AFFECTION ON CARIES AND ITS COMPLICATIONS OF TEMPORARY TEETH OF CHILDREN IN A REGION WITH EXCESS FLUORINE CONTENT IN DRINKING WATER.

OBJECTIVE: Aim: The aim of the study was to determine the indicators of caries and its complications in the temporary teeth of children who permanently live in a region with a high fluoride content in drinking water. PATIENTS AND METHODS: Materials and Methods: It was examined with the definition of caries and its complications 277 children in the age range from 2 to 13 years, who were born and permanently live in the urban-type settlement of Mashivka. The fluoride content in the drinking water of the settlement was 1.7-2.5 mg/l. RESULTS: Results: During the analysis of data from the survey of children who were born and permanently lived in the urban-type settlement of Mashivka, it was determined that the prevalence of caries of temporary teeth probably increases with age. Half of the 3-5-year-old children had caries-affected teeth, and temporary tooth caries reached the highest rates in 10-year-old children. It should be noted that a fifth of children in the youngest age group (3-5 years old) suffer from pulpitis and periodontitis of temporary teeth. CONCLUSION: Conclusions: The conducted examination of children urban-type settlement of Mashivka confirms the opinion that the excessive content of fluorine in drinking water does not have a caries-protective effect, and the intensity of the process reaches the indicators characteristic of regions with its optimal content. Such a situation requires strengthening measures for both primary and secondary prevention of dental diseases.

INFLUENCE OF MICROBIOTA ON THE CLINICAL AND IMMUNO-HISTOCHEMICAL CHARACTERISTICS OF CHRONIC GENERALIZED CATARRHAL GINGIVITIS IN CHILDREN.

OBJECTIVE: The aim: The purpose of the study is to characterize the influence of quantitative and qualitative composition of gingival microbiota on the status of the main immune system cells, localized in the gums, in chronic generalized catarrhal gingivitis in children. PATIENTS AND METHODS: Materials and methods: The study involved 26 children aged 9 to 16 years, patients with chronic generalized catarrhal gingivitis mild to moderate severity (CGCG) and 18 children with intact gums were comparison group. We determined the hygienic indices Fedorov, has been received, Silness-Loe, PMA, bleeding index for Myuleman and intensity of caries index CFD + cf, CFD. Histological and immunohistochemical studies were performed on serial sections kriostatnyh who made biopsy of gingival papillae. Microbiological study gingival part of crown plaque was performed by multiplexed PCR in real time. RESULTS: Results: Value hygienic indices in children with CGCG higher than in healthy, indicating the difficulty of care in the presence of periodontal inflammation. As a result of immunohistochemical studies revealed that HLA-DR + cells under conditions of active disease migrate to mucosal lamina propria epithelium. Number of CD3 + cells in the epithelium CGCG was significantly higher than the number in the intact epithelium and was the most numerous of population. In the biopsy of affected children significantly reduced the number of CD4 + cells. When CGCG quantitative total bacterial mass, Lactobacillus spp., Enterobacteriaceae, Gardnerella vaginalis / Prevotella bivia / Porphyromonas spp. in the sample CROWN dental plaque was significantly higher than rates under physiological conditions, and may serve as diagnostic criteria of dysbiosis. CONCLUSION: Conclusions: So, CGCG is a disease in the etiology of which is one of the leading roles played by microbial factor, namely, the value of the quantitative ratios of certain types of microorganisms of dental plaque compared to the total bacterial mass of plaque. Therefore, it is reasonable to include comprehensive treatment CGCG drugs in children, leading to natural immunostimulation which causes restoration of local immunity in the gum tissue and drugs to restore quantitative and qualitative composition of normal microflora of the child, thus providing a high therapeutic effect and serve as justification their choice.

STUDYING AND ANALYZE THE FACTORS THAT AFFECT COMPLIANCE DENTIST RECOMMENDATIONS FROM PARENTS OF CHILD PATIENTS.

OBJECTIVE: The aim: Investigate the factors that influence the tendency of parents to follow the advice of a dentist on the way to improving the dental health of their children and build a prognostic model. PATIENTS AND METHODS: Materials and methods: Materials: we analyzed 406 questionnaires (specially created by the author), which contain the answers of parents of schoolchildren of Poltava. Methods: questionnaires, medical and statistical, modeling. RESULTS: Results: The statistical processing of the questionnaires revealed a number of factors those that affect parents' compliance with the advice of a dentist, increasing or decreasing the chances of it: low sanitary and hygienic awareness of parents; non-observance of hygiene rules by parents; parents do not teach the child to care for the oral cavity;opinion of the parents that only state must take care of children's health; the recommendations of the dentist wasn`t received; child had never visited a dentist for prevention. The operational characteristics of the obtained prognostic model: the area under the curve is 0,762, which indicates a good predictability of the model. Sensitivity is 82,2%, specificity - 79,8%. CONCLUSION: Conclusions: The data obtained as a result of our study and the constructed prognostic model: they indicate low sanitary and hygienic awareness of parents, paternalism of their thinking (shifting responsibility to someone, unwillingness to take responsibility), lack of medical and hygienic knowledge, as a result of which they do not apply them to themselves and, of course, to their children. The solution to this problem is possible only through informational and explanatory activities with the involvement of modern methods of communication and people who have passed appropriate training.

Determination of the structure of acute injury of temporary and permanent frontal teeth in children, analysis of diagnostic and treatment measures and their effects.

OBJECTIVE: The aim: To determine the structure of acute injuries of temporary and permanent frontal teeth in children, to analyze the applied diagnostic and treatment measures for acute tooth trauma and to investigate their effectiveness. PATIENTS AND METHODS: Materials and methods: The subject of the study were 31 children aged 2-12 years with acute temporary and permanent tooth trauma. Methods: clinical (radiological, thermodiagnosis), medical and statistical. RESULTS: Results: The number of injured permanent teeth was greater than the number of injured temporary teeth. The pattern of temporary and permanent tooth injuries differed, so in temporary teeth dislocations were observed, and in permanent teeth fractures prevailed over dislocations. In our opinion, this is due to the peculiarities of the anatomy of the temporary teeth. Usually, the therapeutic tactics of acute temporary teeth injuries is to remove them, despite their important role in the growth and development of jaws, physiological formation and eruption of permanent teeth. The therapeutic tactics of dynamic observation in the case of intrusive dislocation of the temporary tooth were selected in the clinic of the Department of Pediatric Dentistry. In some cases, with a slight change in the position of the temporary tooth, self-regulation of its position was observed, in other cases the tooth remained dystopic, but its viability remained in 50% of cases. Therapeutic tactics of acute injuries of permanent teeth were selected according to the type of trauma. In the case of permanent tooth dislocation, with a slight change in its position, tooth immobilization was carried out by splinting with fiberglass tape and photopolymer composite material. CONCLUSION: Conclusions: Our observations have shown that the complex of modern specialized medical care for the affected children with acute traumatic injuries of the teeth should be guided by their preservation, which ensures the subsequent normal formation of the dental-jaw apparatus. To ensure these conditions, a long, reliable immobilization of the damaged tooth is required as soon as possible after injury.

Oral status in adolescents with alcohol addiction.

OBJECTIVE: Introduction: Alcohol addiction is one of major public health concerns because rich assortment of alcohol drinks, alcohol advertising may hasten the initiation of alcohol drinking and increase consumption among children and adolescents nowadays. Cytotoxic effect of alcohol is among the leading causes of oral mucosa malignant degeneration, therefore alcohol drinkers are at risk of cancerous diseases. This should be taken into consideration by dentists during routing check-ups. The assessment of oral status in alcohol abusers is essential for making up a treatment plan and prophylaxis, and the investigation of oral manifestations in alcohol drinkers is of great clinical significance. The aim: To determine the peculiarities of oral status in underage drinkers. PATIENTS AND METHODS: Materials and methods: The study involved 135 inpatients aged 14-17, who took the course of treatment at the Narcological Department, Poltava Regional Clinical Psychiatric Hospital. We assessed the condition of periodontal tissues and oral mucosa. RESULTS: Results: There was a tendency towards an increase in precancerous diseases depending on the age of patients and the length of alcohol addiction. The prevalence rate of the diseases in the first group of patients who had being abused alcohol for 2 years was 10,91% of cases; and in the second group of patients who had being abused alcohol for 3 years it made up 16,80%. This may be explained by adverse effect of ethanol on the oral mucosa and by no regular dental check-ups. CONCLUSION: Conclusions: Based on the results obtained, it is appropriate to recommend mandatory oral check-ups for adolescents with alcohol abuse.

Monitoring of efficiency of dental caries management in children's temporary teeth throughout Poltava oblast.

OBJECTIVE: Introduction: Dental caries is still a major health care problem not only in Ukraine but throughout the world. Complicated dental caries currently ranks the leading position among the oral diseases in children. The aim of this study is to carry out a analysis of the epidemiology of dental caries and its complications, and to evaluate the efficiency of the caries treatment for temporary teeth among the children of Poltava oblast over the last decade based on the data of the annual reports. PATIENTS AND METHODS: Materials and methods: We have studied the figures reflecting the epidemiology of dental caries and its complications in Poltava oblast over the past ten years obtained through the analysis of the annual reports on the quantitative and qualitative indicators of paediatric dental service. RESULTS: Review: According to the annual reports from the districts, the number of cases of temporary teeth treatment for complicated caries did not change significantly when comparing the relevant data of 2007 and 2017. When carrying out the comparative analysis of annual reports for 2007 and 2017 by the indicator of the share of complicated caries, attention should be focused on the average increase of the value from 30.4% in 2007 to 35.9% in 2017. CONCLUSION: Conclusions: The analysis of annual reports for 2007 and 2017 through Poltava oblast points out the low efficiency of dental caries management in the children's temporary teeth. As a result, outcomes of the dental caries treatment and caries complications in the children's temporary teeth are assessed as unsatisfactory both in the preventive and the therapeutic aspects.