Keep your dental health and oral health

As a result of Root Caries Tooth Restoration

| 14.4.12

Dental practitioner must provide patient care based on need and understand the causes of specific diseases of oral disease, to provide appropriate care. It depends on the expansion of the decay, and lesions close to the pulp and soft tissues, which makes isolation difficult because of the blood, saliva and liquid surfaces.

There are different restorative materials that are available but none of the materials that exhibit the characteristics of the ideal. Clinicians need to adjust any state restoration with the most suitable material for such circumstances, consideration of the location, accessibility, margin, and oral hygiene.

Gold fillings are made of materials directly, had been the material of choice because of its ability to provide excellent marginal adaptation and compliance. However, the use of gold fillings are made directly to harm when access is limited and isolation difficult. Currently, the clinical use of this material is very limited due to the ability of new materials with improved properties.

Dental amalgam has been available 150 years ago, and has become the material of choice for posterior tooth restoration is not too large. Dental amalgam, a substance that is easily manipulated, can be used in difficult areas where isolated or covered with its own margin. 40 However, the nature of the technique is sensitive to dental amalgam.

Moreover, this material is less aesthetically pleasing in appearance, brittle, has no therapeutic effect, and can not be attached to the tooth structure. Subsequent shortage of these materials requires cutting the healthy tooth structure around the restoration of carious tissue for adequate retention. The use of high-copper amalgam, alloy spheric shape (sphere) and zinc-free root surface lesions required for condensation and ensuring adequate marginal integrity.

Glass-ionomer cement traditionally have the expected properties of biocompatible, achieving a chemical adhesion to enamel and dentin and fluoride release in the long term. The disadvantage of this material is less aesthetic and the use that is not durable in vivo. Its use has been limited by the development of new materials that show improved properties.

Resin-modified glass ionomer is indicated for patients with high caries risk. This material is biocompatible, attached to the enamel and dentin, indicating that thermal expansion and contraction according to the tooth structure, and have anticariogenic effect of fluoride release characteristic of the same type of glass-ionomer. Glass-ionomer material is a fluoride reservoir and well known to reduce the rate of caries.

These materials can also be charged back to take a fluoride ion from the oral environment. Glass-ionomer materials are sensitive materials and techniques must be protected from moisture contamination for optimal properties. Resin-modified glass ionomer exhibit clinically acceptable, and has a good aesthetic, and less brittle than traditional glass ionomer. To achieve a better aesthetic in vivo, using the sandwich technique is indicated, where the glass-ionomer liner layer on the prepared cavity then covered with a layer of a hybrid resin composite.

Composite resin is a material with excellent aesthetic, and attached to the enamel and dentin, but did not have anticariogenic effect when traditional products do not contain significant amount of fluoride that can be released. Hybrid composites showed improved strength and aesthetic improvement than compared to traditional composite resins. Composites can dipolish mikrofilled high to provide the same sparkle with enamel, and this material gives good results in areas with low pressure.

Furthermore, this material is recommended for the restoration of root surface, especially with lesions abfraction, because it has a lower elastic modulus than hybrid composites. It is important to consider, when the teeth during mastication and bending of a flexible material would be a better choice for the restoration of root surface.

Composite resin material that is sensitive to the technique and requires good insulation for the clinical success of restorations. Polymerization shrinkage associated with curing resin composites is another thing, as this can result in discoloration around the edges and mikroleakage resin that trigger tooth sensitivity and secondary caries. The use of new bonding systems that can cover the dentinal tubules can minimize this effect. Placement of the bevel on the enamel margin is expected to provide aesthetic and better retention.

Composite resins containing fluoride releasing only small amounts of fluoride and have little ability to be recharged from the oral environment. Therefore, the material initidak recommended for patients with high caries risk, but can be used as an aesthetic question.

Kompomer a polyacid-modified resin composites and further demonstrate the properties of glass-ionomer and composite resin. This material releases fluoride, but wider than the glass-ionomer, and the material is attached to the enamel and dentin. Kompomer can be used in low pressure areas in which the aesthetic is required.

It should be noted that, with the use of bonding agents, which teretsa dentin surfaces must be dried to avoid the collapse of the collagen network by placing a hydrophilic primer and adhesive components of the bonding material to penetrate into the dentin teretsa and around the collagen to form the hybrid layer, which allows the resin material attached to the tooth. In severe cases which surrounds the root surface caries, the overall closure may be a treatment option.

Conclusions Regarding Dental Caries Root
With more elderly people retain their natural teeth, the need to understand the nature and causes of root surface lesions is very important. The precautions include good oral hygiene, plaque control and fluoride treatment is required before and after dental treatment.

There is no general data available on the prevalence of root caries in the Kingdom of Saudi Arabia, which makes it an important area researched by health workers and clinicians. Root surface caries treatment should be done immediately Seara and adapted to individual cases to classify patients in risk groups in order to achieve maximum results. The use of resin-modified glass ionomer restoration is recommended for this because of the nature kariostatiknya in patients with high caries risk.