Dentist № 4 (43) – 2021, pp. 67-73                                                                                                                                   EXPERIENCE EXCHENGE


Use of glass ionomer cement with advanced fluoride elimination in the concept of non-invasive and minimally invasive dental caries therapy


O.A. Zharkova

MD, PhD, Associate Professor, Vitebsk State Medical University, Vitebsk, Belarus

https://doi.org/10.32993/dentist.2021.4(43).8

ABSTRACT
The aim of the study. To study clinical efficiency of GC Fuji Triage glass ionomer cement with advanced fluoride elimination for non-invasive and minimally invasive treatment of dental caries.
Objects and methods.The effectiveness of the use of glass ionomer cement with advanced fluoride elimination as a sealant for primary and permanent molars was applied for 18 months in 58 children using the technique of non-invasive and invasive sealing. The covering of 167 teeth was made for 72 (43%) primary molars, 95(57%) permanent molars. Evaluation of clinical efficiency of GC Fuji Triage dental caries treatment was applied in 156 teeth (97 temporary and 59 permanent teeth). The quality of treatment was assessed after 6, 12 and 18 months.
Results and discussion. Complete preservation of the sealant without marginal defect in non-invasive sealing after 12 months was noted in 86.3 ± 2.3% of cases, after 18 months in 82.1 ± 3.1% of cases. Invasive sealing assessment demonstrates complete integrity of sealant after 12 months in 95.2 ± 2.3% of cases, after 18 months in 94.1 ± 2.2%. The results of the study in effectiveness of dental caries treatment using glass ionomer cement with advanced fluoride elimination revealed that after 18 months the percentage of preservation of class I and V restorations was 94.3%, in class II – 81.1%. In class I and V restorations caries recurrence was 3.68 ± 3.7% of cases, in class II restorations – 8.32 ± 8.4%. Signs of pulp pathology were registered in class I and V restorations in 2.76 ± 2.4% of cases, in class II restoration – in 5.12 + 4.6%. The overall clinical efficiency of dental caries treatment was 88.96%.
Conclusion. The use of glass ionomer cement with advanced fluoride elimination provides a high efficiency of occlusal surfaces protection in procedure of molar fissures sealing. It is clinically justified in order to increase dental caries treatment effeciency in primary and permanent teeth, which reduces the need of invasive dental intervention.

Keywords: minimally invasive therapy, caries, glass ionomer cement with advanced fluoride elimination

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Correspondence to:  Е-mail: jar.olga@tut.by