Author/Editor		Košir, N
Title		Vloga operativnega postopka pri zdravljenju kariesa nekoč in danes
Translated title		The role of operative procedures in the treatment of caries in the past and today
Type		članek
Source		Zobozdrav Vestn
Vol. and No.		Letnik 60, št. 1-2
Publication year		2005
Volume		str. 75-81
Language		slo
Abstract		Carious changes are among the most common acquired lesions of hard dental tissues. Formerly, operative procedures ending with a restoration were generally based on x-ray evidence of hard tissue demineralization. This is still often the case today, although recent studies show that activity of the lesion must also be considered. Inactive early caries in a patient with good oral care requires neither preventive nor operative professional treatment. When the lesion is active, however, demineralization must be arrested. In a patient with active caries, it is essential to determine the status of oral hygiene by checking for the presence of dental plaque. These patients need fluoride treatment, nutritional advice, salivary enhancement therapy and other preventive measures. In most cases, the restoration is merely part of the procedure aimed at reducing the likelihood of plaque accumulation. The proper recognition and management of carious changes is important not only for the prevention of new lesions but also because caries has a harmful effect on other dental tissues, permanent successor teeth and the child's body.
Summary		Kariozne spremembe so med najpogostejšimi pridobljenimi okvarami trdih zobnih tkiv. Operativni postopek, ki se zaključi z obnovo zobnih tkiv s plombo, še danes pogosto temelji na rentgenskem ugotavljanju demineralizacije trdih zobnih tkiv. Novejše raziskave pa kažejo, da moramo upoštevati tudi aktivnost lezije. Pri neaktivnem začetnem kariesu in dobri ustni negi ni potrebna ne preventivna ne operativna strokovna dejavnost. Nasprotno obravnava aktivnega kariesa zahteva zaustavitev demineralizacije. Nujno je potrebno preveriti prisotnost zobnih oblog, da ugotovimo stopnjo izvajanja ustne nege in čiščenja zob, potrebni so fluoridizacija, varovalna prehrana, spodbujanje salivacije in drugi preventivni ukrepi. Obnova zobnih tkiv s plombiranjem je največkrat le del postopka, s katerim zmanjšamo možnost za nalaganje zobnih oblog. Poznavanje in obravnava karioznih sprememb nista pomembna le zaradi preprečevanja nastanka novih karioznih procesov, temveč tudi zaradi škodljivega vpliva na druga zobna tkiva, na stalne nadomestne zobe in otrokov organizem.
Descriptors		DENTAL CARIES