Comparative assessment of the preventive efficacy of Individual oral hygiene products in persons with decompensated caries

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Abstract

Background. The violation of the marginal tightness of composite restorations and the recurrence of the carious process remains relevant to this day, especially in persons with a decompensated form of caries activity. In this regard, of undoubted interest is the possibility of a wide preventive effect of individual oral hygiene products with a remineralizing effect, particularly those containing brushite crystals. Brushite crystals have unique adhesive properties and tropism to hydroxyapatite crystals on the enamel surface. The principal mechanism of action of the “RemarsGel” system is a chemical reaction that occurs when calcium nitrate from tube # 1 is mixed with ammonium hydrogen phosphate from tube # 2, as a result of which a brushite crystal is formed on the surface of the teeth. Material and methods. From a clinical point of view, this study compared the clinical efficacies of a standard prophylaxis program (using traditional fluoride-containing personal oral hygiene products) of carious recurrence in patients with a high degree of caries activity and a developed program for using a natural two-component complex to strengthen and remineralize RemarsGel enamel. The effectiveness of the applied technique was monitored using clinical research methods immediately after sanitation and 1, 12, and 36 months after it. Results. The high efficiency of brushite crystals was established in terms of preventing violations of the integrity of the enamel–composite joint, which has a direct and immediate effect on the recurrence of the carious process. A statistically significant difference in the Ryge criteria was found between group Nos. 1 and 2. These results were confirmed by scanning electron microscopy and statistical processing of the research results. Conclusion. A scientifically based indication of the intended use of the system must be added to the list of main indications for use — in the presence of a significant amount of adhesive restorations in the oral cavity, made using direct and indirect methods, especially with decompensate caries.

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About the authors

Vladimir V. Sadovsky

Institute of Scientific and Research Management in Dentistry

Author for correspondence.
Email: sadovsky@bk.ru

MD, Cand. Sci. (Med.), Honorary President of the Dental Association of Russia, Director of Institute of Scientific and Research Management in Dentistry

Russian Federation, Moscow

I. E. Esaulenko

N.N. Burdenko Voronezh State Medical University of the Ministry of Health of the Russian Federation

Email: sadovsky@bk.ru
Russian Federation, Voronezh

B. R. Shumilovich

N.N. Burdenko Voronezh State Medical University of the Ministry of Health of the Russian Federation

Email: sadovsky@bk.ru
Russian Federation, Voronezh

V. A. Kunin

N.N. Burdenko Voronezh State Medical University of the Ministry of Health of the Russian Federation

Email: sadovsky@bk.ru
Russian Federation, Voronezh

V. V. Rostovtsev

N.N. Burdenko Voronezh State Medical University of the Ministry of Health of the Russian Federation

Email: sadovsky@bk.ru
Russian Federation, Voronezh

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Supplementary files

Supplementary Files
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1. Fig. 1. Comparative characteristics of the studied contingent in terms of Ryge immediately after rehabilitation (A) and 1 month later (B): NewVar0 - 1st group (control); NewVar1 - 2nd group (experimental).

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2. Fig. 2. Comparative characteristics of the studied contingent in terms of Ryge 12 (A) and 36 (B) months after sanation: NewVar0 - 1st group (control); NewVar1 - 2nd group (experimental).

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3. Fig. 3. Cluster analysis.

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4. Fig. 4.Fig. 4. Scanning electron microscopy of the enamel-composite compound immediately after treatment (group 1, control).

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5. Fig. 5. Scanning electron microscopy of the enamel-composite compound immediately after treatment (group 2, experimental).

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6. Fig. 6. Scanning electron microscopy of the enamel-composite compound after treatment with Colgate Total 12 (group 1, control).

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7. Fig. 7. Scanning electron microscopy of the enamel-composite joint after treatment with "RemarsGel" (group 2, experimental).

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