STUDYING THE RISK FACTORS OF CARIES IN THE FIRST PERMANENT MOLARS IN CHILDREN DEPENDING ON THEIR ODONTOGLIFICS.

OBJECTIVE: The aim: To study the prevalence of odontoglyphic variants of the first permanent molars of the lower jaw in children 6-7 years old, as well as the frequency of caries lesions in molars with the most common types of patterns on their chewing surface. PATIENTS AND METHODS: Materials and methods: We studied 1092 mandibular molars in 564 children without background pathology at the age of 6-7 years. The dynamics of the occurrence of fissure caries was studied in 347 first permanent molars of the lower jaw for 2 years and 246 molars in 155 children from among those observed during 3 years of the study. RESULTS: Results: In the children examined by us, the most common types of the chewing surface of the first permanent molars of the lower jaw were Y5- and + 5 patterns. We did not find a difference in the frequency of occurrence of these types in the surveyed girls and boys (p > 0.05). Our study showed that most often the first permanent molars of the lower jaw were affected by caries in the first 2 years of follow-up. The incidence of affection of the lower molars, which had a more complex structure of the occlusal surface (type Y5 and +5), was significantly higher than that of molars with the type of chewing surface +4. CONCLUSION: Conclusions: It has been established that in children 6-7 years old, the first permanent molars of the lower jaw have a more complex structure of the chewing surface, and the intensity of their caries damage is maximally high in the first two years after eruption and require active additional preventive measures in the early terms after their eruption.

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.

Medical evaluation of efficiency of optimized models for early detection and primary prevention of cardiovascular diseases.

INTRODUCTION: Nowadays cardiovascular disease occupies a leading place in the structure of the prevalence, incidence, disability causes and mortality of the adult population in Ukraine and in the whole world. The prevalence of hypertension in the adult population ranges from 25 - 40%, coronary heart disease is almost 20% of people aged 50-59 years while 24.3% of them have a form of silent coronary artery disease. The feasibility of study is justified by the need to perform health institutions Law of Ukraine dated 07.07.2011 year №3611-VI ≪On Amendments to the Basic Laws of Ukraine on health care on improvement of care" and MoH of Ukraine from 24.07.2013 № 621/60 "On the system of cardiac care in health facilities of Ukraine" therefore extremely important is to develop an optimized model of early detection and primary prevention of cardiovascular diseases at primary level of health care. The aim of the research is to develop methods and evaluation models optimized for early detection and primary prevention of cardiovascular diseases at a general practitioner of family medicine. MATERIAL AND METHODS: The methodical apparatus is of complex of medical and social research methods that meet the requirements of public health: bibliosemantyc, systematic approach and analysis, statistical, expert evaluations. To determine the effectiveness of medical evaluation was conducted in its 33 clinics of general practice in Poltava region, including 7 urban and 26 rural. In expert opinion is taken 825 patients, of which 175 urban and 650 in rural areas. The results of the study found that 193 patients (23.4%) achieved target blood pressure through the implementation of the recommendations concerning the optimization behavior towards of risk factors, lifestyle.