Suvremene metode prevencije sekundarnog karijesa

master's thesis

• Title (english): MODERN SECONDARY CARIES PREVENTION METHODS
• Author: Elvira Imrović
• Mentor: Jurica Matijević (mentor)
• Committee member: Jurica Matijević (predsjednik povjerenstva)
• Committee member: Nada Galić (član povjerenstva)
• Committee member: Marko Granić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Endodontics and Restorative Dentistry); Zagreb
• Defense date and country: 2019-09-27, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Endodonics and Restorative Dentistry

Abstract

Sekundarni karijes najčešći je uzrok zamjene ispuna. Riječ je o karijesnoj leziji koja se javlja na rubu postojeće restauracije, a sastoji se od „vanjske lezije“, odnosno novoga primarnog karijesnog procesa, i „zidne lezije“, procesa koji nastaje između ispuna i stijenke kaviteta. U radu se prikazuju nastanak, značajke i prevencija sekundarnog karijesa. Na nastanak sekundarnog karijesa utječu isti etiološki čimbenici kao i kod primarnog karijesa (kao što su prehrana, oralna higijena, salivarna aktivnost pacijenta), uz mikropukotinu koja je specifična za sekundarni karijes. Brojnim istraživanjima dokazano je da se učestalost sekundarnog karijesa razlikuje kod pojedinih ispuna ovisno o materijalu od kojega su napravljene, njegovoj klasi ili prisutnosti fluorida, te kod pacijenata ovisno o individualnom riziku od nastanka karijesa.
Restaurativna stomatologija sve više se usmjerava na minimalno invazivan pristup liječenju s glavnim ciljem očuvanja pacijentove prirodne zubne strukture. Liječenje sekundarnog karijesa zahtijeva uklanjanje ispuna i dijela zuba zahvaćenog karijesnim procesom, što uzrokuje slabljenje zuba i može imati ozbiljne posljedice. Sve više pozornosti posvećuje se njegovoj prevenciji, na koju osim stomatologa utječe i pacijent održavanjem dobre oralne higijene i upotrebom antiseptika.
Brojni su načini kojima se može prevenirati sekundarni karijes, kao što su dezinfekcija kaviteta različitim sredstvima te restauracija zuba ispunom koja sadržava fluoride ili antimikrobno sredstvo. U ovom radu predstavljene su osnovne informacije o metodama prevencije sekundarnog karijesa i njihovoj učinkovitosti koje su potkrijepljene istraživanjima.

Abstract (english)

Secondary caries is the lead cause of filling replacement. It is a caries lesion that appears near the edge of existing restoration and includes “outer lesion”, a newly formed primary caries and “wall lesion”, a process that appears between the filling and the cavity wall. This paper shows the process of formation, characteristics, and prevention of secondary caries. The formation of secondary caries is influenced by the same etiological factors as in primary caries formation (such as nutrition, oral hygiene, patient’s salivary activity), with a microfracture that is characteristic of secondary caries. Many researchers have has shown that the material, the class and fluoride occurrence in fillings as well individual’s risk of caries formation all have an influence on the frequency of secondary caries.
Restorative dentistry is focusing more and more on less invasive approaches to treating secondary caries where the main goal is preserving the patient's natural dental structure. Secondary caries treatment demands the removal of the filling and removal of the parts of the tooth affected by the caries which results in weakened tooth structure and can have serious consequences. The focus has been shifted more and more to secondary caries prevention, with both the dentists and the patients being an important part of this process which includes maintaining good oral hygiene and using antiseptics.
There are many different methods of secondary caries prevention such as cavity disinfection or tooth restoration using the filling with fluorides or antimicrobial agent. This paper presents general information on secondary caries prevention methods and their effectiveness supported by research.

• Keywords: sekundarni karijes; metode prevencije sekundarnog karijesa
• Keywords (english): secondary caries; secondary caries prevention methods
• Language: croatian
• URN:NBN: urn:nbn:hr:127:735096
• 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: 2020-01-30 09:17:58