THERAPEUTIC METHODS FOR TREATMENT OF DENTAL DISCOLORITIS

M. T.V., Titova O.Yu., Burov A.I., L. N-M, Linnik L.N., Dajronas S.K., Dajronas E.G.
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Abstract

The problem of discoloration of teeth, especially accompanied by increased sensitivity, does not lose its relevance in modern dentistry. Despite the presence in the arsenal of dentists of a significant number of means and methods for solving this problem, it does not go away, but, on the contrary, is overgrown with new complaints. In this work, we analyzed the frequency to analyze the frequency of choice of therapeutic methods for treating discoloration of teeth by patients of dental clinics. A questionnaire was developed for a dentist on the patient's choice of a therapeutic method for eliminating dental discoloration and a survey of 30 dentists (10 - therapists, 10 - orthopedists and 10 - general dentists) was conducted for 2019 and 6 months of 2020. It was found that during this period, 184 out of 331 patients who applied to dental clinics with this problem used therapeutic methods for eliminating tooth discoloration: tooth enamel coating with varnish ("Colordent" + adhesive "Single Bond") was carried out in 16.6% of patients, clinical bleaching of enamel in 32.6% of patients with tooth discoloration, intracoronal bleaching followed by direct restoration (replacement of existing fillings with new ones) in 53.8%. The analysis showed that therapeutic methods for eliminating discoloration of teeth predominate slightly, 55%. Of course, in choosing this direction, the doctor is guided by the clinical situation, IROPZ, taking into account the wishes of the patient and his capabilities. However, it seems necessary to develop and test new, gentle and resistant to mechanical stress methods for eliminating discoloration of economy-class teeth with the possibility of solving the problem of increased tooth sensitivity.
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牙变色炎的治疗方法
牙齿变色的问题,特别是伴随着敏感性的增加,在现代牙科中并没有失去它的相关性。尽管牙医的武库中有大量的手段和方法来解决这个问题,但它并没有消失,相反,新的抱怨却越来越多。在这项工作中,我们通过分析频率来分析牙科诊所患者对治疗牙齿变色的治疗方法的选择频率。在2019年和2020年的6个月里,对30名牙医(10名治疗师、10名骨科医生和10名普通牙医)进行了调查,并为一名牙医编写了一份关于患者选择消除牙齿变色治疗方法的调查问卷。在此期间,就诊于牙科诊所的331例患者中,有184例患者采用了消除牙齿变色的治疗方法:16.6%的患者进行了牙釉质涂漆(“Colordent”+粘合剂“Single Bond”),32.6%的患者进行了牙釉质临床漂白,53.8%的患者进行了牙釉质冠内漂白后直接修复(用新填充物替换现有填充物)。分析表明,消除牙齿变色的治疗方法占比略高,为55%。当然,在选择这个方向时,医生是根据临床情况,IROPZ,考虑到病人的意愿和他的能力来指导的。然而,有必要开发和试验新的、温和的、抗机械应力的方法来消除经济舱牙齿的变色,并有可能解决牙齿敏感性增加的问题。
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