engleski

Comprehensive approach in diagnostic and treatment of caries disease

Today dental caries is not considered as an infectious disease, which needs to be managed by removing bacteria. Instead it as a dynamic process between pathological factors causing demineralization and protective factors causing remineralization. If the activity in biofilm resulting in an imbalance in de- and re- mineralization it leads to net mineral loss within dental hard tissues ; the earliest sign and symptom is the carious lesion. In this stage process is reversible and there is no need for the “surgical” approach. Different procedures and materials have become available for prevention and non-surgical treatment of initial caries lesion as well as diagnostic tools for early recognition. The first step is early identification and assessment of caries risk factors by using caries risk assessment. The second step is to diagnose the first signs of demineralization of hard dental tissues. The earliest visual signs are the «white spot lesion» Different remineralization strategies (i.e remineralization with fluoride, CPP- ACP) is proposed. The key of the success is to achieve balance in dental biofilm by modifying its causative factors, that is, the supply of fermentable carbohydrates, the presence and maturation of the bacterially- populated dental biofilms, and right combination of remineralizing agents for remineralization of the lesion.

dental caries ; remineralisation

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