Dental Health Indicators Research Articles

АНАЛИЗ ОБЪЕМОВ СТОМАТОЛОГИЧЕСКОЙ ОРТОПЕДИЧЕСКОЙ ПОМОЩИ ПАЦИЕНТАМ В СИСТЕМЕ ПЛАТНЫХ МЕДИЦИНСКИХ УСЛУГ

The article is devoted to the analysis of the volume of dental orthopedic care for patients in the system of paid medical services in a multidisciplinary medical organization. Various epidemiological surveys conducted abroad and in our country have revealed an unsatisfactory condition of the organs and tissues of the mouth in the majority of the Russian population. Among dental pathology, tooth loss with subsequent functional disorders occupies a significant place [2–4]. One of the important indicators of dental health of the adult population, characterizing the level of dental care, is to ensure the need for prosthetics. According to WHO, the main causes of missing teeth are periodontitis and caries. Periodontitis is noted in 75–80% of the population, of which 90% are elderly and senile people. According to A. K. Kuryanov and L. N. Babenko (1988), 75% of 1,000 examined at the age of 60 needed dental prosthetics, and complete loss of teeth in the jaw was detected in 225 cases [1]. An analysis of the volume of dental orthopedic care for patients in the provision of paid medical services in orthopedic dentistry showed that for 5 years, among all manufactured orthopedic structures, removable plate prostheses with partial absence of teeth accounted for the largest volume, single crowns in second place, removable plate prostheses in the third place with complete absence of teeth. For each type of orthopedic structures manufactured, there is a growth trend from 2018 to 2022. There was a slight decrease in the volume of orthopedic dental care in 2020, due to the unfavorable epidemiological situation in the country at that time.

Analyzing Oral Health Conditions in Sex Workers-A Comparative Retrospective Clinical and Radiographic Study.

This study highlights the oral health condition of female sex workers (SWs), who face increased risks associated with habits such as excessive alcohol and tobacco use. These behaviors heighten the likelihood of issues like oral cancer and dental diseases, underscoring the need for targeted health interventions. The study examines the oral health disparities between SWs and the general population (GP). A retrospective study analyzed the health records of 40 SWs and 40 controls matched by age and gender who were examined between 1 January 2020 and 30 May 2023. Intra-oral and panoramic radiographs, alongside clinical examination, were used to evaluate missing teeth, periodontal bone support, and caries. T-tests and chi-square tests were used to compare dental health indicators. A comparative analysis of these 80 patients revealed significant disparities: SWs had a higher incidence of missing teeth (5.8 ± 7.3 vs. 0.7 ± 1.4, p < 0.01) and caries (6.1 ± 6.2 vs. 0.8 ± 1.2, p < 0.05) compared to the GP. The DMFT (Decayed, Missing, and Filled Teeth) index was notably higher in SWs (16.1 ± 8.09) than in the GP (7.95 ± 5.48, p < 0.001). Additionally, 12% of SWs used removable dentures, unlike the GP. This study underscores significant oral health challenges in SWs, emphasizing the need for targeted healthcare strategies to improve their health conditions.

ПОКАЗАТЕЛИ СТОМАТОЛОГИЧЕСКОГО ЗДОРОВЬЯ НАСЕЛЕНИЯ САМАРСКОЙ ОБЛАСТИ, ОБРАТИВШИХСЯ В СТОМАТОЛОГИЧЕСКИЕ ПОЛИКЛИНИКИ ЗА ПЕРИОД 2020-2022ГГ. ДЛЯ ПЛАНОВОЙ САНАЦИИ ПОЛОСТИ РТА

Dental health is an important part of a person's overall health, providing a certain level of quality of life. Dental health depends on three main parameters: social, biological and medical, just like health in general. We examined 100 people (59 men and 41 women) of various age groups (group 1 - 35-44 years 11%, group 2 - 45-59 years 34%, group 3 - 60-74 years 38%, group 4 - 75 years and older 17%). Age groups are identified according to WHO criteria. The number of remaining teeth in the oral cavity per person examined, the structure of the CP, the number of cervical defects of non-carious origin (CD), and the number of teeth with pathological abrasion were determined. Hygiene status was analyzed using the Green-Vermilion index. Periodontal condition - according to the CPITN index. The chewing function of natural intact teeth was also assessed and taken as a total of 100%. The results of the study showed that the number of preserved teeth per examinee ranged from 3 to 28, median – 21.0, lower quartile – 17.0, upper quartile -24.0, which corresponds to the minimum number of preserved natural teeth in the oral cavity necessary to maintain optimal functional activity of the dental system according to WHO criteria (20 teeth). The structure of the cpu is dominated by extracted teeth. Cervical non-carious defects (CD) and pathological abrasion (PA) are approximately equally common among applicants. In the structure of periodontal morbidity according to the CPITN median 2 index, forms with code 2 are common. Loss of dental function (LDF) from 0 to 100%, median 50.0, chewing function index (MIF) from 0 to 100%, median 50.0. These data indicate that chewing efficiency is only half preserved in the majority of patients. Thus, the dental health indicators of the population of the Samara region applying for routine dental sanitation within the framework of compulsory medical insurance are at the lower level of the standards recommended by WHO. No statistically significant differences were found between the comparison groups by gender. Significant differences are determined only by age, by the number of remaining teeth, by the need for tooth extraction, and by loss of chewing function. These problems intensify with age. All patients need correction and training in oral hygiene.

Sociodemographic and oral profile of people with disabilities at the clinic of the Faculty of Dental Medicine of the University of Lisbon

Objectives: Analyze the flow of appointments at the Dental Hygiene Clinic for People with Disabilities at FMDUL, characterize their clients, and relate their dental health status with their main disability, level of dependency, difficulties in oral hygiene, and frequency of appointments. Methods: This observational, analytical, cross-sectional study included a sample of 555 patients who attended the Dental Hygiene Clinic for People with Disabilities at FMDUL between 2015 and 2019. The decayed missing and filled teeth (DMFT) index, bleeding index, and debris index were collected from clinical records. Statistical analysis included the Kruskal-Wallis and Mann-Whitney tests with a significance level of 5%. Results: During the study period, 3120 appointments were carried out. The DMFT index was 9.51(±7.49) and was higher in individuals with intellectual disabilities (p&lt;0.001), in independent/autonomous individuals (p&lt;0.001), and in those who attended the clinic for a longer time (p&lt;0.001). Gingival bleeding was lower in autonomous individuals (p=0.013). More regular users had less bleeding and bacterial plaque, although without significant differences. The values of decayed teeth (p=0.02), bleeding (p&lt;0.001), and bacterial plaque (p=0.004) were higher in uncooperative individuals. Conclusions: The dental health indicators of individuals who attend the dental hygiene clinic are positive and are influenced by dependency on activities of daily living, autonomy in oral hygiene, and cooperation in the appointments.

Dental Insurance Coverage, Dentist Visiting, and Oral Health Status among Asian Immigrant Women of Childbearing Age in Canada: A Comparative Study.

This study examined the dental insurance coverage, dentist visits, self-perceived oral health status, and dental problems among Asian immigrant women of childbearing age in contrast to Canadian women of childbearing age and non-Asian immigrant women of childbearing age. Potential barriers to dental care services among Asian immigrant women were explored. This analysis utilized data from the combined Canadian Community Health Survey from 2011 to 2014. The analytical sample consisted of 5737 females whose age was between 20 and 39 years. Multivariable logistic regression models assessed immigrant status and other factors in relation to the indicators of dental health (i.e., dental visit, self-perceived oral health, acute teeth issue, and teeth removed due to decay). Amongst Asian women immigrants of childbearing age, there was a significantly lower frequency of dentist visits compared to non-immigrant counterparts (OR = 0.53; 95% CI: 0.37-0.76). The most commonly reported reason for not seeking dental care in the last three years was that the "respondent did not think it was necessary". Relative to Canadian born women of same age bracket, Asian women of childbearing age reported fewer acute teeth issues (OR = 0.67; 95% CI: 0.49-0.91) and had a greater risk of tooth extracted due to tooth decay (OR = 3.31; 95% CI: 1.64-6.68). Furthermore, for Asian women immigrants, their major barriers to dental care included low household income (≤$39,999 vs. $40,000-$79,999 OR = 0.26) and a lack of dental insurance (no vs. yes OR = 0.33). Asian immigrant women showed lower utilization of dental services than non-immigrant women. A perceived lack of necessity, lower household income, and dental insurance coverage were major barriers to professional dental usage for most Asian immigrants of childbearing age.

Correlates of Oral Health Conditions and Oral Health Literacy Among a Sample of Patients With Cardiovascular Disease: A Cross-sectional Study

Background: Oral health literacy (OHL) and dental health indicators in people with cardiovascular diseases (CVDs) are important health conditions that have been less investigated in this group of patients. The aim of the present study was to evaluate oral health conditions and OHL in adult patients with cardiovascular conditions who referred to dental clinics in southwest, Iran. Methods: This cross-sectional study was conducted in Ahvaz, Iran in 2021-2022. The oral and dental health status and literacy of 302 people were investigated, and data were collected using a standard questionnaire about OHL (with dimensions of comprehension and calculation ability), as well as demographic and medical information. Then, the patients were clinically examined by a dentist to determine oral health indicators (Decayed, missing, and filled teeth: DMFT) and oral health index (OHI-S). Finally, data were analyzed using SPSS, version 22. Results: The mean DMFT was 11.06±3.55. According to the OHI-S, 124 (41.1%), 75 (24.8%), and 103 (34.1%) people were categorized in mean, good, and poor oral health levels, respectively. Pearson’s correlation coefficient demonstrated a direct, strong, and significant relationship between age and DMFT and OHI (r=0.702, r=0.678 P&lt;0.001). The relationship between understanding ability and DMFT and OHI was inversely correlated (r=-0.389, r=-0.278, P&lt;0.001), and the relationship between calculation ability and OHI, as well as between calculation ability and DMFT was inverse and significant ((r=-0.572, P&lt;0.001) and r=-0.429, P&lt;0.001, respectively). Conclusion: The results showed that there is a relationship between OHL and OHI in people with CVD, although it is not in a favorable condition. As a result, the design, implementation, and evaluation of oral health education programs for patients with CVD are highly recommended, and it is imperative that oral and dental health be carefully monitored in these patients.

Examining the level of knowledge of undergraduate nursing students about the principles of oral and dental health based on oral and dental health indicators: the experience of Iranian students of the curriculum

Introduction: Oral and dental health is one of the important branches of public health, which has a significant impact on people's health and quality of life, and improving oral and dental health is one of the most important goals of preventing other diseases. Meanwhile, nurses can actively participate in the promotion of oral health care. The purpose of this research is to investigate the level of oral and dental health awareness of nursing students as future nurses based on oral and dental health indicators.&#x0D; Research method: In this cross-sectional study, 119 third- and fourth-year nursing students of Shiraz University of Medical Sciences were included in the study. The questionnaire was used as a tool to evaluate the level of knowledge of students about oral and dental health, and the Chi-square test was used by spss software to analyze the data.&#x0D; Results: There was no significant relationship between the level of knowledge and ability of students about oral and dental hygiene with the duration of studying at the university, gender, marital status and grade point average (p&gt;0.05). Meanwhile, there is a significant relationship between the level of awareness of nursing students in the field of oral and dental health indicators and the necessity of teaching these topics in the field of nursing (p&lt;0.05).&#x0D; Conclusion: The results of this study can be useful as a basis for teaching oral and dental health indicators in theory courses or internships for nursing students. Also, it can be used as a basis for the development of knowledge and the body of science in the field of nursing, and it can be effective in helping to improve the level of oral and dental health of people in the community and patients.

Microbial Indicators of Dental Health, Dysbiosis, and Early Childhood Caries

Dental caries lesions are a clinical manifestation of disease, preceded by microbial dysbiosis, which is poorly characterized and thought to be associated with saccharolytic taxa. Here, we assessed the associations between the oral microbiome of children and various caries risk factors such as demographics and behavioral and clinical data across early childhood and characterized over time the salivary and dental plaque microbiome of children before clinical diagnosis of caries lesions. Children (N = 266) were examined clinically at ~1, 2.5, 4, and 6.5 y of age. The microbiome samples were collected at 1, 2.5, and 4 y. Caries groups consisted of children who remained caries free (International Caries Detection and Assessment System [ICDAS] = 0) at all time points (CFAT) (n = 50); children diagnosed with caries (ICDAS ≥ 1) at 6.5 y (C6.5), 4 y (C4), or 2.5 y of age (C2.5); and children with early caries or advanced caries lesions at specific time points. Microbial community analyses were performed on zero-radius operational taxonomic units (zOTUs) obtained from V4 of 16S ribosomal RNA gene amplicon sequences. The oral microbiome of the children was affected by various factors, including antibiotic use, demographics, and dietary habits of the children and their caregivers. At all time points, various risk factors explained more of the variation in the dental plaque microbiome than in saliva. At 1 y, composition of saliva of the C4 group differed from that of the CFAT group, while at 2.5 y, this difference was observed only in plaque. At 4 y, multiple salivary and plaque zOTUs of genera Prevotella and Leptotrichia were significantly higher in samples of the C6.5 group than those of the CFAT group. In conclusion, up to 3 y prior to clinical caries detection, the oral microbial communities were already in a state of dysbiosis that was dominated by proteolytic taxa. Plaque discriminated dysbiotic oral ecosystems from healthy ones better than saliva.

Соціально-економічні детермінанти стоматологічного здоров’я у дітей

The purpose of the work was to study the world literature on the socio-economic determinants of dental health among children. Materials and methods. An online information search was performed in the databases “PubMed”, “SciELO”, “Medcape” and “Science of Ukraine: access to knowledge” using the keywords “children caries”, “dental (oral) health”, “children and adolescents”, “social and economic determinants of health” with appropriate translations in foreign languages. Results and discussion. At the global level, dental diseases lead to serious medical and economic consequences which manifest themselves in the form of a significant decrease in the quality of life. The foundations of the dental health level are laid in childhood and are strengthened in adolescence, so these age groups of the population are the main “target audience” for disease prevention measures, valeological research, sanitary and educational work and the formation of appropriate habits. Socio-economic determinants of dental health in children, adolescents and adults on a global scale have been studied unevenly. Mostly, the results of research performed in the developed countries of the world are available. Such a situation creates a need for rethinking approaches and methods for assessing the problem of health care systems in separate countries and changing the methods for developing measures to influence the dental health of children and adolescents with high individualization and adaptation of socially oriented program products in health care. Giving a priority in the development of preventive programs in the field of health care to only individual and collective training measures and communal prevention does not allow to neutralize the negative impact of socio-economic conditions, and even more – it deepens inequality in dental health in the population, which is recognized as a problem by the World Health Organization. With regard to Ukraine, the presence of martial law and the continuation of fighting in certain countries have caused a number of demographic and socio-economic processes, which will be measured and evaluated after some time. But, unequivocally, the existing economic crisis, a decrease in the level of income of the population, negative demographic processes, complications of work in the health care system and other factors that can be defined as determinants of children's dental health continue to operate. Therefore, it is expected that we should be prepared for the deterioration of dental health indicators at the national level and the negative consequences of this. Conclusion. The main socio-economic determinants of children's dental health are recognized as: the level of economic development of the country, access to medical and dental care, the level of family wealth, the age and level of education of parents, their employment, the number of children in the family, the migration status of the family and separately – parents, local peculiarities of the culture of oral cavity care and nutrition, availability and level of coverage of educational and sanitary-educational measures, local levels of development of the system of health care institutions, effectiveness of interaction between health care institutions, education and social protection management bodies

Oral health status and indicators in children of Armenia based on the national surveys.

The aim of this study was to determine the dynamics and the structure of dental morbidity of the children population of the Republic of Armenia, in order to improve the system of methods of therapeutic and preventive measures. In recommended children's key age groups, 5879 WHO assessment forms (1997) were analyzed. Calculated prevalence and intensity of dental caries, the Significant Index of Caries (SiC) and European dental health indicators, and the condition of periodontal tissues were determined with the help of the community periodontal index (CPI) and oral hygiene by OHI-S. The statistical analysis was performed within the SPSS 19 (SPSS Inc., Chicago, IL, USA). The obtained data were statistically processed in the STATISTICA 6.0 (StataCorp LLC, College Station, TX, USA) for Excel program (Microsoft Corp., Redmond, WA, USA). The prevalence of caries of temporary teeth was 91.7% on the average. In 12-year-old schoolchildren the average prevalence of caries of permanent teeth rate was 87.5%. The prevalence of periodontal lesions in children was 47.8% on the average. In Armenia there was an increase in dental morbidity during the 2009-2019 period, which presumably would be continued unless the factors affecting the development of diseases will be changed. To improve dental health at the population level not only specialists but also health authorities should make efforts introducing appropriate prevention programs.

The relationship between maternal periodontal and dental health status and preterm birth: A case-control study

Introduction: The idea that oral infections spread to other systems has long been of interest to clinicians. On the other hand, there are researches suggesting the possibility of periodontitis and dental caries being a risk factor for low birth weight (LBW) and preterm birth (PTB). The purpose of this study is to investigate the relationship between periodontal and dental health status with PTB. Methods: In this case-control study, 82 pregnant women were evaluated. The case group included mothers with preterm infants (gestational age of less than 37 weeks), while the control group involved mothers who had term labors (gestational age of 37-42 weeks). Oral examinations were carried out up to 48 hours after delivery. Periodontal and dental health indicators, including decayed, missed, filled teeth (DMFT), periodontal pocket depth, clinical attachment loss (CAL), bleeding on probing (BOP) and gingival index (GI) were recorded. The data were analyzed using SPSS 17 software through Kolmogorov–Smirnov, Mann-Whitney U and Fisher exact tests. Results: DMFT was 7.34±4.45 and 5.68±4.29 for mothers with preterm infants and mothers in control group, respectively (P=0.023). CAL (P=0.001) and BOP (P=0.012) were significantly higher in mothers with preterm infants, but there was no significant difference in Pocket depth (P=0.57) and GI (P=0.51) between the studied groups. Conclusion: There is a relationship between some maternal periodontal and dental health indicators and PTBs signifying that elimination of any oral sources of inflammation may reduce the risk of premature birth.

The effects of socioeconomic status, oral and dental health practices, and nutritional status on dental health in 12-year-old school children

BackgroundThis study aims to examine the effects of socioeconomic status, oral, and dental health practices, dietary habits and anthropometric measurements on dental health in 12-year-old schoolchildren.MethodsThe sample of the study consisted of a total of 254 children (44.1% boys and 55.9% girls) in three schools which were identified as low, moderate and high socioeconomic status. The data were collected by face-to-face interviews via a questionnaire form. Dentist determined DMFT and dmft indices of the children. SPSS (Statistical Package for the Social Sciences) package program was used to analyze the data.ResultsIt was found that 70.9% of the children have dental caries on their permanent teeth. The number of girls with caries in permanent teeth and boys with caries in milk teeth was higher (p < 0.05). The frequency of seeing a dentist and changing toothbrush vary according to the socioeconomic status (p < 0.05). Oral and dental health indicators were determined to be affected by the frequency and duration of tooth brushing (p < 0.05). It was found that dmft values of the children consuming molasses and table sugar are lower (p < 0.05). There is a negative correlation between oral and dental health indicators and anthropometric measurements.ConclusionDietary habits, anthropometric measurements, oral and dental health practices, gender, and socioeconomic status were shown to be effective on caries. Caries risk assessment and determining leading risk factors enable effective prevention programs to be implemented at different levels.

Gender and age group modified association of dental health indicators with total occlusal force among Korean elders

BackgroundThis study aimed to investigate the distribution of objective total occlusal force (TOF) and its association with dental health indicators: dental status, number of natural teeth (NT), natural and rehabilitated teeth, natural posterior teeth (NT-Post), and natural and rehabilitated posterior teeth among Korean elders after controlling for various confounders encompassing socio-demographic factors, behavioral factors and health/oral health factors.MethodsThis cross-sectional study recruited 551 elders from the Sungbook-Gu health education cohort. TOF was measured using Prescale II as an outcome variable. Dental health indicators assessed by dentists were the main explanatory variables. Analysis of covariance and multivariable linear regression models were applied to evaluate the adjusted association of dental health indicators with TOF. Gender and age group stratified analyses were also applied.ResultTOF was higher in dentate elders than denture wearers in males and younger elders. The adjusted mean of TOF and standard error was 464.24 ± 17.15 N for dentate elders, 297.15 ± 28.85 N for partial denture wearers, 280.42 ± 47.71 N for complete denture wearers. Among all dental health indicators, NT-Post showed the highest association with TOF (partial r = 0.330, p < 0.001, R2 = 0.15), followed by NT (partial r = 0.329, p < 0.001, R2 = 0.16). Older elders highlighted the association of NT (partial r = 0.37, p < 0.001, R2 = 0.18). Males decreased the association of NT (partial r = 0.30, p < 0.001, R2 = 0.20) and NT-Post (partial r = 0.29, p < 0.001, R2 = 0.20).ConclusionTOF was significantly associated with dental health indicators, and its association was modified by sex and age group.

DENTAL STATUS OF PREGNANT WOMEN AND WAYS TO IMPROVE THE ORGANIZATION OF THERAPEUTIC AND PREVENTIVE MEASURES

As a result of the continuing changes in the condition of tissues and organs of the dental cavity and the body as a whole, there is a rise in the intensity of tooth decay and periodontal diseases with the onset of pregnancy. The aim of our research was to look into the prevalence and severity of pathology in the hard tissues of teeth and periodontal tissues during pregnancy, as well as to figure out how to better organize therapeutic and prophylactic steps for pregnant women. A comprehensive epidemiological study of 170 pregnant women aged 18 to 40 living in Tbilisi was carried out according to the WHO method. The findings show a high prevalence of dental cavity (from 61 percent to 98.8%) and a high severity of dental caries among pregnant women (from 2.55 1.03 to 14.31 5.44). The intensity of caries indicators increased as the gestational stage lengthened, but the greatest increase was observed in the second trimester of pregnancy. The results indicate a substantial prevalence of periodontal pathology (according to the PMA index) among pregnant women, with the level of pathology increasing with their age and gestational age (from 41.7 percent to 78.8 percent). By the end of the second trimester of pregnancy, the most noticeable improvements in periodontal tissues had been observed. Oral hygiene played a big role in determining the presence and incidence of periodontal disease. Low dental health indicators and worsening dental status during pregnancy point to the need for a more comprehensive diagnosis of all risk factors for major dental diseases, as well as the implementation of all stages of therapeutic and prophylactic interventions during pregnancy, based on the findings of a complete dental examination.

Сотрудничество стоматологов стран Восточной Европы

В статье представлены исторические аспекты сотрудничества стоматологов стран Восточной Европы за последние тридцать лет. Формирование научных стоматологических школ, пути организации стоматологической помощи, развитие профессионального образования имели свои национальные особенности в странах Восточной Европы. Отмечена роль Международной ассоциации стоматологов «Содружество» в формировании тесного взаимодействия профессиональных сообществ стран Восточной Европы со Всемирной федерацией стоматологов (FDI) и разработке рекомендаций по созданию и реализации программ первичной профилактики стоматологических заболеваний с учетом Европейских индикаторов стоматологического здоровья. Представлены основные совместно проведенные стоматологические конгрессы, совещания и перспективы межгосударственного взаимодействия стоматологов стран Восточной Европы.

QUALITY OF LIFE ASSESSMENT IN PATIENTS AFTER PROSTHETIC TREATMENT USING THE DENTAL PROFILE QUESTIONNAIRE

Introduction. Quality of life, objective assessment criterion of which is level of human’s needs and interests satisfaction, is primarily connected with health status. This is why so called “health-related quality of life” is closely associated with patient’s well-being and satisfaction of those aspects of life, that are impacted by disease or treatment process. During the study of oral health related quality of life (OHRQoL, 1996), most authors take the OHIP (Oral Health Impact Profile, G.D. Slade, A.J. Spencer, 1994) approach as a basis, such as OHIP-EDENT (Short Version). Due to the fact, other methods of quality of life assessment are not widely used in dental practice, and it is important to develop new approaches in quality of life study, combined with prosthetic treatment results, considering the appropriate indicators of oral health.&#x0D; The aim of this study is to conduct a personalized dental health indicators assessment reflecting patients’ quality of life after restoration of mandibular dental arch with overdentures.&#x0D; Materials and methods. Main group (MG) comprised 23(54,8%) female patients and 19 (45,2%) males ones (n=42) aged 56-89, whom mandibular overdentures with ball attachments were constructed. Comparison group (CG) consisted of 17(47,2%) women and 19(52.8 %) men (n=36) aged 57-76, who have been using first-timely constructed complete removable mandibular dentures for three years. After use of the Dental Profile Questionnaire, and after detailed anamnestic study, the number of patients’ of both groups responses about possible unfavourable symptoms in use of dental prostheses and the mean value of frequency of those symptoms (1- sometimes, 2- often, 3- mainly) were estimated. Statistical processing of data obtained was performed by standard methods of variation statistics using Statistica 6.0 Program.&#x0D; Results and discussion. The subjective component of our treatment results evaluation of in-depth analysis, after all reflected in extended description of the clinical cases in MG patients development of the current disease — significant loss of teeth with mandibular single remaining teeth / roots (K08.9 according to ICD-10) indicated that quality of life level of these individuals has a close connection with their oral health. According to the overall subjective evaluation of prosthetic treatment results after answering 14 patient’s oral health- related questions, the number of reports of adverse events was markedly different -22.7% in MG patients after 12 months of observation vs. 77.3% of CG patients, and statistically significant (p &lt;0.05) - the decrease in the average score of their frequency.&#x0D; Thus, it can be argued, that in the MG patients satisfaction with the treatment results, that reflected the quality of life level, associated with oral health, was notably higher, than in the CG patiens. So, the dentures were identified applicable (pp.1-6) by 90.9% of MG patients vs. 54.6% of CG patients, accompanying signs (pp.7-12) were positively evaluated by 90.1% vs. 69.0%, and subjective well-being (pp.13-14) was acheived in 90.5% vs. 63.9% of patients in these groups.&#x0D; Conclusions. Results of the research have defined the improvement of all the 14 studied oral health indicators in patients of the main group after 1 year of the examination compared with the previous data after 1 and 6 months of mandibular overdentures use. Patients’ satisfaction with treatment results, reflecting the quality of life level, associated with oral health, confirms the higher efficiency of overdentures use compared to complete removable dentures in mandibular dental arch restoration.

Dental health indicators of the Chernyakhov population from Shyshaki (Ukraine)

Odontological studies of ancient populations represent different indicators related to health state, lifestyle and human diet. The aim of this paper is to determine the dental health indicators in the Chernyakhov population (the end of the IVth c. AD) from Ukraine. The paper also attempts to identify the relationship between sex and these indicators in the studied population. The sample analysed consisted of the dental remains of 25 adult individuals (11 males and 14 females) and 8 children individuals excavated from the cemetery at the archaeological site of Shyshaki (Poltava region of Ukraine). A total of 760 teeth were examined for caries, tooth wear and calculus clinically, and 647 teeth of adults were observed radiographically. The studied population presents frequency of caries in individuals of 12.5%. This indicator in adult male and female dentition is 42.86% and 14.0% respectively, and 25% in children. The presented population frequency of caries teeth was 0.88%. Females presented higher caries rate than males (2.72 % females vs. 0.36 % males) (p&lt;0.05). The most frequent were caries lesions of cementum-enamel junction (40%) and combined lesions of crown and root (40%) with no difference in terms of sex. Frequency of dental wear in adult individuals and 8-10 year-old individuals was 100%. The studied population represented TWI (tooth wear index) in adults (2.26), which increased with aging, but the difference in terms of sex is insignificant. Calculus was observed in 64.28% of the females and 63.33% of the males, showing no statistical difference (p&gt;0.5). These findings confirm a very low rate of caries teeth in the territory of Shyshaki during the Late Roman period, which could be related to regional diet and concentration of fluorine in drinking water. The Chernyakhov population presents high dental wear and similar frequency of dental calculus when compared to the population from Roman Britain. Females presented significantly higher frequency of caries than males, whereas no significant sex differences were found regarding dental wear, calculus, and localisation of caries lesions. The authors presume that dental health indicators in the Chernyakhov culture need to be studied more with bigger sample size and data of the populations from other regions of Ukraine.

СТОМАТОЛОГИЧЕСКОЕ ЗДРАВООХРАНЕНИЕ В РОССИИ: СРАВНЕНИЕ ПОЛИСА ОБЯЗАТЕЛЬНОГО МЕДИЦИНСКОГО СТРАХОВАНИЯ И ЧАСТНЫХ УСЛУГ В СТОМАТОЛОГИЧЕСКОЙ ПРАКТИКЕ

Compulsory health insurance is an integral part of health care. Dental care is provided in two forms: private dental services and public dental services based on budget clinics. The purpose of this study is to study dental health in Russia by comparing the policy of compulsory medical insurance and private services in dental practice. During the study, dental health indicators were studied at three levels: indicators for monitoring the oral health of children and adolescents. In the second part, indicators for monitoring oral health in the General population were studied. In the third part, indicators for monitoring the quality of life of the oral cavity were studied. Statistical data processing included implementation of correlation analysis of the obtained data. The results show that social health insurance provides people with equal opportunities for dental services, and health care reforms have improved oral health. Thus, the data obtained indicate the need to Finance the health care system in view of improving the quality of dental care for children and adults, as well as through the introduction of primary and secondary prevention programs.

Morphological Changes in Dental Surfaces Suggest Health Status and Alimentary Habits in the Subjects Belonging to the Copper Age in Sardinia Island (III Millennium BC)

The aim of this multidisciplinary study, which involved a team of archaeologists, odontologists, biologists, is to examine a set of dental health indicators, including caries, tooth wear, and enamel hypoplasia of a III millennium BC sample from the burial site of Scaba ’e Arriu (Siddi, South Sardinia), in order to evaluate the dental health status and the diet. Our purpose is to depict a timeline of dental health in Sardinia from prehistory to the present day, starting with a focus on a Copper Age population. Caries, dental wear, and enamel hypoplasia of 259 permanent teeth were evaluated. It was not possible to assign sex and age of each tooth because of the lack of bony support, lost due to taphonomy factors. 14,7% of Scaba‘e Arriu’s samples were affected by carious lesions, with greater involvement of the posterior teeth (12,7% against 1,9% of anterior ones). Interproximal caries was the most frequent. Dental wear affected 77,8% of the teeth, and its presence is preponderant over caries’ rate. The high percentage of dental wear suggests a diet based on abrasive foods. Further studies are necessary to delineate more accurately the modus vivendi, the nutrition, and, consequently, the health status of this sample.

Аспекты организации профилактики кариеса зубов у детей школьного возраста

The United Nations General Assembly in 2012, at its 66th session, recognized that oral diseases pose a serious health problem for many countries. The European Health Commission has proposed 40 dental health indicators to assess the main criteria for dental status, achievements in prevention and possible risk factors for dental diseases. Dental caries are one of the most pressing problems of pediatric dentistry not only in the world, but also in the Kyrgyz Republic. Unfortunately, in Kyrgyzstan, the incidence of caries remains stable at a high level. Finding and applying effective methods and approaches to the diagnosis of early manifestations of caries in children is a relevant and important point. Therefore, timely diagnosis of caries at the age of 6–7 years prevents the transition of initial forms of caries to carious defects, and in the future eliminates the use of invasive methods of surgical restorative treatment. Regular assessment of the possible impact of behavioral risk factors for dental caries in school-aged children should be a mandatory component of monitoring the medical effectiveness of prevention programs. Through primary and secondary dental caries prevention programs in children, it is possible to approach the best international standards for the quality of dental care for children. The solution to the problem of high incidence of dental caries in children is possible only if the preventive focus of school dentistry, consisting in hygienic education and education of schoolchildren, is prioritized. The importance of a comprehensive approach in solving the problems of pediatric dentistry lies in improving the effectiveness of the dentist and the quality of services provided.