interest of practicing dentists causes the possibility of widespread clinical application of modern remineralizing agents, in particular, brushite crystals. This substance has unique adhesive properties and tropicity to crystals of hydroxyapatite surface enamel. The principal mechanism of action of the RemarsGel system is the chemical reaction that occurs when calcium nitrate is mixed from tube No. 1 with ammonium hydrophosphate from tube No. 2, resulting in the formation of a brushite crystal on the surface of the teeth. The basis for obtaining scientific data was a contingent of 168 patients and 30 removed for various medical indications of teeth. Analysis and interpretation of the results obtained was carried out in vivo: an assessment of the clinical efficacy of the performed restoration according to the Ryge criteria immediately after treatment and 1, 12 and 24 months after treatment and in vitro - scanning electron microscopy and laboratory transillumination spectroscopy were used immediately after treatment and 12 and 24 months after treatment. On the basis of the results of the conducted studies, the high efficiency of the brushite crystals has been established in terms of prevention of integrity disorders of the enamel-composite compound, which has a direct and direct impact on the quality of the restoration. These results are confirmed by a complex of clinical and laboratory research methods, using high-tech methods and an automated approach to the study of the problem. In addition, taking into account all the above, we consider it necessary to add to the list of basic indications for use another scientifically valid indication of the target application of the system - in the presence of a significant amount of adhesive in the oral cavity both direct and indirect restorations. |
