Arshynnikov R. Morphological substantiation of the choice of professional oral hygiene method for patients depending on the dental plaque nature and tooth enamel cariesrezystention.

Object - dental plaque, tooth tissue; goal - professional oral hygiene improving by developing and morphological study of dental plaque removal selection method and preventive measures depending on the plaque nature and tooth enamel cariesrezystention ; methods - clinical, laboratory, sociological, morphological, renthenspektral, statistics; novelty - mounted varying degrees of structural and functional tooth enamel acidresistanse in patients with dental plaque, with soft - low and medium, mineralized and smokerplaque - high and medium; proved that the degree of solubility of enamel and mixed saliva remineralization ability determine the nature of resistance to tooth decay; supplemented by scientific data on poor hygienic condition of the oral cavity and high speed formation of soft plaque in the patients studied, creating conditions for the accumulation of dental plaque; refined scientific data on factors breach acid-base balance in the mouth, adaptive alkalosis (at high enamel cariesrezystention), oderate and functional acidosis (in the middle) and disruption of the regulation of all constants (at low) at first morphological study set changes in the hard tissue of teeth with different types of plaque: cuticle lack in places of accumulation of soft plaque; thickening of enamel and fragmentation partial mesh layer in adjacent areas with dental plaque; thinning enamel, enamel-dentin connection fracture and "dead routes" in the dentin with mineralized deposits; nicotine accumulation of pigment in the lines of biomineralization, thickening mesh layer and "dead routes" in the dentin during a smokerplaque; found that the most appropriate and effective method of scaling the presence of mineralized plaque and a high degree of enamel cariyesrezystention is ultrasound, with an average level of resistance to decay - manual, the method of choice for nonmineralized dental plaque and smokers plaqueis air-abrasive method; results - the method of professional oral hygiene according to the nature dental plaque and tooth enamel cariesrezystention is created; implemented - in medical and educational process; industry - dentistry.