ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 22 of 44
Up
УЖМБС 2022, 7(2): 150–158
https://doi.org/10.26693/jmbs07.02.150
Hygiene and Ecology

Modern Aspects of the Incidence of Gingivitis and Periodontitis in Children and Adolescents in Ukraine, Efficiency of Treatment and Prevention

Ziuzin V. O., Cherno S. V., Frenkel Yu. D., Ziuzin D. V., Muntian L. Ya.
Abstract

The purpose of the work was to study modern aspects of the incidence of gingivitis and periodontitis in children and adolescents in Ukraine and to create an algorithm for treatment and prevention tactics in this pathology. It has been established that the high prevalence of gingivitis and periodontitis among children and adolescents makes this problem one of the most important problems of modern dentistry. The problem of periodontal pathology in children and adolescents is due to both the prevalence of diseases and the fact that poor-quality treatment of diseases in childhood and adolescence will lead to severe irreversible damage to periodontal tissues in adults. Modern prevention of inflammatory periodontal diseases in children and adolescents should be carried out on the basis of an algorithm of therapeutic and preventive measures: elimination of local traumatic factors, restoration of the anatomical shape of the teeth, high-quality treatment of the root system, replacement of defective restorations, professional oral hygiene, selection and correction of means and methods of individual hygiene. Results and discussion. The results of the study of oral hygiene and periodontal condition in patients with chronic limited catarrhal gingivitis and chronic localized periodontitis showed that the average value of most of the studied parameters in patients had significant differences when compared with healthy individuals in the control group, as well as between groups of patients. Index evaluation of the functional state of the peripheral circulation in the periodontal tissues of young patients revealed a significant decrease in capillary resistance. Based on literature data and the results of our own research and an objective method for predicting the localization of inflammatory diseases of periodontitis, a therapeutic and prophylactic tactic was developed in young patients with indications of diseases and risk factors for their development. Evaluation of the effectiveness of the developed method of treatment and prevention of localized periodontal tissue damage in patients of the main group was carried out on the basis of the results of clinical, physicochemical and functional research methods in comparison with groups of patients who underwent therapeutic and preventive measures in the traditional way. The results of treatment of localized inflammatory periodontal diseases were analyzed in 34 patients of the main group with chronic limited catarrhal gingivitis, 26 patients with chronic localized periodontitis of degree I and in a similar number of patients in the comparison group with an identical diagnosis. Conclusion. The results of treatment of 60 patients of the main group showed the high efficiency of the developed method. At the same time, a significant improvement in the subjective and objective symptoms of diseases was found. Complete clinical recovery with the elimination of the inflammatory process in the gums was found in 94.1% of patients with chronic limited catarrhal gingivitis of degree I. The obtained positive results of treatment of the main group of young patients with localized inflammatory lesions of periodontal tissues in terms of hygienic and periodontal indices and the state of peripheral circulation confirm the high efficiency of the developed algorithm for the treatment and prevention of these diseases

Keywords: aspects, incidence, gingivitis, periodontitis, children, adolescents, effectiveness, treatment, prevention

Full text: PDF (Ukr) 273K

References
  1. Periodontal profiles: WHO Global Oral Data Bank. Geneva: WHO; 1994.
  2. Zabolotny TD, Borisenko AV, Markov АВ. Heneralizovanyy parodontyt [Generalized periodontitis]. Lviv: GalDent; 2011. 240 p. [Ukrainian]
  3. Khomenko LO, Bіdenko NV, Shapovalova GІ. Stan zubiv i parodonta u ditey shcho meshkayutʹ na radiatsiyno zabrudnenykh terytoriyakh Ukrayiny [Condition of teeth and periodontium in children living in radiation-contaminated areas of Ukraine]. Bulletin of Dentistry. 2007;3(15):473-474. [Ukrainian]
  4. Khomenko LA, Bidenko NV, Ostapko EI. Zabolevaniya parodonta u lits molodogo vozrasta: problemy riska i diagnostiki [Periodontal disease in young people: problems of risk and diagnosis]. Dentist. 2006;1-2:54-57. [Ukrainian]
  5. Grudyanov AI. Zabolevaniya parodonta [Periodontal disease]. Publishing house "Medical Information Agency"; 2009. 336 р. [Russian]
  6. Ivanov VS. Zabolevaniya parodonta [Periodontal disease]. M: Medical Information Agency; 2001. 300 р. [Russian]
  7. Petrushanko ТА, Kyrylenko MA. Analiz faktorov riska bolezney parodonta pri ispol'zovanii breket-sistem [Analysis of risk factors for periodontal disease when using braces]. Ukrainian Medical Almanakh. 2013;5:35-38. [Ukrainian]
  8. Chumakova YuH, Antypa VI, Kosoverov YuЕ. Uroven' i struktura zabolevaniy parodonta u lits molodogo vozrasta (po analizu ortopantogramm) [The level and structure of periodontal diseases in young people (according to the analysis of orthopantograms)]. Modern dentistry. 2004;2:56-59. [Russian]
  9. Danilevsky NF, Borysenko AV, Antonenko MYu, Sidelnikova LF. Zabolevaniya parodonta [Periodontal diseases]. In: Therapeutic dentistry. Textbook: In 4 volumes. Vol 3. K: VSI "Medicine"; 2011. 616 s. [Russian]
  10. Kosenko КN. Epidemiologiya osnovnykh stomatologicheskikh zabolevaniy u naseleniya Ukrainy i puti ikh profilaktiki [Epidemiology of the main dental diseases in the population of Ukraine and ways of their prevention]. Abstr. Dr. (Med.). Odesa; 2014. 13-56. [Ukrainian]
  11. Rudenko ММ, Bondarenko VS, Koval YuN. Sostoyaniye stomatologicheskogo statusa u shkol'nikov iz razlichnykh regionov Ukrainy [State of dental status in schoolchildren from different regions of Ukraine]. Bulletin of Dentistry. 2008;2:77-78. [Ukrainian]
  12. Vyshniak НN. Generalizovannyye zabolevaniya parodonta (parodontoz, parodontit) [Generalized periodontal diseases (periodontal disease, periodontitis)]. K; 2001. 216 р. [Ukrainian]
  13. Denha ОV, Ivanov VS, Horokhyvskyi VN. Monitoring stomatologicheskoy zabolevayemosti u detey Ukrainy [Monitoring of dental morbidity in children of Ukraine]. Dental technologies. 2003;6:2-6. [Ukrainian]
  14. Zhuk DD. Kliniko-laboratorne obgruntuvannya likuvannya khronichnoho kataralʹnoho hinhivitu v osib zi znyzhenoyu nespetsyfichnoyu rezystentnistyu [Clinical and laboratory justification for the treatment of chronic catarrhal gingivitis in persons with reduced nonspecific resistance]: Abstr. PhDr. (Med.). Odessa; 2005. 19 p. [Ukrainian]
  15. Kaskova LF, Abramova OE. Poshyrenistʹ khronichnoho kataralʹnoho hinhivitu v ditey Poltavsʹkoyi oblasti [Prevalence of chronic catarrhal gingivitis in children of Poltava region]. Ukrainian Medical Almanakh. 2006;2:51-53. [Ukrainian]
  16. Melnychuk HМ, Rozhko ММ, Nelko NV. Hinhivit, parodontyt, parodontoz: osoblyvosti likuvannya [Gingivitis, periodontitis, periodontitis: features of treatment] chief help [other additional species]. Ivano-Frankivsk; 2004. 282 р. [Ukrainian]
  17. Hirchak HV. Osoblyvosti urazhennya tkanyn parodonta u ditey ta pidlitkiv, yaki prozhyvayutʹ u rehioni sirchanoho vyrobnytstva [Peculiarities of periodontal tissue damage in children and adolescents living in the regions of sulfur production]. Dentistry News. 1999;3(20):13-15. [Ukrainian]
  18. Kazakova RV, Melnyk VS, Bulei LF. Rivenʹ stomatolohichnoyi zakhvoryuvanosti u pidlitkiv Uzhhoroda [The level of dental morbidity in adolescents in Uzhgorod] Bulletin of Dentistry. 2012;4:103-106. [Ukrainian]
  19. Shimansky ShL, Chilikin VN, Rumyantsev VA, Budashova EI, Serik DV, Yusupova YuI. Vliyaniye parodontopatogennoy mikroflory polosti rta na razvitiye khronicheskoy obstruktivnoy bolezni legkikh (kliniko-laboratornoye issledovaniye) [The influence of periodontal pathogenic microflora of the oral cavity on the development of chronic obstructive pulmonary disease (clinical and laboratory research)]. Dentistry. 2017;2(91):32-33. [Russian]
  20. Kholodnyak OV. Likuvannya, profilaktyka ta prohnozuvannya lokalizovanykh zapalʹnykh zakhvoryuvanʹ tkanyn parodonta [Treatment, prevention and forecasting of localized inflammatory diseases of periodontal tissues]. Abstr. PhDr. (Med.). Uzhhorod; 2017. 198 p. [Ukrainian]
  21. Yarova SP, Mozchova NV, Yarov YuYu, Zheldakova AD. Suchasni pidkhody do korektsiyi sudynnykh porushenʹ pry zapalʹnykh zakhvoryuvannyakh parodonta [Modern approaches to the correction of vascular disorders in inflammatory periodontal disease]. Bulletin of Dentistry. 2013;4:104-107. [Ukrainian]
  22. Ziuzin VO, Kovalov YeV, Pravdin VV, Sevastyanov YeO. Profilaktyka stomatolohichnykh zakhvoryuvanʹ (orhanizatsiya, vikovi ta kliniko-sotsialʹni aspekty) [Prevention of dental diseases (organization, age and clinical and social aspects)]. Poltava; 1997. 47 p. [Ukrainian]