Dental remineralization therapy: a modern way to maintain healthy enamel. Remineralization of teeth is a necessary procedure for restoring enamel Preparations for mineralization of teeth

Healthy, strong teeth are the key to a beautiful smile. However, over time, due to improper care, external influences and a person’s unhealthy lifestyle, the enamel of his teeth deteriorates and becomes thinner. In order to strengthen and preserve the tooth surface, dentistry resorts to remineralization - artificially saturating the enamel with missing mineral elements, restoring the hardness of the teeth and feeding the upper layers with useful substances.

What is and what are the causes of dental demineralization?

To understand what enamel demineralization is, you need to have an idea of ​​its structure. Tooth enamel is considered one of the strongest tissues of the body, consisting almost entirely of inorganic substances. The strength of bone tissue is ensured by such elements as:

• calcium;
• magnesium;
• potassium;
• phosphorus;
• fluorine.

Enamel has a porous structure. Thanks to this, acids easily penetrate into it, and minerals are washed out of it.

Usually in the body two opposing processes, remineralization and demineralization, are balanced. However, for some reason this balance may be disrupted, and then the process of strong leaching of macro- and microelements begins. As a result, gradual destruction and loosening of the enamel layer begins, which is called demineralization.

Enamel mineralization as a process can be disrupted by the same factors as the destruction of bone tissue, namely problems with the supply and absorption of the required substances.

Both internal failures and external factors can lead to violations of this kind. The first reasons include:

• poor absorption of substances from food by the intestines;
• disruptions in the functioning of the endocrine system;
• diabetes;
• problems with the normal functioning of the thyroid gland;
• insufficient enzyme activity.

External factors that provoke demineralization of teeth include:

• poor oral hygiene;
• inflammatory processes in the gums;
• dental anomalies (torsion, curvature of units);
• use of dental structures with violations.

In what cases is remineralization required?

Dear reader!

This article talks about typical ways to solve your issues, but each case is unique! If you want to know how to solve your particular problem, ask your question. It's fast and free!

Remineralization of teeth is the process of restoring the upper layer of dental units, aimed at increasing its resistance to the negative effects of pathogenic microorganisms, as well as the harmful effects of an acidic environment. The main indication for artificial mineralization of enamel is its destruction (demineralization). After remineralization of tooth enamel, the following results are achieved:

• strengthening the enamel layer;
• stopping the development of caries at the initial stage;
• reduction of periodontal sensitivity;
• restoration of the natural color of teeth;
• eliminating the consequences of poor-quality bleaching;
• normalization of microflora in the mouth;
• enamel brightening.

Typically, mineralization is not carried out separately, but is carried out in combination with other manipulations that are carried out with the aim of improving the health of the oral cavity. Other reasons that serve as indications for such a procedure include:

Contraindications

However, remineralization of enamel is not always possible. There are situations when such a treatment and prophylactic procedure is contraindicated for a person.

The first reason why remineralization cannot be performed is due to an allergic reaction. There are patients who cannot tolerate drugs used for mineralization of teeth.

One of the main elements responsible for the strength of the outer enamel layer is fluoride. True, not everyone is allowed to carry out fluoridation. This applies to people who have:

• problems with the pancreas;
• pathologies affecting the kidneys;
• diseases, due to the presence of which it is prohibited to use products, pastes containing fluoride, as well as consume fluoride-containing products.

Types of dental mineralization

Mineral leaching is usually caused by two factors: increased acidity of saliva and insufficient presence of essential minerals in the body. You can strengthen the enamel layer by normalizing the composition of saliva and increasing the supply of minerals. This can be done either independently or in the dentist’s office.

There are 2 types of enamel mineralization:

• natural;
• artificial.

As for natural remineralization, it is directly related to nutritional correction and oral care. You need to brush your teeth using preventive toothpastes. Cleaning should be done 2 times a day for at least three minutes. You can also use special remineralizing gels and rinses yourself at home.

Artificial mineralization involves treating the tooth surface with fluoride and calcium-containing products and gels, including:

• calcium gluconate or chloride 10%;
• sodium fluoride 0.2%;
• calcium phosphate 5–10%;
• calcium glycerophosphate 2.5%.

Complex remineralizing preparations are also used for these purposes:

• Remodent;
• Fluorodent;
• GC Tooth Mouss and others.

The essence of the procedure comes down to covering the tooth with artificial enamel, which creates protection, or with a special remineralizing varnish, which not only performs protective functions, but also strengthens the enamel and restores its damaged areas.

In addition, it is necessary to treat chronic diseases of the digestive system, as they impair the absorption of minerals. Another additional non-specific method of remineralization is gum massage. It helps improve blood supply and ensures the supply of necessary elements.

The manipulation is carried out after brushing the teeth with circular movements up and down for several minutes. To carry it out you will need oils; you can use olive, sea buckthorn or tea tree oil.

Plus, it is possible to wear mouth guards filled with mineral complexes. This method is used when carrying out remineralization in children. It is carried out from the age of six. The course of therapy lasts 2–4 weeks, and you need to wear the mouth guard for 20 minutes every day. Remineralizing gels often contain xylitol, which reduces the effects of bacteria, and calcium glycerophosphate, which prevents its loss.

Nutritional rules for strengthening enamel

Special attention should be paid to human nutrition. If the body does not receive the necessary microelements and substances along with food, then a deficiency occurs in the dental tissues, which leads to thinning and destruction of the enamel. For this reason, the diet should contain foods rich in calcium, fluorine and phosphorus, which are responsible for the condition of the enamel layer. The menu should regularly include:

However, there are also products, the combination of which can only harm your teeth. You should not eat calcium-containing and acidic foods at the same time, for example, cottage cheese with lemon jam or gravy.

How to carry out remineralization at home?

You can saturate the enamel with the necessary minerals at home using applications, rubbing in special pastes and gels, and wearing silicone mouth guards. Remineralization procedures are carried out 15 minutes after standard teeth brushing. A special gel must be applied on both sides. After this, you must not eat, drink or smoke for at least 60 minutes. Applications are usually done 2-3 times a week for a month.

When choosing a remineralizing gel for independent use, you need to seek a recommendation from your dentist. Some do not need to be washed off, others, on the contrary, need to be washed off with chamomile decoction. It also depends on the composition how often and for how long a particular gel or paste can be used.

What does a dentist do?

The professional procedure is carried out in several stages:

1. removal of tartar, soft plaque and hard deposits, if any, mechanically;
2. drying the tooth surface;
3. treatment with calcium-containing preparations in ionic form;
4. applying sodium fluoride to the enamel using a brush or tray.

Procedures are carried out daily or every other day. Duration is 5–20 days. At the end of the course, a varnish containing fluoride is applied to the teeth.

Prevention measures

Taking preventive measures will prevent tooth demineralization and avoid the need for remineralization. Prevention of this problem comes down to proper and high-quality oral hygiene.

The following conditions must be met:

• carry out daily brushing of teeth twice a day;
• periodically rinse your mouth with pharmaceutical preparations and folk remedies;
• use additional devices for dental care, which include dental floss, irrigators, special brushes;
• control your diet, which should be balanced and rich in foods containing minerals, vitamins and other beneficial substances;
• reduce consumption of coffee and sweets;
• giving up such a bad habit as smoking;
• timely treatment of dental diseases;
• undergo regular preventive examinations with a dentist (once every six months).

As for nutrition, the menu must include dairy and fluoride-containing products. Other foods that protect tooth enamel from demineralization include nuts, hard cheese, legumes, meat, and green vegetables.

Increased sensitivity of the enamel, the appearance of cracks in the teeth, the occurrence of caries - all these unpleasant phenomena arise as a result of the leaching of minerals and other trace elements from the enamel. To restore the tooth structure, an enamel remineralization procedure is performed. This process can be artificial or natural.

Why does tooth demineralization occur?

Healthy enamel is the key to strong teeth

With healthy microflora in the oral cavity, as well as with normal saliva composition, the remineralization process occurs continuously and naturally, ensuring a balanced balance of minerals in tooth enamel. But the modern quality of life often does not allow the enamel to remain healthy; a number of factors contribute to this:

• eating disorder,
• low quality of drinking water,
• eating a lot of sugar
• abuse of coffee, tea, alcohol,
• deficiency in the body
• bad habits,
• stress.

Enamel loses minerals and other components necessary for its health as a result of exposure of teeth to an overly alkaline or acidic environment. This process is called demineralization. Its result is a change in the composition of the enamel, as well as a weakening of its protective functions.

The lack of the following components has a negative effect on the condition of the enamel:

• fluorine,
• apatites,
• carbonates.

A deficiency of these elements provokes the onset of the carious process - the appearance of a white spot.

Timely remineralization of enamel makes it possible to completely stop the carious process, as well as return the tooth to its original appearance.

Read also:

Indications

The remineralization procedure is effective in the following cases:

• the initial stage of caries, when white spots appear and slight damage to the top layer of enamel is observed,
• softening of dental tissues,
• wedge-shaped defect,
• enamel hypoplasia,
• increased tooth wear,
• demineralization of enamel, which occurred under tartar,
• recovery after prolonged wear,
• preparation for laser teeth whitening,
• increased sensitivity of enamel to various irritants.

Enamel remineralization

Teeth are coated with fluoride varnish

Remineralization of enamel is the restoration of the balance of mineral compounds in the structure of the enamel in order to increase its strength, protect against external aggressive factors, and also to prevent the development of dental diseases.

The main source of minerals for teeth is. The second way to deliver mineral compounds to the enamel is from the pulp through the dentin. But the second method of saturation with minerals is less significant than the first. It is for this reason that the basis of all remineralization procedures is the first, external method of saturating the tooth with the necessary compounds.

You can restore weakened enamel in one of 2 ways:

1. Treatment of teeth externally through applications of mineralizing solutions.
2. Use of phonophoresis and electrophoresis devices.

The remineralization procedure involves applying special compounds to the teeth one by one, which strengthen the enamel and increase its protective properties. These substances consist of the following components:

• calcium,
• phosphorus,
• zinc,
• ionized fluorides,
• strontium.

Preparations for enamel remineralization consist of:

• calcium chloride or calcium gluconate – 10%,
• sodium fluoride – 0.2%,
• calcium phosphate – 5-10%,
• calcium glycerophosphate – 2.5%,
• complex preparations: Fluorodent, Remodent and others.

The remineralization procedure takes place in several stages:

1. The dentist cleans the teeth from.
2. The enamel dries out.
3. An application with a 10% calcium gluconate solution is applied to the teeth (when the application dries out, a new one is placed in its place, and this is repeated every 5 minutes).
4. A tampon soaked in sodium fluoride 0.2% is placed on the teeth for three minutes.
5. As a result of such manipulations, the enamel is saturated with all the necessary components.
6. A layer of fluoroapatite compounds gradually forms on the teeth.

The procedure can be carried out daily or every other day for 5-20 days. The completion of the course of treatment is the application of a special varnish containing fluoride to the enamel.

Fluoridation of enamel

Fluoridation is one of the methods of saturating enamel with useful substances and strengthening it, as well as increasing its resistance to external aggressive factors.

Fluoride ions, penetrating into the enamel, form a protective layer on it, which prevents the penetration of acids and pathogenic microorganisms into the layers of the tooth, and also does not allow mineral substances to be washed out from the deep layers of enamel and dentin.

Fluoride saturation can occur using one of the following methods:

Express method

Special disposable trays with fluoride-containing gel are placed on the teeth for 5-10 minutes.

Application of mouth guards

An individual reusable one is made for the patient, with which fluoridation procedures can be carried out at home. The mouth guard must be filled with a special gel and placed on the teeth. The duration of the procedure is determined by the doctor. Sometimes the mouthguard needs to be worn while sleeping at night.

Coating teeth with varnish containing fluoride

For minor damage to the enamel of one or more teeth, this method is used.

After any procedure described above, you must not eat or drink for several hours. In most cases, for maximum effectiveness, the specialist combines several remineralization methods.

Please note that the effect after the procedure will not appear immediately, but some time after the end of the course.

Prevention of demineralization

To prevent the enamel from losing its protective properties, follow the following recommendations:

1. Balanced diet.
2. Consumption of dairy products.
3. Eat foods that contain fluoride:

• lentils,
• quality tea,
• onion.

1. Proper oral care.
2. Use of toothpastes containing fluoride (after consultation with a dentist).
3. Visit the dentist twice a year for preventive examinations.
4. Timely treatment of dental diseases.
5. In addition, the following products will help you strengthen your teeth:

• legumes,
• green vegetables,
• meat,
• nuts,
• hard cheese,
• cottage cheese.

Our teeth consist of several layers that differ greatly from each other in density, structure and function. Almost everyone knows that the top shell is called enamel. It has the greatest strength and, among other things, also performs a protective function.

The strength of the upper dental layer is ensured by its structure and composition. Enamel contains many durable minerals, including magnesium, phosphorus, fluorine, calcium, and carbon dioxide salts.

Saturation of dental tissues with these elements, or mineralization, begins even before birth and ends after the first few months of life. Due to natural reasons, microelements are gradually washed out of the enamel.

In the future, this can lead to various diseases, the most common of which is caries.

What is the procedure?

At its core, remineralization is simply a process by which tissues are saturated with essential microelements.

Natural

Throughout life, the body must independently regulate the renewal of all tissues. The same thing happens with enamel. In a healthy person who follows the rules of hygiene and has a strong immune system, the process of remineralization (saturation with minerals) should occur in a completely natural way.

The loss of these substances is often associated with their lack in the body. Since a person gets everything he needs with food, the conclusion suggests itself - a proper nutritional system and a nutritious diet are the basis for natural remineralization.

In addition, any diseases of the gastrointestinal tract should be excluded. Indeed, because of them, among other things, the acidity in the oral cavity may increase, which will negatively affect the enamel.

Artificial

If the body’s strength is not enough to replenish the loss of microelements on its own, an artificial method is used. It is carried out using various chemical compounds that coat the surface of the teeth. It is from them that the missing substances are supplied.

Many tools and materials have been developed to carry out this procedure. Some of them are adapted only for professional conditions and specific equipment that is available in modern dental clinics. Some can be used at home.

Indications and contraindications for

This procedure is used both for prevention and for treatment when there is already any significant damage to the tooth enamel. Like any other medical event, it has a list of its own contraindications and indications.

However, simple preventive measures can be taken at home using less complex and affordable means without any restrictions.

Indications

Contraindications

There are very few factors that prohibit this procedure. However, they should still be listed.

• Personal intolerance, including the occurrence of allergic reactions to the drugs used.
• If so-called fluoridation is carried out, it is contraindicated for those people who suffer from thyroid diseases, osteoporosis, kidney failure and other problems for which fluoride preparations are not recommended by doctors.

Means used for carrying out

The whole variety of means that make it possible to carry out such a procedure can be divided into two large groups.

• The first includes only those that are based on the element fluorine. The bulk are special fluoride varnishes, which cover the enamel. Besides them there are also therapeutic and prophylactic pastes, which contain fluorine compounds in large doses, which are easily absorbed.
• The second group is fluorine-free preparations and materials. Most of their action is due to the content of one or more active calcium compounds. This element is the main one in the structure of enamel.

Usually all products are based on one or another element separately, since their combination can form specific salts that are harmful to teeth and can be destructive.

However, recently special gels have appeared that contain all the minerals necessary for teeth in a complex. The water component prevents them from forming compounds that have an adverse effect on the enamel.

Description of some drugs

Carrying out in the clinic

This happens in several stages, which may vary slightly depending on the materials used.

• Preparatory procedures. The specialist conducts a thorough examination of the entire oral cavity and teeth. After this, be sure to have it professionally cleaned. It includes complete removal of plaque and tartar, if they are on the surface. This is necessary, since plaque contains many bacteria that can have a destructive effect even though they are already under a special coating. After cleaning, the surface must be thoroughly dried.

• Next stage - direct remineralization. The doctor applies one of several possible materials to the enamel (fluorine varnish, which is called “artificial enamel,” chemicals with magnesium and calcium fluorides).
• If a calcium-magnesium complex is used, then after repeated drying teeth must be coated with another compound - calcium-copper hydroxide. This substance promotes the breakdown of fluorides into microcrystals, and, as a result, easier penetration into the dense structure of the enamel.

The described procedure is called deep fluoridation. It is used when damage is already quite noticeable on the surface of the teeth and the active development of caries begins.

Carrying out at home

Remineralization, which is carried out independently at home, should be approached comprehensively. What is included in this complex?

• First of all, you should think about changing your diet. Eating foods that contain essential substances in large quantities (calcium, fluorine, magnesium, etc.) will be beneficial not only for enamel. These foods include milk and many dairy products, nuts, green vegetables, legumes, meat and much more.
• Followed by to refuse from bad habits, since they are one of the factors causing tooth decay.
• Taking complex medications containing microelements and vitamins.

• Carrying out a gum massage. This helps improve nutrition in tissues and improves the supply of necessary substances.
• Regular brushing of teeth using medicated pastes(Lakalut Fluor, Pepsodent, Apadent). Sometimes it is also possible to apply such pastes.
• Using special gels for remineralization of teeth. Applications are made for 10–15 minutes, for example, with the well-known drug R.O.C.S. Medical Minerals.

Detailed instructions on how to do everything are waiting for you in the following video:

Prices

The cost of such a procedure can vary greatly depending on the specific techniques and materials used. In addition, it is worth considering that the full price will also include professional teeth cleaning, which is mandatory.

Another factor in changing the price is the choice of a specific clinic. The more famous the dental center is, the more experienced specialists work there, the higher the price will be, accordingly.

Here is a list of approximate (average) prices for some of the possible procedures.

Remineralizing gel is an oral care product with hygienic, therapeutic and prophylactic effects. Compared to toothpastes and other oral care products, gels for cleaning and mineralizing teeth do not have a noticeable abrasive ability, and their cleansing properties are less pronounced than those of pastes and powders. Therefore, completely replacing dental cleaning products with gels is not entirely correct. Gels, rather, in their action, are more intended for those who have increased abrasion of tooth enamel and excessive sensitivity of dental tissues. They tend to saturate the enamel with important mineral compounds. The concentration of minerals in the gel is higher than in toothpaste. Most gels for use as hygiene contain active fluoride in a small percentage (about 0.1–1.5%), and they are more suitable for the prevention of caries than for a permanent dental care product.

What happens in tooth enamel

From a biological point of view, tooth enamel is considered to be the hardest tissue of the body, and its thickness is no more than 1.5 mm. Enamel protects the tooth from external influences and contains up to 95% mineral salts: lime, phosphorus, calcium, fluorine and magnesium, carbon dioxide. A lack of these minerals can lead to hidden and obvious damage. And if the tooth enamel is weakened, then unpleasant symptoms appear:

• hypersensitivity;
• reaction to hot or cold;
• rapid development of carious cavities.

Improve the condition of teeth, prevent their damage, minimize the risk of caries progression, provide reliable prevention, and provide a general healing effect - all this is intended to be provided by remineralizing gels.

The main requirements of a remineralizing gel for regular or course use are:

1. reliable preventive effect of the drug against caries;
2. weakening of hypersensitivity of tooth enamel;
3. recovery after whitening procedures.

To remineralize teeth, active agents are needed that saturate the tooth surface with mineral components. Remineralizing compositions and solutions have an impressive mineral macro- and microcomposition, that is, the mineralizing ingredients included in dental gels are represented by fluorine, calcium, phosphorus and additional compounds.

Increasing the intensity and speed of the demineralization process disrupts the balance of the enamel, and it loses mineral components, giving way to cariogenic influence. Demineralization manifests itself in white spots and hypoplasia. In order to prevent demineralization and prevent caries, artificial remineralization of teeth is carried out. Dental strengthening gels used today have a high degree of safety due to the latest developments in pharmacology and dentistry and, importantly, have a low percentage of contraindications. The newest remineralizing gels are created taking into account allergy resistance, which is an additional advantage of this product.

Indications for remineralization:

• preventive stage of dental caries;
• therapy of carious cavities in the white spot stage;
• treatment of dental disorders and conditions not related to caries: hypoplastic form, fluorosis, enamel necrosis due to exposure to acids, increased enamel abrasion,
• injuries to tooth enamel;
• as a desirable procedure after whitening;
• use after braces;
• in combination with treatment and preventive measures in orthodontics.

The Swiss-Russian company R.O.K.S. represents today's leading and positively proven product with a broad remineralizing effect in world practice. Gel R.O.K.S. Medical Minerals is a calcium-containing remineralizing gel without fluoride in the composition.

Among the most popular products in the pharmaceutical industry today, the following brands have performed well: Blend-a-med, Fluodent, Elmex and Fluokal, which also have a remineralizing effect to varying degrees. Along with the well-known remedy for R.O.K.S. The remineralizing product Global White (GLOBAL WHITE) is quite popular and in demand. Continuing the list, it is worth noting the Japanese drug Tooth Mousse GC Tooth Mousse GC, intended rather for office use. It is difficult to buy this product on sale. This is also a high-quality calcium-containing mousse without fluoride in the composition. Also joining this list are Tropical ACE gel (USA) and Flairesse DMG (Germany). The last 2 gels are for preventive purposes, and they belong to products containing fluorides.

It is worth dwelling in more detail on the remineralizing product of the company R.O.K.S., since it is the one that tops the rating of the most relevant and effective products with a remineralizing therapeutic effect.

Balanced gel R.O.K.S. presented in the right combination of mineral components. The drug serves as a supplier of bioavailable compounds of magnesium, phosphorus and calcium, which have a positive effect on the quality of tooth enamel. Composition of the gel R.O.K.S. does not contain fluoride compounds and therefore its line is recognized as safe even for children. The composition of the drug is enriched with xylitol, which is a bacteriostatic agent that improves oral hygiene. The main function of the gel R.O.K.S. - strengthening tooth enamel.

Drug R.O.K.S. it is applied for:

1. preventive action against carious processes;
2. elimination of carious formations at the white spot stage;
3. improving the aesthetic appeal of teeth;
4. reducing the hypersensitivity of tooth enamel;
5. lightening tooth enamel by a number of shades (4–5);
6. adding shine to tooth enamel.

Use R.O.K.S. quite simple and convenient. The consistency of the gel is jelly-like, which allows it to be applied and distributed evenly over the tooth surface. The drug forms a protective film on the surface of the tooth that is resistant to saliva, and the components gradually and gradually penetrate deep into the enamel, providing a remineralizing therapeutic effect. For the greatest impact at home, experts recommend using mouthguards.

There are 2 ways to use the drug. The first is application, where the gel remineralizes tooth enamel tissue using a brush or applicator. The application is applied in a noticeable layer and after this it is unacceptable to rinse the mouth and eat food for 35–40 minutes. If you use mouth guards, these devices will cause less inconvenience. The aligners are kept on the teeth for about 30 minutes. After removing the mouth guard, you should spit, but you should not drink or eat for 25 minutes after removing the individual mouth guard. The frequency of remineralization procedures takes place in 2 stages: morning and evening. The average duration of treatment is 2 weeks, and 2–3 courses must be completed per year.

Aesthetic effect R.O.K.S. is marked by the acquisition of a beautiful snow-white smile in just a couple of weeks of regular use and is due to a number of manifestations. This:

• destruction of light spots that appear during fluorosis;
• lightening of teeth and changing the color of enamel for the better due to the content of abrasive particles in the gel that do not destroy the enamel;
• elimination of plaque, acquisition of shine and smoothness of teeth;
• returning teeth to their original appearance after wearing braces (demineralization appears after braces are removed).

Evaluation of gels of the ROKS series

The tangible effect of R.O.K.S. Medical Minerals (Rocs Medical Minerals) is observed with regular use. A list of post-therapeutic uses is presented below:

1. Due to the high degree of prevention, the enamel remineralizer prevents the formation of caries.
2. Effective fight against white spots on enamel.
3. R.O.K.S. Reduces or completely eliminates tooth sensitivity.
4. Rapid aesthetic restoration of tooth enamel after installation and removal of braces.
5. Whitening effect up to 5 levels of whitening.
6. Maintaining normal microflora of the oral mucosa.

The absence of fluoride in the composition of the drug guarantees a number of undeniable advantages:

• In case of accidental ingestion, the risk of harm to the body is zero.
• R.O.K.S. has a special line designed specifically for children with different tastes.
• Very effective in the battle against caries.
• An ideal dental product for people with diseases of the endocrine system and kidneys.

The main purpose of Global White gel is:

1. remineralization of enamel;
2. decreased hypersensitivity;
3. strengthening teeth.

Global White gel consists of remineralizing and protective components. When the drug is applied to the surface of the enamel, a protective film layer is formed, which ensures the active entry of components into the surface and middle layers of the tooth.

Global White gel was developed by specialists to combat tooth hypersensitivity after whitening or weakened tooth enamel. General recommendations for use are similar to the use of R.O.K.S. gel. Remineralization is carried out using Global White 3-4 times a day. The active ingredients of the gel are a mineral complex of calcium, magnesium, fluorine, and phosphates, which has a positive effect on the formation of enamel, enriching it with mineral compounds.

Additional ingredients have the following task:

• Potassium nitrate fights tooth sensitivity;
• xylitol has a bacteriostatic effect against Streptococcus mutans;
• D-panthenol cares for the oral mucosa and, in combination with natural moisturizing factors, prevents the formation of dryness and prevents inflammation;
• Laminaria extract has a positive effect on dental tissue and improves metabolic processes.

Remember, maintaining the health and beauty of your teeth is possible through careful hygiene and regular visits to the dental office, as well as a remineralization session.

Remineralization is a procedure aimed at saturating tooth enamel with strengthening microelements - calcium, phosphorus, fluorine, magnesium, etc. Manipulations against demineralization of enamel can be carried out both in the dentist’s office and at home. Using remineralizing agents such as pastes, mouth guards, and gels at home allows the dental tissue of adults and children to successfully withstand the negative effects of the environment.

Indications for the procedure

An imbalance in the acid-base balance and chemical reactions occurring in the mouth lead to the leaching of important microelements from the dental tissue (demineralization). This causes changes in the color and structure of the enamel, making it vulnerable to processes that cause caries.

A procedure such as mineralization is aimed at restoring enamel. It strengthens it, makes it less sensitive to acids, temperatures, sweet foods, and promotes the renewal of dental tissue, restoring lost microelements. Indications for remineralizing procedures are:

• prevention of caries or as part of complex therapy;
• increased tooth wear;
• strong enamel reaction to foods high in sugars, low and high temperatures;
• after procedures that led to a thinning of the enamel layer (removal of braces, mouthguards, tartar, whitening);
• mechanical tooth injuries;
• damage to enamel by chemicals;
• increased gum sensitivity;
• excessively rapid formation of plaque.

It is important to carry out manipulation during adolescence, pregnancy, menopause. During this period, demineralization of teeth occurs at an accelerated pace due to the fact that vitamins and minerals are consumed at a tremendous rate.

Remineralization of teeth has contraindications. These include allergies to the substances used for the procedures. Since the manipulation often involves fluoridation, it cannot be performed on people who have diseases of the pancreas, kidneys, and other pathologies for which the use of fluoride is not recommended. This also applies to the use of remineralizing gels.

Types of remineralization of tooth enamel

Dear reader!

This article talks about typical ways to solve your issues, but each case is unique! If you want to know how to solve your particular problem, ask your question. It's fast and free!

It is customary to distinguish two types of remineralization – natural and professional. In the first case, we are talking about strengthening the enamel from within the body by correcting the diet and maintaining oral hygiene with the help of remineralizing gels.

If there is increased demineralization of the enamel or if there is a desire to take serious preventive measures aimed at strengthening the structure of the teeth, doctors come to the rescue. The dental procedure involves applying special solutions to the enamel, which supply the dental tissue with the necessary elements.

The natural way

Natural remineralization involves actions aimed at strengthening teeth, which can be done without the help of a dentist. They include not only hygiene procedures, but also a correct lifestyle. Be sure to follow the basics of a healthy diet. The diet should contain foods with phosphorus, fluorine, and calcium. Help strengthen tooth enamel:

• green vegetables, fruits;
• cheese, cottage cheese and other dairy products;
• nuts, legumes;
• meat.

Foods with high acidity prevent the body from absorbing calcium, so it should be consumed separately from foods containing calcium. You should not overuse fluoride, as it can cause poisoning.

Vitamin-mineral complexes help fight demineralization well. When purchasing, it is advisable to pay attention that their action is aimed at restoring dental tissue. To avoid mistakes, it is better to consult a dentist.

We should not forget about hygiene procedures. Brush your teeth twice a day with toothpastes that contain elements necessary for their health, use gels and rinses.

Artificial remineralization

Professional remineralization involves the help of a dentist who treats the surface of the teeth with strengthening solutions. To fill microcracks and stop their expansion, the doctor rubs one of the remineralizing gels, which contains calcium phosphate, into the crowns. To strengthen the enamel and reduce its sensitivity, the teeth are coated with fluoride varnish or a special gel. Electrophoresis is prescribed to stimulate the movement of calcium ions into tooth enamel.

Description of the stages of the procedure

Mineralization of enamel in the dentist's office consists of several stages. Depending on the chosen method, the course lasts from one to twenty days.

Before the procedure, all carious teeth are healed, tartar and plaque are removed. Then the doctor examines the condition of the enamel and prescribes treatment. For artificial mineralization of teeth, the dentist can use preparations that contain:

• calcium gluconate or chloride;
• sodium fluoride;
• calcium phosphate;
• calcium glycerophosphate.

Typically, mineralization involves applying these drugs at different times, since the active substances, when simultaneously applied to the surface of the crowns, not only neutralize each other, but can also cause harm. Recently, complex drugs have appeared that solve this problem. Among them are Remodent, Fluorodent, GC Tooth Mouss.

Mineralization of enamel takes place using various methods. This can be an express method with a one-time application of mouth guards filled with medications to the teeth. Aligners can also be used for reusable procedures. During the process of remineralization, artificial enamel is created on the teeth. After cleaning, the doctor applies one of the preparations to the teeth.

One of the methods involves simple or complex fluoridation. The first method involves applying a special product to the tooth surface using a brush or mouth guards, which were previously prepared by a dental technician based on a dental impression. Deep fluoridation involves the use of two drugs that begin to interact with each other, creating strong bonds and a protective film on the tooth surface.

Both simple and complex fluoridation consists of several stages, and therefore you will have to come to the procedure from 5 to 20 times. The effect of deep fluoridation lasts about two years.

Products and preparations for remineralization at home

Professional dental procedures are expensive, so the question arises: is it possible to mineralize enamel at home, and what remineralizing drugs are needed for this? It is better to consult a dentist. He will recommend the most suitable option and tell you how often to use the drug - remineralization should not be abused.

The most common method of restoring tooth enamel at home is toothpaste (more details in the article: what to do with sensitive tooth enamel?). It is better to have two tubes, using fluoride in the morning, calcium in the evening, or vice versa. Among such products are Lacalut Alpin or Lacalut Duo, Elmex, ApaCare.

Remineralization can be done using trays, which a dental technician makes from an impression of the dentition. They are filled with a remineralizing gel prescribed by the dentist and left on the teeth for a certain time. This method is convenient because there is no need to visit a doctor. Among these products is R.O.C.S. remineralizing gel containing calcium, magnesium and phosphorus. If there are no trays, the paste can be applied with a brush. After the procedure, you should not eat for an hour. You should not apply remineralizing gel to teeth that have not been cleaned with paste, since it does not replace it, but complements it.

Although pastes, gels, and rinses can strengthen teeth, in severe cases of demineralization it is better to consult a specialist. You should monitor the condition of your oral cavity. If stones, caries, or chips appear, professional treatment is mandatory.

Treatment of insufficient mineralization of teeth in children

Children's baby teeth require no less careful care than permanent teeth. At the same time, they are more vulnerable: the enamel of a newly erupted tooth is characterized by a lack of minerals, and it finally strengthens within two years. Because of this, teeth can easily become victims of caries, which can subsequently negatively affect the condition of permanent teeth.

A child also needs to undergo remineralization because the child’s body is constantly growing, which is why the substances necessary for the construction and development of cells are quickly consumed. This means that demineralization of the enamel occurs in a short time. To prevent teeth from decay due to mineral leaching, additional enamel protection is essential.

The appearance of the slightest stains on the enamel indicates its vulnerability, so you must immediately contact your dentist for further treatment. Carrying out remineralization in children is not much different from a similar procedure in adults. The course of therapy lasts about a month. Saturating teeth with minerals will weaken the process of leaching calcium from the enamel and strengthen it to fight bacteria. This will reduce the number of visits to the dentist and eliminate the need to use a drill to treat caries.

Since dental tissue is strengthened from within the body by substances that come with food, parents should carefully monitor their children’s diet and take care of a healthy diet. Vitamin and mineral complexes will help in the fight against demineralization.