Dental health in children of senior school age with functional pathology of pancreas: interdisciplinary character of the problem

I.S Lembryk

doi:10.22141/2224-0551.7.67.2015.75068

Abstract

60 children of senior school age with functional pathology of pancreas and 30 apparently healthy children of the same age were examined for the purpose of dental health assessment. Risk factors of development of lesion of pancreas were detected: irregular nutrition (41.7 %), burdened heredity (33.3 %), autonomic imbalance, in particular instability of vascular tone (13.3 %), massive helminth invasion (11.7 %). There were established the clinical peculiarities of lesions of the pancreas as well as signs of edema of the head of pancreas by data of sonographic method of examination. Factors of deterioration in the condition of oral cavity, teeth and periodontal tissue in the cohort of patients are: unsatisfactory hygiene of oral cavity (absence of a toothbrush, undurable and unthorough brushing of teeth and tongue, inability to use dental floss for removal of uneaten food from gingival sulcus and spaces between teeth), as well as rare visits to a dentist with the purpose of prevention and treatment (46.7 %).

Highlights

Chronic diseases of the gastrointestinal tract are often accompanied by the deficiency of vitamins, minerals, proteins, carbohydrates in a body, the result of which is the development of inflammatory and dystrophic changes in the mucous membrane of the mouth cavity, dysfunction of masticatory apparatus
We have examined 60 children of 15–17 years with sphincter of Oddi dysfunction, pancreatic variant, Address for correspondence with authors: Lembryk I.S
In the process of examination we defined the criteria for exclusion of the diagnosis of functional pathology: the age under 5 and over 15 years old, the presence of abnormal development of biliary system and pancreas, signs of any organic disease of hepato-pancreato-duodenal area: melena, anemia, acceleration of erythrocyte sedimentation rate (ESR), unmotivated weight loss in a short period of time

Summary

Introduction

Deterioration of somatic health of school-aged children against the background of high dental morbidity is a reflection of unsatisfactory social-economic situation in the country, as well as environmental deterioration, reduction in the quality and culture of nutrition in general [1,2,3]. Chronic diseases of the gastrointestinal tract (stomach, liver, pancreas) are often accompanied by the deficiency of vitamins, minerals, proteins, carbohydrates in a body, the result of which is the development of inflammatory and dystrophic changes in the mucous membrane of the mouth cavity, dysfunction of masticatory apparatus. Researchers discover the influence of practically invariable pathogenetic factors, in particular: poor quality of foodstuff, hereditary susceptibility to caries, reductive changes of masticatory apparatus etc. Any somatic or dental pathology in childhood should be considered in the light of organ homeostasis, and development of therapeutic and preventive measures requires cooperation of a pediatrician and a dentist [1, 3, 4]

Material and methods of research

Findings

Conclusions