Abstract
Using of amelogenin-based drugs is rather promising, since it makes preparation more sparing and preserves hard tooth tissues, but this is possible only if the organic matrix is preserved and under the cover of a high calcium diet. This procedure allows to keep the maximum amount of hard tooth tissues, which are very important from the point of view of aesthetics, especially when we work in the frontal area.
The aim of this study was to study the possibility of performing sparing necrotomy in a patient with a III class of carious cavity (Black) with remineralizing therapy using a drugs based on amelogenin (the main structural protein of enamel matrix).
This clinical case proves the effectiveness of using of amelogenin-based drugs in the treatment of caries. The most positive effect is the maximum preservation of dental tissues (in particular, enamel), which certainly increases the aesthetics of restoration work by preserving the vestibular surface and creates the best conditions for the retention of the filling material.
Keywords: sparing necrectomy, class III (Black), organic matrix of enamel, amelogenin.
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