In: Nursing
compare and contrast the different methods for remineralization of early carious lesions in primary teeth
Ans. Dental caries is one of the most prevalent diseases worldwide. Due to their dynamic nature, the timing is very specific, and controlling caries is contingent on the remineralization of initial carious lesions.
Remineralization refers to the treatment for an active initial carious lesion, by stopping the progression of the lesion to cavitated stages. Researchers are seeking many pathways to minimize dental caries by trying to use a number of remineralization agents.
Fluoride is the most common remineralization agent. More specifically, (gels, varnishes, and other fluoride-releasing materials) are highly effective at not only decreasing demineralization, but also increasing the remineralization of tooth structure when maintaining oral hygiene instructions .
Tricalcium phosphate (TCP) is another RM agent suggested to play a role in increasing the free calcium concentration in saliva and dental plaque.
Calcium sodium phosphosilicate (CSP) is a bioactive glass component, which releases the silica, calcium, phosphate, and sodium necessary to remineralize enamel. Since the surface of the bioactive glass is formed of carbonated apatite, it has a high adherence to the tooth mineral, which naturally increases the RM potential.