vmireavizВестник медицинского института «РЕАВИЗ». Реабилитация, Врач и ЗдоровьеBulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)2226-762X2782-1579РЕАВИЗ10.20340/vmi-rvz.2021.2.CLIN.2vmireaviz-174Research ArticleКлиническая медицинаClinical medicineВыбор адгезивных систем при лечении кариеса корня зуба (обзор литературы)Selection of adhesive systems in treatment of tooth root caries (literature review)https://orcid.org/0000-0003-3678-7290РоманенкоИ. Г.RomanenkoI. G.

Романенко Инесса Геннадьевна - доктор медицинских наук, профессор, действительный член Крымской Академии наук, врач высшей категории, заслуженный врач АР Крым, главный внештатный специалист Министерства Здравоохранения Республики Крым по «Профилактической стоматологии», заведующий кафедрой стоматологии факультета подготовки медицинских кадров 

Симферополь

Simferopol

romanenko-inessa@mail.ruhttps://orcid.org/0000-0002-9699-4729ЧепуроваН. И.ChepurovaN. I.

Чепурова Наталья Игоревна - ассистент кафедры стоматологии факультета подготовки медицинских кадров высшей квалификации и дополнительного профессионального образования 

Симферополь

Simferopol

natalja-chepurova@rambler.ruhttps://orcid.org/0000-0002-6313-3797ЗуеваА. С.ZuevaA. S.

Зуева Александра Сергеевна - врач-стоматолог общей практики 

Красногвардейское

Krasnogvardeyskoe

alexzueva25@yandex.ruМедицинская академия имени С.И. ГеоргиевскогоРоссияGeorgievsky Medical AcademyRussian FederationКрасногвардейская центральная районная больницаРоссияKrasnogvardeyskoe Central District HospitalRussian Federation202120042021025061Copyright © Романенко И.Г., Чепурова Н.И., Зуева А.С., 20212021Романенко И.Г., Чепурова Н.И., Зуева А.С.Romanenko I.G., Chepurova N.I., Zueva A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestnik.reaviz.ru/jour/article/view/174

Адгезивная стоматология – фундамент, на основе которого произошли глобальные изменения в концепции адгезии композиционных материалов в терапевтической стоматологии, протоколов фиксации керамических реставраций в ортопедической стоматологии. Но остался ряд нерешенных задач – адгезия композиционных материалов к склерозированному дентину и цементу корня зуба, чувствительность компонентов адгезивных систем к влажной среде полости рта и пространственная стабильность в условиях присутствия дентинной жидкости, перемещающейся центробежно в дентинных канальцах, отсутствие восстановления периодонтального прикрепления к дефекту, возникающему при кариесе корня зуба. В обзоре проведен анализ результатов исследований применения самопротравливающихся адгезивных систем в лечении кариеса корня. Способность врача выбрать адгезивную систему в том или ином клиническом случае демонстрирует его фундаментальные знания и сводит к минимуму процент ошибок, которые он может допустить на этапе лечения. 

Adhesive dentistry is the foundation on the basis of which there have been global changes in the concept of adhesion of composite materials in therapeutic dentistry, protocols for fixing ceramic restorations in orthopedic dentistry. But a number of unsolved problems remained – the adhesion of composite materials to sclerosed dentin and tooth root cement, the sensitivity of the components of the adhesive systems to the wet environment of the oral cavity and spatial stability in the presence of dentinal fluid moving centrifugally in the dentinal tubules, the lack of restoration of periodontal attachment to the defect that occurs during tooth root caries. The review analyzes the results of studies on the use of self-etching adhesive systems in the treatment of root caries. The physician's ability to choose an adhesive system in a particular clinical case demonstrates his fundamental knowledge and minimizes the percentage of errors that he can make during the treatment phase. 

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The authors declare that there are no conflicts of interest present.