Scripties UMCG - Rijksuniversiteit Groningen
 
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Het gebruik van GC Fuji Triage® bij de behandeling van carieuze melkelementen

(2016) Groot, L.G. de

Summary
Background Most of the Dutch youth has dental caries or have had any experience
with it. There are several treatment options when the disease is no longer under control by the
patient. Most of those treatment seem very difficult because the child is in pain, is not yet
accustomed to visiting a dentist and the treatment of young children with extensive problems
is perceived as difficult by the dentist. There needs to be a treatment method that is quick and
easy to use but relieves the patients of the pain caused by dental caries. The treatment method
in which the lesion is covered with GC Fuji Triage® without giving local anaesthesia,
preparation or excavation in combination with giving instructions to the patient and regular
fluoride application could be a method that meets the objections inherent in the more invasive
treatment methods. However, it’s unclear whether the tooth can exfoliate without interference,
whether other treatment options can be explored when there is failure, whether this method is
applicable to both occlusal and approximal lesions and whether it is applicable to both
shallow and deep carious lesions.
Methods The study material was obtained from anonymous clinical records of children
with carious lesions covered with glass ionomer GC Fuji Triage® treated in referral practice
for Pediatric Dentistry in Ermelo. 140 patients enrolled in this study, a total of 690 carious
deciduous teeth were treated with GC Fuji Triage®. The following variables were measured
with each deciduous tooth: the survival (whether the coverage of the carious laesion
persevered until exfoliation), the location and depth (X-score) of the lesion and the total
duration that GC Fuji Triage® functioned as a hedge of the carious lesion. Finally, the raison
for failure was documented (minor or major failure). The data was analysed using IBM SPSS
Statistics 23.
Results Survival of deciduous teeth which are covered with GC Fuji Triage is
79,3%. 9,3% experienced minor failure, 11,4% major failure. The survival of occlusal lesions
(89,3%) is higher than the survival of approximal lesions (67,4%) and a higher survival rates
is seen at the lower X-ray scores (X-score 3: 83,5%, X-score 4: 61,5%, X-score 5 37,5%). In
premature failure of GC Fuji Triage® 9,3% of the deciduous teeth had a conventional
restoration or got a Hall-crown (minor failure). 11,4% of the deciduous teeth were extracted
(major failure).
Conclusion The treatment method of the disease caries in which a lesion is covered
with GC Fuji Triage® without without giving local anaesthesia, preparation or excavation in
combination with giving instructions to the patient and regular fluoride application seems to
be an alternative to the already existing treatment options of carious lesions in deciduous
teeth. The best results are seen with occlusal and shallow lesions.





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