[Ozone therapy efficiency and gerovital H3 as an additional way to the complex treatment of periodontal disease]. / Eficienta terapiei cu ozon si de stimulare cu gerovital H3 CA mijloc adjuvant al tratamentului complex in boala parodontala.

UNLABELLED: The authors present the methodology of the ozone use and a method of chemical stimulation with Gerovital H3, applied within a complex therapy of the periodontal disease. Its efficiency is argued by the clinical images taken from the oral cavity and radiographic images of the patients with periodontal disease in various evolution stages. RESULTS: The images reveal the possibility of stopping the progressive disease and the improvement of the clinical aspect of the marginal periodontium. The X-ray images reveal the possibility of re-mineralization of the alveolar bone and healing processes in certain areas, at different periods of time. CONCLUSIONS: Favorable results are associated firstly with compliant patients that benefit of treatment planning elaborated after a correct evaluation of the clinical situation. The results prove the strong oxidant and antibacterial effects of ozone as well as the regenerative and biotrophic action of Gerovital H3 in periodontal tissues for patients with early and advanced periodontal disease.

[Use of biopolymer membrane diplen-F in treatment of initial enamel carious lesion on smooth surfaces]. / Utilizarea membranelor biopolimerice diplen-F în tratamentul leziunilor incipiente de smalt de pe suprafetele netede.

The aim of the study was to evaluate the possibility of using a fluoride product included in a biodegradable membrane in remineralization of initial enamel carious lesions. The membrane has anti-bacterial, anti-inflammatory and remineralization properties, with a long-term effect. The efficiency of this treatment was assessed by measuring the surface of the demineralization area and its depth. The results proved that the use of this membrane in association with remineralization therapy of the initial enamel carious lesions increase the chances of success and represents a simple solution easily accepted by the patients.

The patients with cariogenic high-risk after the cervico-facial radiotherapy and their management.

Studying through clinical and laboratory means the bucco-dental status of the 28 patients who followed radiotherapeutical cures in the cervico-facial territory, the authors establish the apparition, at different periods of time, of the rampant caries. The rampant caries have been found in 46.42 percent of the cases, especially in patients exposed to prolonged or repeated cures of cervico-facial radiotherapy (88.88 percent) and concern the cervical zones, incisal edges and cusps, zones that are usually resistant at caries. The appearance and the severity of these types of caries are correlated with: a) the degree of reduction of the repose and stimulated salivary flow; b) the maintaining time of the low salivary flow that is dependent on the received X-ray dose and the number of cures; c) the association with sweet-drinks intake; d) the manner of effectuation of the bucco-dental hygiene; e) the setting-up or not of the some prevention measures. There are presented some preventive measures that must be set-up in this category of patients and treatment-protocols, that can be applied in the clinical situations of appearance of rampant caries after the irradiant treatment of the head and neck. The authors recommend the compulsory use of the prophylactic treatment and suggest a suitable plan of treatment that includes the reduction of microbial flora, the change of the alimentary diet, and salivary stimulates and substitutes. These measures can avoid the apparition of rampant caries, which will require ample restoration. The conclusions emphasize the fact that exists real possibilities of protection and treatment for these types of caries, depending on the clinical status of patient and the disease prognosis, when exists a tight collaboration between the radiotherapist, patients, and dentist.

Clinical and therapeutical aspects of rampant caries in cervico-facial irradiated patients.

The irradiant cervico-facial therapy produces numerous complications in maxillo-facial territory, among which the most frequent are: xerostomia, osteonecrosis, mucosal degeneration and severe rampant caries. This is the reason why a written report must exist between the dentist and the radiologist, with all data of the radiological treatment, which implies the patient follow-up from a stomatologic point of view before, during and after the application of the irradiate treatment. We studied a group of patients that followed an X-ray treatment, determining the salivary flow, the physical and chemical feature of the saliva and bacterial flora before, during the X-ray treatment with different doses and at the end of the treatment and at certain periods of time. The rampant caries were found in 46% of cases and interested the cervical zones, the incisal edges and the cusps, zones that are usually resisting at caries. The irradiation produced an important decrease of the repose and activated salivary flow (under 0.1 mL/min), of the buffering capacity of saliva. Also, the saliva became more viscous and the total quantity of proteins increased. The microbial flora is modified with the increasing level of Streptococcus mutans and Lactobacillus. In 23% of patients the secretion returned to normal at 3 weeks from the irradiation, at the other it was irreversible, as a result of a radiation-induced damage to the salivary glands (the atrophy through the increasing of radiant dose). The treatment was different, depending on the clinical condition of the patient and the disease prognosis. It is recommended the compulsory use of the prophylactic treatment. The authors suggest their treatment planning that includes the reduction of the microbial flora, the change of alimentary diet and salivary stimulates or substitutes. These prevent the appearing of rampant caries that will require ample restorations.