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HYGIENIC ASPECTS OF ENDO- AND EXOGENIC METHODS OF PREVENTION OF CARIES AND THEIR EFFICIENCY IN THE REMINERALIZATION OF TEETH ENAMEL


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Abstract

According to the dental survey, the prevalence of caries in 33-45 years aged adults amounts to 98%. Studies of the effectiveness of prevention of tooth decay have shown the effectiveness of this direction. But the exogenous methods do not guarantee the restoration of the balance between the processes of demineralization and remineralization of the enamel. Demineralizing factors will prevail if the concentration of essential minerals in the mixed saliva is reduced. Therefore, it is necessary to develop endogenous techniques that will promote the process of remineralization of enamel and normalization of the ion-molecular balance. The aim of the study was to compare endogenous or exogenous methods in order to saturate mixed saliva with mineral complexes in preventing the development of primary demineralization of hard tooth tissue. Material and methods. The chemical composition of the mixed saliva sediment in 27 patients was analyzed by IR spectroscopy. To record the measurement of IR spectra, a Vertex-70 spectrometer (Bruker, Germany) and a PLATINUMATR full internal reflectance attachment with a diamond prism were used, as well as a clinical determination of the enamel remineralization rate (COSRE test) was performed. Results and Discussion. The relationship between the use of endogenous and exogenous methods of saturation of mixed saliva with mineral complexes and changes occurring in its molecular composition has been revealed, in favor of the effectiveness of endogenous methods.


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