Publication: Çürük Yönetiminde Güncel Remineralizasyon Ajanları
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Diş çürüğü; bilimsel gelişmeler, ağız hijyen alışkanlıklarındakiiyileşme ve yeni koruyucu ajanların artışına rağmen birçok ülkedeönemli bir halk sağlığı sorunu olmaya devam etmektedir. Son 30 yılda,diş çürüğü ve çürüğün ilerleyişi hakkındaki bilgiler kayda değer biçimde artmıştır. Diş sert dokularında meydana gelen demineralizasyonve remineralizasyon, ağız içinde belirli bir denge hâlindedir ve bu dengenin demineralizasyon yönünde bozulması, çürük oluşumunu başlatmaktadır. Demineralizasyon ve remineralizasyon süreçlerinden oluşandöngü, çürüğün prognozunu belirlemektedir. Demineralizasyon, minenin kristal yapıdaki yüzeyinden başlarken, remineralizasyon ise bu kavitasyon gözlenmeyen lezyonların doğal olarak onarılması olaraktanımlanabilir. Son 20 yılda yapılan çürük araştırmaları, çürük lezyonların remineralizasyonu üzerine odaklanmıştır. Minimal girişimsel dişhekimliği, tam olarak bu noktada, özellikle çürük lezyonu oluşmadan,diş sert dokularını korumaya ve mevcut demineralize/hipomineralizealanları remineralize etmeye yönelir. Remineralizasyon, temelde tükürük içerisindeki iyonlar aracılığıyla gerçekleşirken, çeşitli yöntem veuygulamalarla remineralizasyon artırılabilmektedir. Klinik olarak, farklıiyon teknolojileri, çeşitli biyoaktif ajanlar, şeker alkolleri, kalsiyum vefosfat kaynaklı ajanlar ve bitkisel ürünler, remineralizasyonu sağlamadakullanılabilmektedir. Bu derlemede, minimal girişimsel diş hekimliğikapsamında kullanılan güncel demineralizasyon engelleyici ve remineralizasyon sağlayıcı ajanlarla bu ürünlerle ilgili yapılan araştırmaların sunulması amaçlanmıştır. Başlangıç çürük lezyonlarıylademineralize/hipomineralize alanların remineralizasyonu için yeni ürünve yöntemlerin gelişimi, diş hekimliğine yeni tedavi seçenekleri ve faydalar sunmaktadır.
Despite advances in scientific knowledge, improved hygiene regimens and the increasing of new commercial preventative_x000D_ agents, dental caries continues to be a major public health problem in_x000D_ most countries. Over the last 30 years, there has been considerable_x000D_ increase in knowledge and understanding of the progress of caries_x000D_ through tooth structure. Demineralization and remineralization in the_x000D_ oral cavity is in equilibrium and deterioration of balance in favor of_x000D_ demineralization commences the development of caries. The caries_x000D_ process is resulting from many cycles of demineralization and remineralization. Demineralization begins at the crystal surface of the_x000D_ enamel and remineralization is the natural repair process for non-cavitated lesions. In the past two decades, caries research has been focused on the methodology for remineralization of carious lesions. At_x000D_ this point, minimal intervention dentistry tends to preserve dental hard_x000D_ tissues especially without the formation of caries lesions and remineralize existing demineralized/hypomineralized areas. Remineralization is naturally achieved by salivary ions, and it can be enhanced_x000D_ by various methods and applications. There are several caries preventive agents and remineralization agents used in dental clinic, such_x000D_ as ionic technologies, various bioactive agents, sugar alcohols, calcium-phosphate based materials and herbal agents. In this review, it_x000D_ is aimed to present the current demineralization preventive agents and_x000D_ remineralization agents used in minimal intervention dentistry and_x000D_ the researches about these products. The continued development of_x000D_ new agents and methods for remineralization of white spots lesions_x000D_ and demineralized/hypomineralized lesions offers new therapeutic_x000D_ options and benefits to the dental profession.
Despite advances in scientific knowledge, improved hygiene regimens and the increasing of new commercial preventative_x000D_ agents, dental caries continues to be a major public health problem in_x000D_ most countries. Over the last 30 years, there has been considerable_x000D_ increase in knowledge and understanding of the progress of caries_x000D_ through tooth structure. Demineralization and remineralization in the_x000D_ oral cavity is in equilibrium and deterioration of balance in favor of_x000D_ demineralization commences the development of caries. The caries_x000D_ process is resulting from many cycles of demineralization and remineralization. Demineralization begins at the crystal surface of the_x000D_ enamel and remineralization is the natural repair process for non-cavitated lesions. In the past two decades, caries research has been focused on the methodology for remineralization of carious lesions. At_x000D_ this point, minimal intervention dentistry tends to preserve dental hard_x000D_ tissues especially without the formation of caries lesions and remineralize existing demineralized/hypomineralized areas. Remineralization is naturally achieved by salivary ions, and it can be enhanced_x000D_ by various methods and applications. There are several caries preventive agents and remineralization agents used in dental clinic, such_x000D_ as ionic technologies, various bioactive agents, sugar alcohols, calcium-phosphate based materials and herbal agents. In this review, it_x000D_ is aimed to present the current demineralization preventive agents and_x000D_ remineralization agents used in minimal intervention dentistry and_x000D_ the researches about these products. The continued development of_x000D_ new agents and methods for remineralization of white spots lesions_x000D_ and demineralized/hypomineralized lesions offers new therapeutic_x000D_ options and benefits to the dental profession.