Application of the treatment and preventive measures for caries and gingivitis in school-age children
Background. The unity of the most significant pathogenetic mechanisms of caries and periodontal diseases grounds the concept of prevention of these diseases, which includes the development of treatment and preventive programs taking into account the clinical features of combination of caries and periodontal diseases in children and the main pathogenetic mechanisms of these diseases. The purpose of the study is to assess the impact of the developed treatment and preventive measures (TPM) in school-age children when caries is associated with chronic catarrhal gingivitis taking into account the main pathogenetic mechanisms of these diseases. Materials and methods. 138 children aged 7 to 10 years were enrolled in the clinical study. Dental caries index, an increase in the intensity of dental caries, reduction of this index and caries prevention effect, test of enamel resistance, Green-Vermillion index, O’Leary simplified index of dental plaque, patient hygiene performance index, the papillary marginal attachment index, Simplified Basic Periodontal Examination were evaluated in children before using TPM and 18 months after applying them three times. Results. The results of the clinical study showed that with a positive dynamics of clinical parameters in children of all study groups, in subgroups where we applied the developed and proposed TPM, oral hygiene was good (0.37 ± 0.03, 0.46 ± 0.04), as well as efficiency of hygiene measures (0.58 ± 0.05, 0.60 ± 0.03); low level of caries intensity increase (0.11–0.18) with reduction of 67.27–80.70 %, with caries prophylaxis effectiveness of 66.53–76.79 % in contrast to the control groups of children, in which the level of caries intensity increase was 0.35–0.57, state of oral hygiene remained satisfactory. In children with chronic catarrhal gingivitis, complete elimination of the main clinical signs of inflammation with subsequent long-term remission when using TPM was observed in a larger number of cases as compared to children with standard treatment approaches. Conclusion. The results of clinical study, namely prevention of further caries development and elimination of basic clinical signs of gum inflammation with the long-term remission, indicate positive influence of developed TPM.
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Khomenko LA, Leous PA, Ostapko EI, Sorochenko GV. Assessment of significance of dental caries risk indicators in cases of different prevalence among school age children. Visnik socìalʹnoï gìgìêni ta organìzacìï ohoroni zdorovʹâ Ukraïni. 2016;(68):39-45. (in Ukrainian). doi: 10.11603/1681-2786.2016.2.6739.
Gricenko EA, Suetenkov DE, Haritonova TL, Lebedeva SN. The base moments in etiological prevention of periodontal disease in children and adolescents. Saratovskij nauchno-medicinskij zhurnal. 2011;7(1):234-239. (in Rusiаn).
Makarenko MV, Kovach IV. The role of microecology of the oral cavity in the etiopathogenesis of inflammatory periodontal disease in young adult. Sovremennaja stomatologyja. 2014;(3):28-33. (in Ukrainian).
Marchenko OA. Kliniko-mikrobiologichne obg'runtuvannja dyferencijovanyh pidhodiv do likuvannja hronichnogo generalizovanogo kataral'nogo gingivitu u ditej shkil'nogo viku - Diss kand med nauk [Clinical and microbiological substantiation of differentiated approaches to the treatment of chronic generalized catarrhal gingivitis in school-age children – Diss PhD med sci]. Kyiv; 2014. 22 p. (in Ukrainian).
Shynchukovska Iu. Description of specific composition parodontopatogennic microflora in mouth liquid at chronic catarrhal gingivitis for teenagers. Visnyk problem biologii' i medycyny. 2013;1(1):261-264. (in Ukrainian).
Twetman S, Derawi B, Keller M, Ekstrand K, Yucel-Lindberg T, Stecksén-Blicks C. Short-term effect of chewing gums containing probiotic Lactobacillus reuteri on the levels of inflammatory mediators in gingival crevicular fluid. Acta Odontol Scand. 2009;67(1):19-24. doi: 10.1080/00016350802516170.
Ma D, Forsythe P, Bienenstock J. Live Lactobacillus reuteri is essential for the inhibitory effect on tumor necrosis factor alpha-induced interleukin-8 expression. Infect Immun. 2004 Sep;72(9):5308-14. doi: 10.1128/IAI.72.9.5308-5314.2004.
Polishhuk TV. Clinical efficacy of pre-biotics and probiotics complex in therapy of chronic generalized catarrhal gingivitis in children. Aktual'ni problemy suchasnoi' medycyny. 2013;13(42):52-56. (in Ukrainian).
Stamatova I, Kari K, Vladimirov S, Meurman JH. In vitro evaluation of yoghurt starter lactobacilli and Lactobacillus rhamnosus GG adhesion to saliva-coated surfaces. Oral Microbiol Immunol. 2009 Jun;24(3):218-23. doi: 10.1111/j.1399-302X.2008.00498.x.
Anderson P, Hector MP, Rampersad MA. Critical pH in resting and stimulated whole saliva in groups of children and adults. Int J Paediatr Dent. 2001 Jul;11(4):266-73. doi: 10.1046/j.1365-263X.2001.00293.x.
Kvashnina LV. Correction of metabolic disorders of calcium and vitamin D in children with malabsorption syndrome. Sovremennaya pediatriya. 2012;7(47):1-6. (in Russiаn).
Udovyc'ka OV, Lepors'ka LB, Spiridonova TM, et al. Dytjacha stomatologija [Children's dentistry] . Kyiv: Zdorov’ja; 2000. 296 p. (in Ukrainian).
Homenko LO, Golubjeva IM, Ostapko OI. Terapevticheskaia stomatologiia detskogo vozrasta [Therapeutic dentistry of childhood]. Kyiv: Knyga plus; 2015. 329 p. (In Ukrainian).
Sheshukova OV, Padalka AI, Kazakova KS. Diagnostyka zahvorjuvan' organiv porozhnyny rota u ditej [Diagnosis of diseases of the organs of the oral cavity in children]. 2018;144 р. (In Ukrainian).
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