Abstract
Early childhood caries (circular caries) can occur at an early age, with the eruption of deciduous teeth of the age of 1 to 1.5 years old. This is a multifactorial dental disease that has become a worldwide problem with high prevalence in recent decades. The purpose of the study was clinical evaluation of the remineralizing effect of the topical treatment, in patients with starting stages of circular caries. This study was conducted at the Clinic for Pediatric and Preventive Dentistry, Skopje, and included 117 patients of both sexes, with the starting stages of circular caries. They were aged of 1.5 to 3.5 years old, with a fully formed primary tooth. It was selected 61 patients with initial lesion – white spot and 56 patients with superficial form. From both groups 30 patients were treated with topical fluoride preparation, for a period of six months, applied once a week. The remaining patients had regular check-ups and instructions, but they did not undergo fluoride treatment. After the fluoride treatment, we followed the remineralizing effect, i.e. which initial lesions were reversed or where the intracrystal spaces were filled and the crystals were repaired after six months of topical application. In some patients who were able to satisfy other preventative factors, we were able to obtain a clinical picture of complete remineralization on initial lesion (restitution ad integrum) in vivo, approximately similar to a healthy tooth. How successful the remineralization will be depends on the predominant, protective, or pathogenic factors. Keywords: circular caries, early childhood caries, remineralization, initial lesion, white spot
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