EVALUATION OF RESIN INFILTRATION TECHNIQUE AS A TREATMENT OPTION OF INITIAL CARIES LESIONS

Öz

Tooth decay is one of the major diseases affecting the oral cavity. In modern communities by rising expectance of cosmetic and esthetic, the patients prefer cheaper treatment options without any anesthetics or drilling. The preservation of natural tooth issues through non-invasive approaches drives the mainstream concepts in minimum intervention dentistry (MID). The white spot lesions are the active incipient enamel carious lesion and characterized by mineral loss in the bulk of the enamel, whilst the surface of the lesion remains relatively intact. The main reasons for their occurrence are unsuitable oral care routines at home, high sugar concentrated or acidic foods and orthodontic braces appliance. The treatment options of white spot lesions are known as microabrasion, fluorid and casein phosphopeptideamorpheus calcium phosphate applications and restorative treatments. White spot lesions could lead to cavitation but in case of early diagnosis, these lesions may regress as a result of the remineralization so that they are not suggested to be restorated. The aim of this review was to explain how initial caries lesions occur, treatment options and introducing a recently developed technique to arrest incipient caries lesions in a micro-invasive concept called resin infiltration

Anahtar Kelimeler

• Infiltrative,Initial caries lesions,resin infiltration,white spots

BAŞLANGIÇ LEZYONLARININ TEDAVISINDE REZIN INFILTRASYON TEKNIĞININ ETKINLIĞININ DEĞERLENDIRILMESI

Öz

Diş çürüğü ağız boşluğunu etkileyen en önemli hastalıklardan birisidir. Modern toplumlarda estetik ve kozmetik beklentilerin artması hastaları anestezi veya aşındırma gerektirmeyen daha ucuz tedavilere yönlen- dirmiştir. Doğal diş dokularının girişimsel olmayan yaklaşımlarla muhafaza edilmesi, en az müdahale diş hekimliğinin (Minimum intervention dentistry-MID) temel konseptini oluşturmaktadır. Aktif başlangıç mine çürük lezyonları olan beyaz nokta lezyonları, lezyon yüzeyi göreceli bütünlüğünü korumaya devam eder- ken, mine gövdesinde mineral kaybı ile karakterize- dirler. Oluşumlarının temel nedenleri arasında uygun olmayan ev ağız bakım alışkanlıkları, yüksek şeker içe- rikli veya asidik gıdaların sık tüketilmesi ve ortodontik braket uygulamaları yer almaktadır. Beyaz nokta lez- yonlarının tedavi seçenekleri; mikroabrazyon, fluorid ve kazein fosfopeptid-amorföz kalsiyum fosfat uygula- maları ve restoratif tedaviler olarak bilinmektedir. Beyaz nokta lezyonları kavitasyona öncülük edebilmek- tedirler. Ancak erken dönemde teşhis edilebildiklerinde remineralizasyon döngüsünün sonucu olarak gerileyebildikleri belirtilmekte bu nedenle restore edilmemeleri tavsiye edilmektedir. Bu derlemenin amacı başlangıç çürük lezyonlarının gelişimini, tedavi seçeneklerini açıklamak ve bu lezyonları durdurmak adına yeni geliştirilmiş minimal girişimsel bir konsept olan rezin infiltrasyon tekniğini tanıtmaktır. 

Anahtar Kelimeler

• Başlangıç çürük lezyonları,Beyaz lezyonlar,İnfiltratif,Rezin infiltrasyon

Kaynakça

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