CONDITION OF HARD TISSUES OF TEETH IN CHILDREN WITH CEREBRAL PALSY

Abstract

The data we obtained on the prevalence of dental caries in children with cerebral palsy indicate a mass incidence, according to the WHO, 95.83 ± 3.29% (in the control group – 41.67 ± 2.29%) with the intensity of the lesion 9, 96 ± 0.21 conventional units for dental caries and 10.32 ± 0.48 conventional units for carious cavities. Analyzing the structure of the DMF index, it should be noted that dental caries is 5.57 ± 0.22, filled teeth – 2.34 ± 0.28, extracted teeth – 1.89 ± 0.1. Acute initial caries of permanent teeth was found in 45.83% of cases with an average intensity of 4.05 ± 0.21 conditional units. The evaluation of the oral hygiene index according to the OHI-S index showed its low index and, accordingly, the "good" state of oral hygiene in only 12.5% of cases. The average value of the OHI-S index and, accordingly, a "satisfactory" state of hygiene was recorded at 25.0%, a high index of OHI-S ("unsatisfactory" hygiene) – at 29.17% and a very high index of OHI-S ("poor" hygiene) – in 33.33% of cases. The evaluation of the timing of teeth eruption revealed a delay in their eruption in 45.83% of patients. The analysis of the condition of the hard tissues of the teeth, in particular acute initial caries, shows that motility disorders in children with cerebral palsy require corrective exercises to form the manipulative function of the hand, improve skills and abilities related to the performance of individual oral hygiene.