Zastosowanie bioaktywnych materiałów do leczenia próchnicy korzeniowej
Use of a Bioactive Restorative Material For Restoration of Root Caries
Every restorative dentist at some point will be faced with a patient that presents with root caries apical to an existing crown margin. The choice is whether to remove the existing crown and additional decay and replace the crown or to attempt to directly restore the affected area without crown replacement. Let’s further assume that this root caries exists on a strategic abutment of a long span bridge… this compounds the decision, especially if economics does not allow the patient to replace the bridge. What are the options now?
Activa: A Bioactive Restorative Material
One critical aspect that will impact on the ability to restore an area of the tooth or root below an existing restoration will be clinical access to the area. Often these lesions will be subgingival, so access to restore may require a gingivoplasty, or „mini flap procedure” to access all the restorative margins. If a flap procedure is not needed for access, use of a soft tissue dental laser is ideal for this procedure. The wavelength of a diode laser can help with localized hemostasis and is considerably less invasive as far as a zone of necrosis, when compared to electrosurgery. Also, it is difficult to use electrosurgery instrumentation safely around metallic restorations. The second clinical problem is that the [...]
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