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Клинико лабораторный анализ эффективности применения самоадгезивного композита при лечении кариеса II класса по Black

Клинико лабораторный анализ эффективности применения самоадгезивного композита при лечении кариеса II класса по Black

Abstract

Class II cavities on Black is the most common widespread pathology of dental hard tissues. Due to the limited visual inspection diagnosis of these cavities is often difficult. For this reason, considerable difficulties arise when fillings. The most common errors of standard methods of sealing the hanging edge of the composite, or the presence of gaps in incomplete filling in around the gingival area of the tooth.Clinical observations do not allow an adequate assessment of the quality of sealing and marginal adaptation of the composite immediately after treatment. This requires laboratory monitoring, the results of which would help to develop an optimal strategy and methodology of restoration of such cavities. The article presents the research results of the marginal integrity of composite at the sealing contact surfaces of chewing teeth. Laboratory studies were conducted using scanning electron microscopy and the fluorescent spectro -colorimetry of enamel. Standard restoration techniques do not provide reliable sealing of the enamel on aproximatly the surface of carious cavity, which was confirmed by clinical observations. For the first time, the developed authors' technique of sealing the II class according to Black self-adhering flowable composite Vertise Flow according to clinical and laboratory methods of research provides qualitative edge adhesion and adhesion of the composite.

Кариозные полости II класса msBlack являются самой частой распространенной патологией твердых тканей зуба. Вследствие ограниченного визуального контроля диагностика данных полостей зачастую затруднена. По этой же причине значительные затруднения возникают и при их пломбировании. Наиболее частые ошибки стандартных методов пломбирования - нависающий край из композита или наличие щели при не полном пломбировании в околодесневой области зуба. Клинические наблюдения не позволяют произвести адекватную оценку качества пломбирования и краевой адаптации композита непосредственно после лечения. Необходим лабораторный контроль, результаты которого позволили бы выработать оптимальную стратегию и методику реставрации таких полостей. В статье приведены результаты исследования краевого прилегания композита при пломбирования контактных поверхностях жевательных зубов. Лабораторные исследования проводились методом растровой электронной микроскопии и люминесцентной спектроколориметрии эмали. Стандартные методы реставрации не обеспечивают надежной герметизации эмали на апроксимальной поверхности кариозной полости, что подтверждается данными клинического наблюдения. Впервые разработанная нами методика пломбирования II класса по Black самоадгезивным текучим композитом Vertise Flow по данным клинических и лабораторных методов исследования обеспечивает качественное краевое прилегание и адгезию композита.

Keywords

КАРИЕС, КРАЕВОЕ ПРИЛЕГАНИЕ, САМОАДГЕЗИВНЫЙ КОМПОЗИТ, РАСТРОВАЯ ЭЛЕКТРОННАЯ МИКРОСКОПИЯ, ЛЮМИНЕСЦЕНТНАЯ СПЕКТРОКОЛОРИМЕТРИЯ ЭМАЛИ, ГЕРМЕТИЗАЦИЯ ЭМАЛИ

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
bronze