Analysis of the effectiveness of rehabilitation measures for dental caries

Abstract

Aim. To evaluate the effectiveness of rehabilitation measures for dental caries. Methods. Studied were 246 patients aged 18-50 years (146 women and 100 men) who received dental treatment for dental caries and its complications, the duration of follow-up was 18 months. Conducted was an expert evaluation of 246 medical records of dental patients and patients’ management. The hygienic status of the oral cavity was assessed by the criteria of OHI-S (Oral Hygiene Index Simplified) and PHP (Patient Hygiene Performance), for values of OHI-S (PHP) 0.6±0.1 (0.4±0.03) the status was considered good, for values 1.3±0.1 (0.7±0.02) - satisfactory, for values 2.6±0.1 (1.8±0.04) - unsatisfactory. Results. Good oral hygiene status was noted in 64 patients (first group), satisfactory - in 88 (second group), unsatisfactory - in 94 patients (third group). In the third group, the share of fully intact restorations and fillings during middle and deep caries after 6 months was 89 and 81%, at 12 months - 80 and 78.2%, after 18 months - 79.7 and 71.8%, respectively; in the second group after 6 months - 94 and 92.8%, after 12 months - 89 and 85.3%, after 18 months - 87.5 and 81.2%, respectively; in the first group at 6 months - 96 and 96%, after 12 months - 96 and 91.3%, after 18 months - 94.5 and 90.5%, respectively. Only 152 of the 246 patients fulfilled all the recommendations and prescriptions, 34 (13.8%) did not complete the rehabilitation of the oral cavity. Prevention and rehabilitation activities were performed in 30% of cases: in 15% - in full, in the remaining 15% primarily professional oral cleaning and remineralization therapy was conducted. Conclusion. The program of rehabilitation of dental patients should include regular inspections, monitoring of the oral hygiene, professional cleaning of the oral cavity, grinding and polishing of the restorations and fillings, pathogenetic therapy.