Abstract

Frequent occurrence of dental caries and periodontal diseases, especially gingivitis, in school-aged children, is becoming one of the most important problems in oral pathology, although they all can be brought under control through health education and implementation of preventive and prophylactic measures. The aim of this study was to determine the incidence of dental caries and gingivitis in children, aged 12 years, attending primary schools in Kosovska Mitrovica, as an urban area, and schools in Gracanica and Laplje Selo, as rural areas. The study included 227 schoolchildren, aged 12 years, divided into two groups. One group, 129 of them, consisted of children from primary schools in Kosovska Mitrovica, as urban areas. The other group, 98 of them, consisted of children from primary schools in Gracanica and Laplje Selo, as rural areas. Klein-Palmer DMFT system (D-Decayed, M-Missing, F-filled) was used to estimate the prevalence of dental caries, while Silness-Loe plaque index, Loe-Silness gingival index and Muhlemann sulcus bleeding index were used to estimate the level of oral hygiene, gingival status and severity of gingival inflammation. The average number of permanent teeth with caries per respondent (DMFT) was 4.6 in total, for all children. The average value of DMFT in children from urban areas was 3.8, and 5.3 in children from rural areas. SiC Index was 7.9. The average value of the plaque index (PI) was 1.53±0.61, of the gingival index (GI)1.05±0.58 and of the bleeding index (BI) 0.64±0.59. The established state of oral health and periodontium in examined children points to the necessity of applying modern preventive and prophylactic measures in order to improve the oral health and increase the motivation for the overall health care.

Highlights

  • Indeks krvarenja na sondiranje (IKS) je najpouzdaniji pokazatelj inflamacije gingive

  • Procenat ekstrahovanih zuba je bio nešto veći kod dece iz gradske sredine i iznosio je 13.4% u odnosu na decu iz ruralne sredine 12,7%, ali razlika nije bila statistički značajna (p>0,05)

  • SUMMARY Frequent occurrence of dental caries and periodontal diseases, especially gingivitis, in school-aged children, is becoming one of the most important problems in oral pathology, they all can be brought under control through health education and implementation of preventive and prophylactic measures

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Summary

BRANKICA MARTINOVIĆ

Česta pojava karijesa i oboljenja parodoncijuma, pre svega gingivitisa, kod dece školskog uzrasta postaje jedan od najvažnijih problema oralne patologije, iako se mogu staviti pod kontrolu kroz zdravstveno vaspitanje i primenu preventivno-profilaktičkih mera. Cilj ovog rada je da se utvrdi učestalost karijesa i gingivitisa kod dece uzrasta od 12 godina koja pohađaju školu na području Kosovske Mitrovice, kao urbana sredina, i osnovnih škola u Gračanici i Lapljem Selu, kao ruralna sredina. Njih 129, činila su deca iz osnovnih škola na području Kosovske Mitrovice, kao urbana sredina. To su oboljenja koja se mogu vrlo efikasno sprečiti primenom preventivnih mera. Obzirom da je biofilm jedan od glavnih etioloških faktora u nastanku karijesa a ujedno i oboljenja parodoncijuma, savremene mere prevencije baziraju se ka sprečavanju akumulacije biofilma, odnosno kolonizacije mikroorganizama na površini zuba. Iako su teži oblici oboljenja parodoncijuma manje učestali kod dece u odnosu na odrasle,oni počinju sa gingivitisima, te je neophodno prevenciju započeti u najmlađem uzrastu da bi ona bila efikasna. [8,9]

MATERIJAL I METODE
Findings
KIp SiC
Full Text
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