Actual problems in dentistry Actual problems in dentistry Проблемы стоматологии 2077-7566 2412-9461 115870 10.18481/2077-7566-2026-22-1- ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ LITERATURE REVIEW ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ MODERN METHODS OF RESTORATION OF CARIOUS LESIONS OF THE TOOTH ROOT СОВРЕМЕННЫЕ МЕТОДИКИ РЕСТАВРАЦИИ КАРИОЗНЫХ ПОРАЖЕНИЙ КОРНЯ ЗУБА Разумова Светлана Николаевна Razumova Svetlana N. razumova_sn@pfur.ru

доктор медицинских наук;

doctor of medical sciences;

 Браго Анжела Станиславовна Brago Anzhela S. brago_as@pfur.ru

кандидат медицинских наук;

candidate of medical sciences;

 Печерский Богдан Олегович Pecherskyi Bohdan O. pecherskiy_bo@pfur.ru Брагунова Рузанна Муратовна Bragunova Ruzanna M. bragunova-rm@rudn.ru

кандидат медицинских наук;

candidate of medical sciences;

 Битокова Милана Тимуровна Bitokova Milana T. 1032200468@pfur.ru Нестерова Виктория Владимировна Nesterova Viktoria V. 1032210341@pfur.ru Российский университет дружбы народов имени Патриса Лумумбы Москва Россия Peoples' Friendship University of Russia named after Patrice Lumumba Moscow Russian Federation Российский университет дружбы народов имени Патриса Лумумбы Москва Россия Peoples' Friendship University of Russia named after Patrice Lumumba Moscow Russian Federation Российский университет дружбы народов имени Патриса Лумумбы Москва Россия Peoples' Friendship University of Russia named after Patrice Lumumba Moscow Russian Federation Российский университет дружбы народов имени Патриса Лумумбы Москва Россия Peoples' Friendship University of Russia named after Patrice Lumumba Moscow Russian Federation Российский университет дружбы народов имени Патриса Лумумбы Москва Россия Peoples' Friendship University of Russia named after Patrice Lumumba Moscow Russian Federation Российский университет дружбы народов имени Патриса Лумумбы Москва Россия Peoples' Friendship University of Russia named after Patrice Lumumba Moscow Russian Federation 22 1 10 10 27 02 2026 https://dental-press.ru/en/nauka/article/115870/view

Рост продолжительности жизни в России сопровождается увеличением частоты кариозных поражений корня зуба, особенно среди пожилых пациентов с заболеваниями пародонта, что обусловлено анатомическими особенностями корневых тканей, содержащих меньше неорганических компонентов и более подверженных деминерализации. Это определяет необходимость применения реставрационных методик, обеспечивающих долговечность и устойчивость к влажной среде. Цель исследования – изучить литературные данные по вопросу применения различных методик реставрации кариозных поражений корня зуба. Материалы и методы. Проведен обзор публикаций за период с 2016 по 2026 год, найденных в базах PubMed, eLIBRARY, Google Scholar и National Library of Medicine, с использованием ключевых слов: кариес корня, реставрация, адгезивная система, стеклоиономерный цемент, модифицированный смолой и гибридный СИЦ, модифицированный смолой стеклоиономерный цемент, гибридный стеклоиономерный цемент. Дубликаты публикаций были исключены. Установлено, что выбор адгезивных систем и материалов напрямую влияет на клинический прогноз. Адгезивы на основе низкомолекулярных мономеров (10-MDP) демонстрируют прочное взаимодействие со склерозированным дентином и стабильность при повышенной влажности. Гибридные стеклоиономерные цементы остаются наиболее предпочтительным вариантом благодаря сочетанию химической адгезии, выраженного выделения фтора, высокой биологической совместимости и достаточной механической прочности, что делает их надежным выбором даже для участков с существенной функциональной нагрузкой. Современная реставрационная стоматология рассматривает два основных подхода к лечению кариеса корня зуба – применение композитных материалов с различными адгезивными протоколами и использование стеклоиономерных цементов традиционных и модифицированных полимерами. Результаты. Анализ литературы показывает, что адгезивные системы 8-го поколения и современные композиты обеспечивают более высокую прочность сцепления и лучшую краевую герметичность, тогда как СИЦ и RMGI сохраняют клиническую значимость в условиях недостаточной изоляции благодаря химической адгезии. Необходимы дальнейшие изучение данного вопроса для оптимизации выбора материала.

The increase in life expectancy in Russia is accompanied by a growing prevalence of root caries, particularly among elderly patients with periodontal diseases. This trend is associated with the anatomical characteristics of root tissues, which contain a lower proportion of inorganic components and are therefore more susceptible to demineralization. This determines the need for restorative techniques that ensure long-term durability and resistance to a moist oral environment. The aim of the study was to analyze the available literature regarding the application of various restorative approaches for the management of root caries lesions. Materials and methods. A review of publications from 2016 to 2026 was conducted using the PubMed, eLIBRARY, Google Scholar, and National Library of Medicine databases. The search was performed using the following keywords: root caries, restoration, adhesive system, glass ionomer cement, resin-modified and hybrid glass ionomer cement, resin-modified glass ionomer cement, hybrid glass ionomer cement. Duplicate publications were excluded. The analysis demonstrated that the selection of adhesive systems and restorative materials directly affects the clinical prognosis. Adhesives based on low-molecular-weight monomers, such as 10-MDP, show strong interaction with sclerotic dentin and maintain stability under conditions of increased moisture. Hybrid glass ionomer cements remain the most preferable option due to the combination of chemical adhesion, pronounced fluoride release, high biocompatibility, and sufficient mechanical strength, making them a reliable choice even in areas subjected to significant functional loading. Modern restorative dentistry considers two main approaches to the treatment of root caries: the use of composite materials with different adhesive protocols and the application of conventional and polymer-modified glass ionomer cements. Results. The literature analysis indicates that 8th-generation adhesive systems and contemporary composite materials provide higher bond strength and improved marginal sealing, whereas glass ionomer cements and resin-modified glass ionomers retain clinical relevance under conditions of inadequate isolation due to their chemical adhesion. Further studies are required to optimize material selection.

 кариес корня реставрация адгезивная система стеклоиономерный цемент СИЦ модифицированный смолой стеклоиономерный цемент гибридный стеклоиономерный цемент root caries restoration adhesive system glass ionomer cement GIC resin-modified glass ionomer cement hybrid glass ionomer cement

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