Estimation of efficiency of remineralizative therapy in children of primary school age with a high level of intensity of dental caries

Abstract

The purpose of our study was to determine the intensity of dental caries and the level of oral hygiene in boys and girls, depending on age and conducting remineralizative therapy in the observed group of children with the aim of prevention of dental caries. The study was carried out with the informed consent of parents of examining children. We carried out dental examination of 60 schoolchildren in Vinnytsya, aged 6–8 years old, who were divided into two even groups, near 30 persons in evey group who was provided remineralizative therapy of dental hard tissue using the preparation “Bifluorid 10” VOCO (Germany). In the article the clinical discussion of high efficiency of preventive remineralizative therapy of dental hard tissues in children 6-8 years is presented. According to the results of the primary examination in the observed children, it was found that the average of oral hygiene index of Fedorova-Volodkina was 2.3±0.16 scores in the main group and 2.31±0.13 scores in the control group, which indicates an unsatisfactory level of oral hygiene in both groups. Dental caries was determined in 100% of cases among the examined children, caries intensity indexes DMFT+df were corresponded to 5.57±1.04 in the main group and 5.7±0.95 in the control group. The intensity of the color of the TER-test in the basic observation was — 3.88±0.75 in the main group and 4.19±0.91 the control group. The oral hygiene index slightly increased after 12 months of research. In children of the main group it was 1.52±0.12 and 1.58±0.15 in the control group, which corresponds to satisfactory oral hygiene. However, in general, during the period of our investigation, the oral hygiene index was significantly improved in comparing to the primary scores on 33.9% in the main group and on 31.64% in the control group. The index of growth of caries intensity was — 7 (23%) in the control group and in the main group — 1 (3.3%) in the main one. The parameters of the TER test were within the range of 2.1±0.3 scores in the basic and 3.93±0.7 scores in the control groups, which corresponds to the improvement of the mineralization of the dental hard tissue (p <0.05). Consequently, the problem of high dental caries intensity and caries prevalence of primary and permanent teeth suggests about cariogenic situation in the oral cavity of children during the period of the eruption of the first permanent molars. Professional oral hygiene, the formation of regular oral hygienic habits, deep fluoridation using the Bifluorid 10 VOCO (Germany), not only improve the oral hygiene status, but also reduce the growth index of dental caries and have a high efficiency of prevention of dental caries.