ISSN 2415-3060 (print), ISSN 2522-4972 (online)
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УЖМБС 2022, 7(1): 213–218
https://doi.org/10.26693/jmbs07.01.213
Dentistry

Analysis of the Effectiveness of Caries Prevention in Children of 6-7 Years Old who Permanently Live in Conditions of Biogeochemical Deficiency of Fluoride and Iodine

Klitynska O. V., Stishkovskyy A. V., Zorivchak T. I., Shetelya V. V., Dyachuk J. V.
Abstract

The purpose of the study was to evaluate the effectiveness of remineralizing prevention of dental caries in children living in conditions of biogeochemically deficient trace elements in the period of eruption and mineralization of the first permanent molars, by introducing a treatment and prevention complex. Materials and methods. 73 first-graders of Uzhhorod secondary schools with different general health conditions were selected. The control group consisted of 26 healthy children of the same age. Indicators of caries prevalence, intensity and activity (CP + CPV index), changes in hygienic and periodontal indices (I. G. Green, I. R. Vermillion, Fedorova-Volodkina, PMA) in the dynamics of treatment (after 12 months) were determined and compared with the control group. Results and discussion. 12 months after the use of treatment and prevention complex there was an improvement in dental status, a decrease in the prevalence (p >0.05), intensity (p >0.05) of caries, no permanent teeth were removed, the number of carious temporary and permanent teeth significantly reduced, the percentage of decompensated caries decreased in all clinical groups relative to pre-treatment rates in children of all observation groups (p <0.05). After using treatment and prevention complex in determining the effectiveness of the clinical group a significant increase in patients without caries (6.80±0.01; 16.42±0.09; p <0.05), an increase in the percentage of patients with compensated degree of caries activity (15.10±0.51; 38.36±0.12; p <0.05), and a decrease in the percentage of subcompensated (46.60±2.07; 34.25±0.10; p <0.05) and decompensated (31.50±1.08; 10.97±0.01; p <0.05) course were found. The average values of the OHI-S index in children improved and corresponded to the indicators of satisfactory hygiene in all groups, the Fedorov-Volodkina index corresponded to good hygiene, the PMA index normalized, which indicates the effectiveness of the proposed treatment and prevention complex in children of all clinical groups. Conclusion. Our research has established the relationship between magnesium content and dental status, taking into account the burden of somatic pathology, which complicates the absorption of such essential element as magnesium in the gastrointestinal tract. Normalization of magnesium content after 12 months leads to improved nervous system and dental health in children of 6-7 years old, who live permanently in the region of biogeochemical deficiency of fluoride and iodine. The use of the developed treatment and prevention complex in children of primary school age with high reliability leads to the improvement of the level of dental health

Keywords: children, younger school age, stress level, biogeochemical deficiency of fluorine and iodine, prevalence and intensity of caries

Full text: PDF (Ukr) 262K

References
  1. Kaskova LF, Artemjev AV. Prognozyvannya poshirenosti kariesy v istorichnomy aspekty [Forecasting the breadth of carisu in the historical aspect]. World of Medicine and Biology. 2012; 4:26–28. [Ukrainian]
  2. Klitinska OV, Gasyuk NV, Kostenko YY, Gurando V. Statistical model of caries formation and progression in children of preschool and early school age domiciled in biogeochemical deficiency of fluorine and iodine. J Stomatol. 2017;70(6):674-678. https://doi.org/10.5604/01.3001.0010.7725
  3. Klitinska OV, Vasko AA, Borodach VO, Hasiuk NV, Kornienko LV, Tsukanov DV. Clinical and Laboratory Grounds for the Rational Selection of Filling Material for the Restoration of Deciduous Teeth. Pesquisa Brasileira Odontopediatr Clin Integr. 2018;18(1):e3949. https://doi.org/10.4034/PBOCI.2018.181.52
  4. Kalachevoyu AG, Gromovoyu OA, Kerymkulovoyu NV. Narushenyya formyrovanyya soedynytelnoy tkany u detey kak sledstvye defytsyta magnyya [Disorders of connective tissue formation in children as a consequence of magnesium deficiency]. Lechashchyy vrach. 2012;3:59–64. [Russian]
  5. Marushko YuV, Asonov AO, Gyshchak TV. Rol magniyu v organizmi lyudyny ta vplyv zmenshenogo vmistu magniyu na yakist zhyttya ditey iz gastroezofagealnoyu reflyuksnoyu khvoroboyu. [The role of magnesium in the human body and the impact of reduced magnesium on the quality of life of children with gastroesophageal reflux disease]. Sovremennaya pediatriya. 2019;1(97):124-30. https://doi.org/10.15574/SP.2019.97.124
  6. Zaher MM, Abdel-Salam M, Abdel-Salam R, Sabour R, Morsy AA, Gamal D. Serum magnesium level and vascular stiffness in children with chronic kidney disease on regular hemodialysis. Saudi J Kidney Dis Transpl. 2016;27(2):233–40. PMID: 26997375. https://doi.org/10.4103/1319-2442.178205
  7. Cherepyuk OM. Korektsiya porushen mineralnogo obminu u rotoviy ridyni ditey khvorykh na kariyes tymchasovykh zubiv [Correction of disorders of mineral metabolism in the oral fluid of children with caries of temporary teeth]. Visnyk problem biologiyi i medytsyny. 2019;2(1):341-345. [Ukrainian]
  8. Khomenko LA. Terapevticheskaya stomatiligia detskogo vozpasta [Therapeutic dentistry of children]. Eds by Kiselnikova LP, Smolar NI. K: Book Plus; 2013. p. 64-85. [Russian]. https://doi.org/10.1016/j.jchb.2012.11.003
  9. Savychuk NO. Innovatsiini pidkhody do profilaktyky kariiesu zubiv u ditei i vahitnykh zhinok [Innovative approaches to the prevention of dental caries in children and pregnant women]. Sovremennaia stomatolohyia. 2013;5:46-50. [Ukrainian]
  10. Khomenko LO, Trachuk YuM. Stan stomatolohichnoho zdorovia ta otsinka chynnykiv ryzyku shchodo rozvytku kariiesu postiinykh zubiv [The state of dental health and assessment of risk factors for the development of caries of permanent teeth]. Dentalnуe tekhnolohyy. 2006;1-2:31-3. [Ukrainian]