Ways to increase the effectiveness of remineralizing therapy. There are several types of remineralization

Remineralization of teeth is dental procedure, which is the process of restoring and strengthening tooth enamel using medicines fluorine and calcium. Special solutions for remineralization can be applied using special applicators or an electrophoresis apparatus.

The latter method is preferable, since the use of electric fields increases the degree of absorption active ingredients and provides deeper penetration into the treated tissues, but it is not suitable for everyone due to a fairly large list of contraindications.

Despite the fact that on pharmaceutical market There are a large number of fluoride and calcium preparations for local applications on teeth; it is better to perform the procedure in a dental office, since it requires certain preparation that cannot be done at home.

Why is remineralization therapy needed?

The enamel coating of teeth (tooth enamel) is hard shell the crown part of the tooth, which is almost 96.3% composed of inorganic compounds and substances, including acid oxides (calcium, magnesium, potassium, iron, phosphorus, etc.). In the human body, enamel is the hardest tissue, and its thickness can reach 1.8-2.1 mm. The main functions of tooth enamel are to protect the tooth from deformation, damage, exposure to thermal and chemical factors, as well as the formation of local resistance (resistance) to the influence of external pathogens.

The essence and goals of the procedure

One of the factors responsible for dental caries susceptibility is adequate fluoride intake. Fluorine is a colorless gas with a pungent odor and exhibits strong antioxidant properties, reducing the risk of dissolution and destruction of enamel. To maintain oral health, it is important to maintain optimal acid-base balance(from 6.7 to 7.3), which can be disrupted under the influence of acids and fermentation products of sucrose and carbohydrate foods. Fluorine, which is contained in tooth enamel in the form of fluorapatites, neutralizes the effect harmful acids and helps maintain the usual level of alkaline environment, helping to retain the main components of the tooth (phosphorus and calcium) in its tissues.

The main source of fluoride for humans is tap water. An adequate level of water fluoridation is 0.5 to 1 mg/L. If this element enters the body in insufficient quantities, the risk of developing caries and other dental diseases, including osteosarcoma of the jaw.

Water is a source of fluoride, the lack of which leads to diseases of tooth enamel.

Remineralization of teeth eliminates fluoride deficiency, strengthens enamel, and increases its protective properties and prevent the development of caries.

Note! The procedure can also be used with therapeutic purpose on initial stage caries (chalk stain stage), which can often be diagnosed only by using special tests involving the application of dyes and drying of the teeth, so a dental examination must be performed at least once every 5-6 months.

Indications for use

The main indication for fluoridation of teeth is the initial stages of caries. It is not only the most common dental pathology, but also the most frequently diagnosed disease among the human population of any age.

Caries is characterized by the growth and reproduction in the mouth of cariogenic flora, represented by streptococci, staphylococci and other types of opportunistic bacteria, and damage to hard tooth tissues, followed by necrosis and decay. At the initial stage, caries looks like a chalky spot (macula cariosa stage), and one of the reasons for its occurrence is the active process of leaching calcium and phosphorus from tooth enamel, which is called demineralization.

This type of caries in most cases is asymptomatic: only in in rare cases the patient may complain of hypersensitivity reactions when teeth interact with thermal and chemical irritants. Remineralizing therapy at this stage is the main method of treatment and allows you to stop pathological process before it enters the stage superficial caries. Treatment usually takes no more than 10 days and requires the patient not only to visit the treating dentist in a timely manner, but also to improve oral hygiene at home.

In what other situations can enamel remineralization be carried out?

Other indications for which remineralization therapy may be recommended are:

hypoplasia (thinning) of tooth enamel;
intensive abrasion of hard tooth tissues, characteristic of some chronic diseases(for example, Stanton-Capdepont syndrome);
destruction (destruction) of the hard elements of the tooth of aseptic origin;
increased sensitivity (hyperesthesia) of teeth when in contact with external pathogens, which can act as thermal irritants (cold and hot food, air flow), and chemical agents (acids, spices, etc.);
dental injuries, which may cause damage and deformation of the enamel coating;
loss of mineral mass of tooth enamel after hardware removal of dental calculus, orthodontic treatment.

Tooth remineralization may be indicated for individuals in the group increased risk on the development of mineral deficiency of tooth enamel. These are pregnant women, women who have reached menopause, persons with hormone-dependent pathologies.

In childhood, remineralization of tooth enamel is carried out to strengthen teeth, prevent caries and reduce caries susceptibility during poor hygiene or excessive consumption of carbohydrate foods. If there are indications, such treatment can be carried out starting from the age of two.

Remineralization of teeth in children - completely painless procedure which takes place during one dental visit

Important! Remineralization therapy in mandatory should be performed on patients with carious cavities in the mouth. Special composition applied to the edges of the carious chamber to increase efficiency general therapy and extend the service life of installed fillings.

What is dental remineralization: types and features

Remineralization is often called fluoridation of teeth, but this is not entirely true, since in some cases the process of restoring enamel is carried out without the use of fluoride-containing drugs.

Types of remineralization depending on the fluoride content in preparations

Type of remineralizing therapy	Basic active ingredient	Peculiarities
	Fluorine	This is the most common type of correction of enamel mineral deficiency, which is used in almost 80% of cases when diagnosing tooth demineralization at various stages. The main principle of fluoridation is saturation of the enamel coating with active fluorine. Since fluorine is a highly toxic compound and can be hazardous to health in high concentrations, it is not recommended to use fluoride-containing pastes and solutions at home due to the impossibility of accurately selecting and calculating a safe dosage.
	Calcium and phosphorus (phosphates)	Medicines that do not contain fluoride compounds, are considered relatively safe and can be used to restore enamel at home (due to their safety in case of accidental ingestion or violation of the recommended dosage regimen). Such products include not only various varnishes, powders and gels, but also special pastes that are suitable for everyday hygiene care for weakened and highly sensitive teeth.

Note! If the demineralization process is weak, the doctor may recommend natural remineralization of teeth through dietary correction. It should immediately be noted that as an independent measure, natural remineralization is ineffective and can have at least a minimally significant effect. therapeutic effect in combination with adequate oral hygiene and other measures to restore the enamel coating.

How is the procedure done?

The procedure for saturating tooth enamel with fluoride and calcium compounds takes place in four stages.

Hygienic preparation of the oral cavity. Before fluoridation, the patient must be sent to a dental hygienist who will perform professional oral hygiene. Dense dental deposits, bacterial plaque, food debris, and tartar are removed from the surface of the teeth using ultrasound or laser. This is necessary to ensure better penetration of the medicinal composition into deep tissue teeth and their rapid restoration.

Salivary fluid can interfere with the absorption of fluoride and calcium, so before the procedure, the surface to be treated is thoroughly dried and isolated from saliva with cotton balls or turundas. Soft fabrics The oral cavity should also not come into contact with the surface on which the remineralizing composition will be applied.

The doctor applies preparations containing calcium ions to the teeth. free form. To do this, you can use a special applicator (the duration of applications is up to 10-15 minutes) or an electrophoresis device (the current increases the degree and speed of penetration of the active substances into the tooth tissue).

The medications are applied to each tooth in successive movements, after which it is necessary to wait until the surface being treated is completely dry.

If solutions that do not contain fluorine are used for remineralization, the procedure is carried out in three stages and ends with the application of calcium and phosphorus preparations.

Video - What is remineralization of tooth enamel

Drug remineralization regimen

The table below shows drug regimen remineralization of teeth, which is classic for most indications.

Preparations for remineralization for caries and other dental diseases

Stage Actions and drugs
First stage (hygienic) Any deposits, stones and plaque are removed from the surface of the tooth. For this purpose, laser therapy and ultrasound devices are used. The procedure is painless, but quite unpleasant, especially for patients with increased sensitivity of tooth enamel.
Second stage (acid treatment) After hygiene measures chalk stains are treated with a cotton swab, generously moistened with a solution of citric acid with a concentration of no more than 40%. The duration of the acid application is no more than 1 minute. This stage is carried out only in cases where remineralization of teeth is indicated for the treatment of caries. If the patient has no signs of caries, you can immediately proceed to the next stage - drying the teeth.
Third stage (drying teeth) Cotton balls are used to dry teeth. The use of ethers and alcohol solutions is acceptable.
Fourth stage (application of remineralizing drugs) A solution of calcium salt of gluconic acid 10% and a solution of sodium fluoride 2-4% are applied to the teeth. Treatment can be carried out by application and using electric currents. Using last option fresh solution must be added every 4-5 minutes.

The course of treatment for enamel mineral deficiency is usually about 10 days.

Note! One treatment method is the use of a gel tray. This is a special device that is filled with fluoridating gel (for example, Biorepair gel for enamel restoration and hypersensitivity treatment). The effect after using such trays is noticeable already on the second or third day, and one of the main advantages can be considered the possibility of using it at home.

Gels for restoring enamel at home

Before purchasing any means for restoring enamel, you should consult with your doctor, since such therapy may be contraindicated in certain pathologies, for example, enamel hyperplasia. Below is an overview of popular and safe means for restoring the mineral balance of teeth, which can be used independently in case of increased sensitivity, as well as for the prevention of caries.

Keystone Revive

This is a drug for home treatment mineral deficiency of teeth, which comes in the form dental gel. The product contains optimal concentrations active ingredients, approved for use in childhood, as well as in pregnant and lactating women.

It contains the following ingredients:

calcium chloride – 0.2%;

sodium fluoride – 0.005%;

potassium chloride – 0.005%.

Regular use of the gel helps reduce the risk of dental caries by almost 60% (subject to adequate oral hygiene) and strengthen the enamel coating of teeth by 7-10 times. Keystone Revive gel is recommended for patients suffering from endocrinological pathologies and metabolic disorders, as well as for persons undergoing orthodontic treatment or professional oral hygiene (including teeth whitening procedures).

The product should be used once a day after morning or evening brushing. It must be used as toothpaste: Squeeze a small amount onto the brush and brush your teeth for 1.5-2 minutes. After this, you should wait another 1 minute and rinse your mouth thoroughly.

GC Tooth Mousse

This drug for remineralizing therapy at home is considered one of the most effective and safest products in this line. It has a pleasant strawberry flavor, contains bioavailable forms of calcium and phosphorus and strengthens enamel in just a few weeks of daily use.

This gel is recommended for use in adults and children as prophylactic with increased dry mouth, initial stages of caries, impaired acidity of the oral cavity, as well as after fluoridation, whitening and mechanical teeth cleaning.

The product is used for applications that must be carried out according to a specific pattern:

Apply a small amount of gel to the teeth (dosage for 1 row of teeth – a 1 cm strip of gel);

Using a clean and dry finger or a cotton swab, distribute the product evenly over all teeth and leave for 4 minutes;

spit out the remaining gel and try not to swallow saliva for another 2-3 minutes.

For getting positive result Eating, drinking, chewing gum and smoking are not allowed for 30-40 minutes after the procedure.

Note! Side effects when using the GC Tooth Mousse gel has not yet been registered, but the product should not be used by persons with poor tolerance milk protein.

What products are there to demineralize enamel?

You can strengthen the enamel not only with medicines, but also thanks to the use certain products. For increased tooth sensitivity, high risk caries and enamel damage, it is useful to include the following products in the diet:

All types are also useful leafy greens, nuts and vegetable juices with pulp.

Video - How to restore enamel?

Enamel remineralization is a dental procedure that can be used for therapeutic or prophylactic purposes and for patients of any age, including children and pregnant women. It is best to have it performed by specialists in a dental clinic, since using fluoride preparations on your own is not recommended due to the high toxicity of the main component. At home, it is permissible to use restorative pastes, gels and powders that do not contain fluorine compounds.

Patients often turn to the dentist with the problem of increased sensitivity of tooth enamel. Teeth react with dull or sharp pain to cold or hot foods, sweet and sour foods and other factors. Hypersensitivity can be eliminated quickly and safely.

Dental remotherapy is a preventive procedure that falls within the professional field of oral hygiene. Its main goal is the remineralization of hard dental tissues. This treatment method allows you to correct some tooth enamel defects - those that arise due to demineralization. As a result of the procedure

the enamel is strengthened,
the deficiency of mineral components is replenished,
tooth sensitivity decreases,
prevents the development of caries,
the healthy appearance of the tooth is maintained.

Drugs used to remineralize teeth include fluorides, phosphates and calcium. These can be solutions of calcium gluconate, calcium glycerophosphate or gels containing calcium phosphate.

Remotherapy: how does it happen?

First of all, the doctor eliminates inflammation and areas with caries. To do this, the oral cavity is sanitized, and dental plaque and tartar are removed (this is necessary for better penetration of the remineralizing drug). Must be held hygienic cleaning teeth and ultrasonic scaling.

During application remotherapy on a previously prepared tooth surface Apply a concentrated composition for remineralization. According to indications, at the end of the procedure, the teeth can be coated with fluoride varnish. You can repeat this remotherapy after six months.
Remotherapy using a mouth guard is based on the use of a sealed mouth guard, which is created individually based on impressions of the patient’s jaws. In the future, he himself fills it with a selected composition for remineralization, and also puts it on and takes it off. The duration of the course is determined by the attending physician.

Preparations for remineralization of teeth

Used for remotherapy special drugs, remineralizing teeth: from remineralizing toothpaste and special protective varnish to fluoride discs, rocks gel and remodent.

Remodent is a special powder containing mineral compounds used for remotherapy. You can purchase it in specialized pharmacies at a very affordable price.

Rox gel is based on large quantities minerals(micro- and macroelements): magnesium, calcium, phosphorus. This composition preserves the strength of the tooth. Today it is especially widely used in dentistry due to the safety of the gel composition even for children (it does not contain fluoride). Rox gel has an effect on teeth and oral cavity bactericidal effect and is used in practice in the form of applications on the tooth area (both at home and in dental office). The gel has a dense, non-flowing consistency - therefore it fits perfectly on the tooth enamel and creates a kind of film, and that’s all useful components effectively penetrate tooth enamel, strengthen it and heal it.

Other drugs for remotherapy involve rinsing or local application, as well as solutions for applications or electrophoresis directly on the tooth.

Dental remotherapy: indications for the procedure

The procedure is prescribed to patients if

teeth whitening planned
enamel is damaged (including its erosion),
hygienic teeth cleaning was carried out,
teeth are polished, ground and prepared for veneers or crowns,
woman is pregnant,
there is increased sensitivity of the enamel (hyperesthesia),
the patient was diagnosed pathological abrasion teeth or thinning enamel,
a wedge-shaped defect is visible,
A diagnosis of caries in the spot stage was made.

The effectiveness of remotherapy

Patients dental clinic“SAIDA” knows that remotherapy is absolutely painless. Anesthesia is not required for its use. The procedure is safe - therefore, it is often performed during pregnancy or prescribed to children to strengthen the enamel of baby teeth and provide excellent caries prevention.

All patients notice the effect after remotherapy: tooth sensitivity decreases, enamel structure improves (it becomes denser, stronger and more resistant to negative impact acids and other aggressive substances).

In combination with fissure sealing, fluoridation and ozone therapy, remotherapy becomes a procedure that reduces to zero the risk of developing a common carious process.

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ID: 2018-02-5-A-15000

Original article (loose structure)

FSBEI HE "Saratov State Medical University named after. IN AND. Razumovsky" Ministry of Health of Russia Department of Dentistry childhood and orthodontics

Summary

The article discusses drugs for remineralizing therapy and provides their comparative characteristics.

Keywords

Dental caries, remineralizing therapy.

Article

Relevance. According to foreign and domestic authors, the prevalence of caries today reaches about 99%. Caries is a pathological process that develops after a tooth has erupted and is accompanied by a decrease in the content of minerals. components hard tissues of the tooth and the formation of a defect in the form of a cavity. Caries in phase white spot is the initial stage of the carious process. Only this stage is the only reversible one. The main task of caries treatment at this stage is to protect the enamel from increasing demineralization and restore the best mineral composition. Classic way therapy initial caries is a remineralizing therapy. The pharmacological exchange offers many drugs for remineralization therapy, including calcium-containing drugs in the form of gels. However, their price categories are different.

Target: comparison of two modern drugs for remineralizing therapy.

Tasks: 1. Study the composition of drugs for remineralizing therapy, indications for use.

2. Conduct a comparative assessment of drugs for retherapy.

Materials and methods. In the process of work, the content of dental journals was mastered, an analysis of Russian and foreign articles, as well as various websites and brochures was carried out.

Results and discussion. The most common disease nowadays is dental caries. The carious process is accompanied by demineralization of hard tooth tissues. Demineralization is the loss of minerals from tooth tissue. The enamel contains crystals of hydroxyapatite, carbonate apatite, fluorapatite, etc. The predominant mineral components of apatites are calcium and phosphates. Surface layer enamel differs from the deep layers in its greatest mineralization, resistance to caries, more high content"trace elements". Mineralization, i.e. the development of hard tooth tissues and filling them with mineral components occurs during intrauterine development, when the tooth is in the bud position and lasts after eruption. However, they are predominantly mineralized chewing surfaces tooth, and least of all - the cervical areas, fissures, and pits of the teeth. It has also been established that the permeability of enamel is not identical for various substances. Greater penetrating ability organic matter(organic acids) and to a lesser extent - calcium and fluorine. Due to the fact that the cervical area, fissures and blind pits of the teeth are the least mineralized, the permeability of the enamel in these areas is greater. At the initial stages of caries development, the pathological process is first concentrated in the subsurface layers of the enamel, which provokes changes in its physical and chemical properties, as a result, a white carious spot is formed. Calcium and phosphorus are lost from the defective area, the density of the enamel decreases, and its solubility increases. With the formation of focal demineralization, decalcification is mainly realized, and the Ca/P indicator decreases. This process is reversible. Under suitable conditions and under the influence of remineralizing drugs, calcium ions return to the crystal lattice.

For comparative characteristics, preparations were selected: based on Casein Phosphopeptide - Amorphous Calcium Phosphate (gel No. 1) and based on calcium glycerophosphate (gel No. 2). Gel No. 2 appears to be the basis of readily available combinations of calcium, phosphorus and magnesium, which recreate the crystal lattice of enamel. The structure of this drug includes calcium glycerophosphate, magnesium chloride, xylitol and a complex of polysaccharides. Xylitol included in the gel increases the remineralizing biopotential of the complex, and also weakens the activity of bacteria that provoke the formation of caries. When the gel is applied to the tooth, a film appears, due to which the active elements are consistently infiltrated into the tooth tissue. The gel does not contain fluoride, which makes it harmless when swallowed, suitable for children from infancy, effective in combating caries in areas with increased fluoride content in drinking water. Remineralizing therapy using gel is practiced for various clinical cases: caries prevention; treatment of caries in the initial stage; treatment of non-carious lesions such as hypoplasia and fluorosis; with dental hypersensitivity; during a whitening course; during orthodontic treatment; may be offered to persons undergoing chemotherapy. The only contraindication may be intolerance individual components drug in special cases. Gel No. 1 also contains bioavailable calcium and phosphorus. The composition of the drug contains the active component - Recaldent, which contains the CPP-ACP complex (casein phosphopeptide - amorphous calcium phosphate). The CPP-ACP compound is produced from milk casein. Milk casein is the owner of active substances; it seamlessly combines with enamel, biofilm and plaque, supplying calcium and phosphorus to where they are most needed. Amorphous calcium phosphate complex is a balanced combination that is similar to the lost components of tooth enamel and supplies free calcium and phosphate ions to tooth enamel. Along with this, saliva increases the activity of the CPP-ACP complex, and the sweet taste of the remineralizing agent increases salivation. How longer complex and saliva interact in the oral cavity, so better result. The indications for this gel include: prevention and treatment of initial caries; elimination of enamel hypersensitivity; treatment of teeth with non-carious lesions; retherapy after teeth whitening; during orthodontic treatment; use after professional oral hygiene; to normalize salivation. Contraindicated for persons allergic to milk proteins, because Recaident CPP-ACP complex is formed from cow's milk casein.
The method of using these drugs is almost the same. Remineralizing agents are applied with a cotton swab or mouthguard to the surface of the tooth after professional oral hygiene in the dental office or at home after brushing your teeth. After using gel No. 2, you must refrain from eating and drinking for 30-40 minutes. After applying gel No. 1, you need to leave the drug on the tooth surface for 3 minutes. After using your tongue, you need to spread the cream over the surface of your teeth and try not to spit or swallow saliva for as long as possible. How longer gel and saliva interact, the better the result. After this, you must carefully spit out the saliva and, if possible, do not rinse your mouth with water. It is further recommended not to eat or drink for 30 minutes. It is recommended to use both gels periodically, in courses of 2-4 weeks.
A number of clinical trials. To compare these drugs, the following criteria were chosen:

1. Increasing the acid resistance of enamel after full course remineralizing therapy.
2. Rate of remineralization.

3. The effect of remineralization on tooth color.

Based on the outcome of the study, it was found that the rate of increase in acid resistance of enamel was higher in the Gel No. 1 group. Highest speed remineralization is approximately 1.3 days in the Gel No. 1 group and 1.5 days in the Gel No. 2 group. An analysis of the effect of remineralizing therapy on the color of teeth showed that remineralization with Gel No. 2 leads to the highest lightening of teeth (Fig. 1).

Conclusions: 1. Both drugs are sources of accessible calcium, phosphorus and magnesium compounds, which renew the crystal lattice of the enamel. The leading components of drug No. 2 are calcium glycerophosphate, magnesium chloride, xylitol and a complex of polysaccharides. At the same time, xylitol increases the remineralizing ability of the complex. The composition of drug No. 1 includes Recaldent, which contains the CPP-ACP complex (casein phosphopeptide - amorphous calcium phosphate). The CPP-ACP complex is produced from casein in milk. This complex delivers vacant calcium and phosphorus ions to the tooth enamel. At the same time, saliva increases the dynamics of the CPP-ACP complex. The indications for use of these drugs are almost the same;
2. The increase in acid resistance of enamel and the rate of remineralization are higher with drug No. 1, and remineralization with drug No. 2 leads to the greatest lightening of teeth.

Literature

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One of the most common dental problems- this, however, should not be ignored and not carious lesions teeth.

Quite often there is a disruption in the formation and mineralization of tooth enamel, which is directly related to caries.

The development of pathological destructive processes can be prevented with the help of simple preventive procedures- hard dental tissues or remotherapy.

Causes of demineralization

A tooth is a subtle indicator of age-related processes. The manifestation is mottling of teeth - transverse striations, stains on the enamel surface, uneven color. The changes are especially clearly visible on baby teeth during their maturation (from birth to 3-4 years).

Each of us has an individual level of dental mineralization. For some it is high, for others it is low, and depends on natural features, place of residence, nature of water, features mineral metabolism in tissues. This is the level of enamel saturation with calcium and phosphorus.

The level of resistance or resistance to caries will depend on the structure of the hydroxyapatite crystal and the filling of bone tissue with calcium ions.

Ion exchange processes constantly occur between bone tissue and saliva. Intensive consumption of calcium from tooth enamel contribute to:

eating sour foods;
stress factors;
“dry” saliva;
wearing .

Advantage this method in the absence of contact with saliva, which neutralizes the effect of active medicinal components, therefore healing effect aimed exclusively at teeth.

Before choosing and using remotherapy products, it is advisable to consult a dentist. But, if an adult or an interested parent sees a high carious intensity, damage to molars and front teeth that are not prone to caries and are available for cleaning, then start effective prevention you can do it yourself.

If teeth lose their shine, show increased sensitivity, become more vulnerable to caries and, moreover, begin to crumble, this is indirect sign reduced content minerals in bone tissue. Remineralization, a procedure for saturating tooth enamel with minerals, will help solve this problem.

The procedure lasts 30-40 minutes. Electrophoresis can be used to enhance the saturation of enamel with minerals. The course of remineralizing therapy includes approximately ten sessions.

Indications

painful reaction to cold and hot, sweet and sour foods;
caries in the stain stage, which does not affect the deep layers of hard tooth tissue;
thinning of the enamel (for example, after whitening, removing deposits, correcting the bite);
congenital insufficient mineralization of teeth;
enamel damage due to trauma;
increased consumption of minerals by the body (during pregnancy, menopause, adolescence).

Types of dental remineralization

Natural

The enamel is saturated essential minerals method of nutrition correction. Products useful for this include cottage cheese with a fat content of at least 5%, milk with a fat content of at least 2.5%, hard cheeses, legumes (beans, beans, peas, lentils, chickpeas, etc.), nuts, green vegetables, fluoridated water (the amount of drinking such water should be agreed with your doctor).

Artificial

It involves covering teeth with artificial enamel - varnishes, gels and other products containing active fluorine and calcium.

How is the procedure done?

Remineralization of teeth involves the following stages:

Mechanical teeth cleaning. If there is tartar, all hard deposits and soft plaque are removed by the hygienist (the process is not very pleasant, but painless).
Drying the surface of the teeth.
Restoration of enamel. At this stage, treatment is carried out with preparations containing calcium in ionic form.
Remineralization - applying sodium fluoride to the enamel with a brush or mouth guard.

To restore enamel, a 10% solution of calcium gluconate is used.
For fluoridation - 2 or 4 percent sodium fluoride solution.
The German-made Enamel-Sealing Liquid Tiefenfluorid complex, which includes two components - highly active calcium hydroxide and highly active fluorine, is very effective.

Is the procedure possible at home?

You can do remineralization at home in an additional course. Semi-professional gels with fluoride Elmex, R.O.C.S., Medical Minerals are suitable for this.

Dentists recommend using toothpastes with calcium (President Unique, Splat “Biocalcium”, R.O.C.S. and others) and fluoride (President Classic, Silca Herbal Complete and Natural Extrakte, El-ce med Total Care, Splat “Arktikum”). They need to be alternated.

Rinse aids containing sodium fluoride (fluoride concentration - 250 ppm) are also shown.

Preparations for home use

Insufficient mineralization of teeth in children

Mineralization of enamel in humans occurs in two stages - even during the intramaxillary development of teeth and after teeth have erupted - within 3-5 years. Therefore, it is very important to monitor the child’s nutrition, ensuring sufficient quantity vitamins and minerals. If problems with enamel begin to appear, you need to urgently contact your dentist and undergo fluoridation.

Remineralization result

Prices

The cost of remineralization therapy starts from 100 rubles per tooth. You will find a list of clinics in our city where you can sign up for dental mineralization below.