Prevention of caries Knowledge of aethiology and pathogenesis od dental caries Primary prevention Set of measures that avoid origin of the disease Primary prevention of dental caries: Proper oral hygiene Proper diet Pit and fissure sealing Secondary prevention Set of measures that lead to early diagnosis of the disease and complete recovery Secondary prevention of dental caries Management of the initial caries lesion Together with good oral hygiene and and diet Tertiary prevention Set of measures that avoid the recurrent diseases Tertiary prevention of dental caries:proper treatment (preparation and filling) Proper oral hygiene • Home • Professional Tooth brush Solo tooth brush aterik Mouth shower Toothpastes Fluorids lroubalikova@gmail.com 12 13 Fluorides - mode of action Reaction with calcium of hard dental tissues – calcium fluoride – a source for remineralization Enamel with fluoride ions is less sensitive to acid attacs lroubalikova@gmail.com 14 Fluorides • Sodium fluoride - for mounts washes, component of gels and toothpastes • Tin fluoride – a component of tiithpastes and gels • Monofluorophpsphate – in toothpaste • Aminfluorides lroubalikova@gmail.com Fluoride gels • 1 g Elmex Gele: aminfluorida mixta 33,19 mg (olaflurum 30,32 mg, dectaflurum 2,87 mg), natrii fluoridum 22,10 mg (odpovídá 12,5 mg fluoridu). 1x týdně lroubalikova@gmail.com 15 lroubalikova@gmail.com 16 Duraphat® Colgate Oral Pharmaceuticals Fluorid sodný 5 % etanol Fluor - Protector® Ivoclar Vivadent Difluorsilan 1 % polyuretan ethylacetát Flor - Opal® Ultradent Fluorid sodný 5 % xylitol Bifluorid 12® VOCO Fluorid sodný 6 % fluorid vápenatý 6 % kolodium etylacetát Fluoridin® VOCO Fluorid sodný 6 % fluorid vápenatý 6 % kolodium etylacetát Fluoridin N 5® VOCO Fluorid sodný 5 % etanol etylcelulóza Multifluorid® DMG Fluorid sodný 2,2 % olafluor 3 % kolodium ethylacetát Fluoride varnishes lroubalikova@gmail.com 17 18 Kasein - Fosfopeptid Amorfní kalcium fosfát + Fluoridy MI Paste Plus lroubalikova@gmail.com Recaldent CPP - ACP Kasein phpsosphopeptid Derivate from protein of cow´s Remineralization lroubalikova@gmail.com 19 Ozone and warnishes with chlorhexidine lroubalikova@gmail.com 20 Sweeteners Xylitol • Artificial sweetener • Natural presence: fruit, vegetable, wood (burch tree), in human body occurs by glucose metabolism • 40% lower caloric value in comparison to sugar lroubalikova@gmail.com 22 Xylitol- mode of action • Transport into microbial cell • The microb cannot metabolize it lroubalikova@gmail.com 23 Steviol glycosides lroubalikova@gmail.com 24 25 Kasein - Fosfopeptid Amorfní kalcium fosfát + Fluoridy MI Paste Plus lroubalikova@gmail.com Recaldent CPP - ACP Kasein phpsosphopeptid Derivate from protein of cow´s Remineralization lroubalikova@gmail.com 26 Duraphat® Colgate Oral Pharmaceuticals Fluorid sodný 5 % etanol Fluor - Protector® Ivoclar Vivadent Difluorsilan 1 % polyuretan ethylacetát Flor - Opal® Ultradent Fluorid sodný 5 % xylitol Bifluorid 12® VOCO Fluorid sodný 6 % fluorid vápenatý 6 % kolodium etylacetát Fluoridin® VOCO Fluorid sodný 6 % fluorid vápenatý 6 % kolodium etylacetát Fluoridin N 5® VOCO Fluorid sodný 5 % etanol etylcelulóza Multifluorid® DMG Fluorid sodný 2,2 % olafluor 3 % kolodium ethylacetát Fluoride varnishes lroubalikova@gmail.com 27 Pit and fissure sealing • Principle: • Fissures and pits are filled with special materiál based on resin that fills them a and avoid acid attacs. lroubalikova@gmail.com 28 Fissure sealing