Kokoceva-Ivanovska Olga Ratko, Sarakinova Olivera, Zabokova-Bilbilova Efka, Mijoska Aneta Nikola, Stavreva Natasha
Department for Pediatric and Preventive Dentistry, Faculty of Stomatology, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.
Department for Prosthodontics, Faculty of Stomatology, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.
Open Access Maced J Med Sci. 2018 Feb 1;6(2):378-383. doi: 10.3889/oamjms.2018.070. eCollection 2018 Feb 15.
Circular caries occurs in the earliest age of the children (1 - 1.5 year), immediately after the eruption of the deciduous teeth. During this period, children are too young to be able to properly implement oral hygiene. Consequently, it is at a negligible level, with plenty of soft plaque on the deciduous tooth surfaces.
The main objective of this clinical trial was to determine the correlation between oral hygiene shown with Oral Hygiene index, and the initial stages of circular caries (initial lesion and superficial form), before and after topical fluoride treatment.
For determination of the OHI - index we used the method of Green - Vermillion. It was determined two times in 117 patients, during the first visit and immediately before physiological replacement of deciduous teeth. Patients were two to three years old and diagnosed with initial stages of circular caries. Amino fluoride solution was applied once a week, during six months.
We obtained statistically significant improvement of OHI - index at the end of the test, among treated subjects from both major groups.
It can be concluded that the level of oral hygiene is correlated with the progression of changes in enamel. Topical fluoride treatment has a positive impact on reducing ECC.
环状龋发生于儿童最早的年龄段（1 - 1.5岁），在乳牙萌出后立即出现。在此期间，儿童太小，无法正确实施口腔卫生措施。因此，口腔卫生水平极低，乳牙表面有大量软垢。
本临床试验的主要目的是确定用口腔卫生指数表示的口腔卫生状况与局部用氟治疗前后环状龋初始阶段（初始病变和浅表型）之间的相关性。
为测定OHI指数，我们采用了格林 - 维氏方法。在117例患者的首次就诊时和乳牙生理性替换前立即进行了两次测定。患者年龄为2至3岁，被诊断为环状龋初始阶段。在六个月内每周应用一次氨基氟化溶液。
在试验结束时，两个主要组的治疗对象的OHI指数均有统计学意义的改善。
可以得出结论，口腔卫生水平与釉质变化的进展相关。局部用氟治疗对降低早期儿童龋有积极影响。
