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the Characteristic of groups surveyed with caries of a dentine and treatment methods

All 120 persons at the age of 18-45 years with serious and very serious caries on classification Nikiforuk (1985) have been surveyed, treatment of 218 teeth, including 124 molar tooths, 94 premolar tooths has been spent.

According to topografoanatomicheskoj I.G.Lukomsky's classifications (1955) it were carious cavities of average depth, on -10 - dentine caries, and agree

classifications Black (1889) - cavities of I class. Before preparing carried out the anesthesiology grant. It was spent applikatsionnaja anastezija a mucosa by a preparation gel - "Lidoksor" (OmegaDent), then

it was spent infiltratsionnaja anastezija - Sol. Ubistesini forte 4 % - 1,7 ml (3M ESPE). Initially, the teeth which are subject to treatment and as nearby a standing teeth, was cleared by a nylon brush with use bezftoristoj Pastas with istolchennym zircon DetartrineZ (Septodont). Preparing was spent by diamond round burs (SSWHITE) according to principles of preparing of carious cavities on Black (1889); disclosing, a necrotomy, formation, fold creation, with air-to-water cooling on rate of rotation of 300000 rpm. Fold creation was spent 24 - grannymi finirnymi olivovidnymi by borons (SSWHITE). At preparing carious
teeth considered the sizes of a carious cavity, the form and depth of fissures. During preparing "Caries-indicator" (OmegaDent) was used.

At applying plombirovochnogo a material the linear technics with totalnnym protravlivaniem an enamel and a dentine gel of 37 % of phosphoric acid "Traveks" (Vladmiva) was applied. In quality plombirovochnogo a material used svetopolimerizuemyj microhybrid composit material Point 4 (Kerr), with adhesive system OptiBond (Kerr), as an adaptic layer used svetopolimerizuemyj hybrid zhidkotekuchy composit material Revolution (Kerr). In the prepared cavity brought a material, preliminary having defined colour of a teeth on scale Vita.

the Sequence of manipulations was following; for a bottom and dentine walls put a layer, in the thickness no more than 0,5 mm, hybrid zhidkotekuchy the material and was lighted by 10 seconds galogenovoj a lamp from a long wave 450 nm, the microhybrid material was brought in a cavity; in the thickness of 1,0 mm, all subsequent 2,0 mm also lighted the first layer galogenovoj a lamp within 20 seconds, using a technique of "soft start (Boer W.-M., 1999). Definitive processing of seals spent diamond olivovidnymi borons of superthin granularity (Bisco), polishing rubber heads (Kendall) and disks Sof-Lex (3M). For giving of "dry shine restorations processed brushes Occlubrash (Kerr). Depending on the actions spent before sealing of a carious cavity, all patients have been parted on the groups, all patients in survey samples were comparable on a sex, age, a somatic condition (Table 2.3, 2.4).

Table 2.3 - the Characteristic of medical groups of patients

Groups Number

surveyed

Middle age surveyed Quantity of the cured teeth
the First 30 32,21,3 52
the Second 30 28,71,5 48

table 2.3 Continuation

Groups Number

surveyed

Middle age surveyed Quantity of the cured teeth
the Third 30 35,11,2 58
the Fourth 30 28,21,3 60

Table 2.4 - Quantity of patients with caries of the dentine, cured by various methods

Quantity of patients I group II group III

group

IV group
the Usual method 30
Deep fluorination 30
NILI 30
Deep fluorination + NILI 30

the first group (control) included 30 persons by whom 52 seals from svetopolimerizuemogo material Point 4 without any influence for a bottom and walls of a carious cavity have been imposed. In the second group consisting of 30 persons, 48 seals from this a material, but with a provisional cover of a bottom of generated cavity DGL (HUMANCHEMI) have been imposed.

The third group have made as 30 patients by whom 58 seals from material Point 4 with preliminary influence for a bottom of generated cavity NILI have been imposed; within 45 seconds. In the fourth group there were 30 persons, treatment of 60 teeth is spent. Treatment was spent the same as and in the second group, behind that exception, that before sealing brought in a dissected carious cavity dentin-germetizirujushchaja the liquid was irradiated with the laser within 45 seconds. The seal was imposed also from c material Point 4.

the Dentine-germetizirujushchy likvid, has been developed in 1975 by doctor A. Knappvostom, together with scientists-chemists on base univresitetov Tjubingena and Hamburg. The preparation is intended for deep fluorination of a dentine on purpose
reminiralizatsii firm tissues of a tooth. DGL it is presented by two liquids different in structure. Structure of a liquid 1: 3,30 g fluoric silikateksagidrata magnesium, 0,78 g sulfatpentagidrata copper. Into structure enter also: 0,1 g fluoric sodium (in quality the stabilizer), distillirovanaja water. Structure of a liquid 2: 10,0 g a highly dispersive hydroxide of calcium. Into structure enter also: metiltselljuloza, distillirovanaja water.

dentine Hermetic sealing occurs as a result of consecutive drawing of liquids for the first and the second tushirovanija. Germetizirujushchee the substance formed as a result of reaction of specified liquids, represents high-molecular polymer of silicon acid with postponed in it submicroscopic kristallikami fluoric calcium and fluoric copper-II.

This substance is alkaline and exclusively dense. Reliably protects from all agents, especially the acids having harmful influence on a pulp. Thanks to ions of copper the lining possesses long-term, bactericidal activity constantly renewing under the influence of oxygen. Processing of cavities DGL does excessive application of other linings at all plombirovochnyh materials of artificial materials. A way of application DGL: a dry fat-free cavity moistened with an applicator impregnated with a liquid for first tushirovanija, and left for 30 seconds. Thus a cavity drained air. In 30 seconds in the same way spent tushirovanie the second liquid which preliminary carefully shook. After drawing of a liquid a cavity drained a current of air. Repeated tushirovanie was exclusively important as the alkaline medium was thus framed.

Processing of the deep cavities very close located to a pulp, spent in return sequence to prevent hit too a considerable quantity krupnomolekuljarnogo ftoridnogo a complex [SiF6] 2 in a pulp. In these cases began with drawing of a liquid for the second tushirovanija. After drying by a current of air a cavity moistened with a liquid
for the first tushirovanija. After cavity drying - again put a liquid for the second tushirovanija.

As a result of such sequence of processing ftoridnyj the complex even before hit in dentinal canaliculuses is crushed owing to settling out vysokopolimernoj silicon acid and slaborastvorimyh fluorides. Thus application DGL does not reduce adhesive durability at the initial stage of treatment and does not influence a regional adhering of composit seals, it proves to be true a clinical estimation of quality of seals.

Influence NILI was spent in established before an exposition by means of apparatus APT the Smile 01. The apparatus of laser therapy -01 is executed on diodnom the semi-conductor laser of a continuous regimen of radiation with a wavelength of laser radiation 0,6450,010 a micron, with a continuous regimen of radiation and average power of radiation on an exit of the main fibre-optic cable, not less than 15 mW. Therapeutic powers and properties of red radiation 0,635 microns allow to apply the laser apparatus of agrarian and industrial complex " -01" for treatment of diseases of an oral cavity, including disease of a teeth. Medical effect NILI is defined by the mechanism of its physiological action - it accelerates an involution of inflammatory processes, raises fabric neogenesis, local resistibility and anti-infectious protection. The apparatus " -01" It is intended for use in out-patient departments, clinics, the medical centres, and as in private medical practice, MSCH and sanatoria.

the Clinical condition of seals estimated in 9 and 18 months. Regional adaptation of seals defined immediately after applying, and in control terms of 9 and 18 months by G.Rjuge's descriptive criteria. At diagnostics stage and as definition of an excitation threshold of a pulp was spent to control terms.

2.4

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Scientific source KOVALEVA MARIA SERGEEVNA. Clinico-morphological research of a condition of tissues of a tooth at treatment of caries of a dentine with application of deep fluorination and nizkointensivnogo laser radiation. The dissertation on competition of a scientific degree of the candidate of medical sciences. Great Novgorod - & 2014. 2014

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