Medizinische Universität Graz - Research portal
Selected Publication:
Wübbolt, U .
Zahnschonende Versorgung kariös vorgeschädigter, verfärbter Labialflächen mittels einer neuartigen Versiegelung.
[ Diplomarbeit/Master Thesis ] Graz Medical University; 2009. pp.47.
[OPEN ACCESS]
FullText
- Authors Med Uni Graz:
- Advisor:
- Glockner Karl
- Altmetrics:
- Abstract:
- State of the art treatments of carious lesions are first non invasive primary and secondary prevention, like fluoridation, nutritional consulting and oral hygiene and on the other side filling therapy. However, administering filling therapy especially for carious labial teeth causes great loss of tooth surface. For this reason an alternative, teeth preserving therapy, which is available in the marketplace for a short time, is studied in this thesis. This new therapy achieves a teeth preserving treatment and sealing by infiltration of the carious tooth surface. The infiltration therapy closes the gap between preventive and invasive treatments. The advantage of this new treatment is a reduction of dark discolorations in the areas of lesions. This can be explained by etching the lesion using a gel of hydrochloride acid (15%) for two minutes instead of using phosphoric acid as usual. The significantly deeper penetration of the infiltrate is described by an increase of the coefficient of penetration. Consequently, the coefficient of penetration is a reliable indicator for the penetrating and caries inhibiting character of the monomer alloy. The infiltrate IconC by DMC was used in this study, because it features the required coefficient of penetration of more than 50 cm/s. The carious labial teeth of 12 patients were treated with this new infiltration method. Immediately after the treatment its success was documented by an intact, aesthetical surface of the enamel. Additionally, this new sealing technique leads to prevention or at least a strong reduction of the progression of caries. This allows a considerable delay of a filling therapy and consequently increases the lifetime of the tooth. Therefore, the new infiltration treatment complements the therapies in the field of conservative dentristy. From the point of view of the current dental research the studied infiltration therapy has the best chances to treat labial discolorations of teeth most efficiently.