Suvremene metode u prevenciji karijesa u djece

master's thesis

• Title (english): Modern strategies to prevent dental caries in children
• Author: Andrija Mijić
• Mentor: Željko Verzak (mentor)
• Committee member: Željko Verzak (predsjednik povjerenstva)
• Committee member: Davor Katanec (član povjerenstva)
• Committee member: Nada Galić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Paediatric and Preventive Dentistry); Zagreb
• Defense date and country: 2016-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Children's and Preventive Dental Medicine

Abstract

Cilj terapije u dječjoj dobi jest usporiti propadanje zubnog tkiva i održati postojeće zube u
čeljusti što je duže moguće, kako bi se omogućio normalan rast i razvoj obje čeljusti. Karijes
je infektivna bolest koju uzrokuju bakterije. Dolazi do demineralizacije kristala koji izgrađuju
caklinu i dentin uslijed bakterijskog metabolizma gdje nastaju kiseli nusprodukti. Napretkom
tehnologije i razvojem znanosti omogućilo se bolje razumijevanje etiologije te se promijenio i
način terapije karijesa.
Dijagnosticiranje karijesa provodi se klasičnim i suvremenim metodama koje omogućuju
dijagnozu lezije u njezinoj ranoj fazi, kada postoji inicijalna lezija bez formiranja kaviteta.
U neinvazivne metode ubrajamo preventivne postupke kao što su kontrola plaka, primjena
klorheksidina, pečaćenje fisura, korištenje oralnih antiseptika i umjetnih zaslađivača. U
remineralizacijske postupke liječenja početne karijesne lezije ubrajamo primjenu fluorida,
amorfnih kalcijevih fosfata (ACP), kazein fosfopeptid- amorfno kalcijevih fosfata (CPP
ACP), kalcijev-natrijevog fosfosilikatnog – bioaktivnog stakla, ozona i lasera. Ovim
metodama ubrzava se i poboljšava remineralizacija te se samim time zaustavlja ili zacijeljuje
lezija.
U slučaju da je došlo do kavitacije, lezija se mora kirurški tretirati i tada koristimo principe
minimalno invazivne stomatologije. Štedi se zdravo tkivo, a uklanja samo bolesno, dok se
defekt zatvara adhezivnim materijalima koji se vežu za tvrda zubna tkiva.

Abstract (english)

The goal of the treatment in childhood is to slow the deterioration of a tooth structure,
maintain the existing teeth in the jaw as long as possible, and to allow normal growth and the
development of both jaws. Dental caries is an infectious disease caused by bacteria. There is a
demineralization of crystals that make up the enamel and dentin due to bacterial metabolism
which produce acid by-products. The advancement of technology and the development of
science has led to a better understanding of the etiology, and has also changed the way of
treatment of dental caries.
To diagnose caries we use both traditional and modern methods, which allow the diagnosis of
lesion in its early stage, when there is an initial lesion without formed cavities.
The non-invasive methods include preventive procedures such as plaque control, the use of
chlorhexidine, fissure sealing, oral antiseptics and artificial sweeteners. The remineralizing
treatment of the initial caries lesions include the application of fluoride, amorphous calcium
phosphate (ACP), casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), calcium
sodium phosphosilicate bioactive glass, ozone and laser treatment. This method accelerates
and enhances remineralization and thus stops or heals lesions.
In the event that there is a cavity, lesions must be surgically treated by using the principles of
minimally invasive dentistry. This way the healthy tissue is preserved and the diseased tissue
is eliminated, while the defect is closed by adhesive materials bound to hard dental tissue.

• Keywords: zubni karijes; dijete
• Keywords (english): dental caries; child
• Language: croatian
• URN:NBN: urn:nbn:hr:127:132598
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2016-11-14 11:12:30