Level Of Oral Hygiene Research Articles

The impact of school-based social media and online technology on oral health education for individuals with disability.

To evaluate the impact of school-based online communication methods on the oral health-related behavirs of individuals with disability. A prospective interventional study was conducted on 154 students (age 3-22 years) with various disabilities attending educational centers. A clinical examination was carried out before and after a school-based online educational program. Online in-person sessions were held for the participants, and educational videos were shared with parents and teachers over social media. The clinical examination included the Special Olympics HAS form, (1) Oral Hygiene Index-Simplified (OHI-S) (2) and the Modified Frankl Behavior Index. (3) Dietary and oral hygiene habits were collected via parent-administered questionnaires. Improvements in behavior in a dental setting (p<.001), oral hygiene levels (p<.001) and dietary choices (p<.001) were observed throughout the study. Oral health education online modalities can be used effectively by dental professionals to educate individuals with disabilities and their carers regularly, thus helping improve oral health and rapport with dental professionals.

The effect of calcium toothpastes on the level of oral hygiene and enamel resistance in 12-18-year-old children

Relevance. Oral hygiene improvement and remineralization stimulation are essential to prevent dental caries in children aged 12-18 y.o.Purpose: to compare the oral hygiene and enamel resistance levels in children using toothpastes based on calcium glycerophosphate and calcium lactate.Materials and methods. The study involved 42 children aged from 12 to 18 years. Twenty patients used Novy Zhemchug with Calcium toothpaste as a home oral care product for two months. Twenty-two patients used Toothpaste R.O.C.S.® Active Calcium for two months. The study determined the plaque control record (O’Leary, 1967) and the SHS (Simple Hygiene Score) by quantitative light-induced fluorescence (Qraypen C™) and enamel resistance test (Okushko V.R., 1984). All results were statistically processed.Results. The study found that the O’Leary plaque control record, SHS and the enamel resistance test results were not statistically significant in both study groups. After two months of observation, the O’Leary plaque control record significantly improved in children of both groups. However, the group using Toothpaste R.O.C.S.® Active Calcium demonstrated significantly better values (59.74 ± 4.12%). The SHS was significantly better after two months of use in the children group using Toothpaste R.O.C.S.® Active Calcium compared to the children group using Novy Zhemchug with Calcium toothpaste. The enamel resistance test score significantly improved in children of both groups over two months. The patients using Toothpaste R.O.C.S.® Active Calcium for two months demonstrated the best enamel resistance score.Conclusion. Toothpaste containing calcium compounds is quite effective for oral hygiene and enamel resistance improvement in children aged 12-18 y.o. The best scores were in groups of children who used toothpaste containing calcium glycerophosphate compared to the children group who used too thpastes containing calcium lactate.

Oral Health Status in a Group of Roma Children in Seville, Spain.

Identify the oral health status through an epidemiological survey of the population of gipsy children in the city of Seville. The WHO (World Health Organization) criteria for oral health surveys were used in the study with children aged 6 to 13 years carried out in two Seville schools located in neighborhoods with a high percentage of gypsy population (Polígono Norte and Sur of the city of Seville). The final sample consisted of 108 children in whom the DMF (decay-missing-filled index) for primary dentition was 5.0 + -3.1 for the 6-9 year-old age group and the DMFT (Decayed, Missing, and Filled Teeth) for the 10-13 year-old group was 4.5 + -3.3. The frequency of brushing was low, with a significant percentage of children not brushing their teeth (42.3%). The striking feature is that 26.9% of children had never visited the dentist despite their basic dental care being covered by the regional government. The children studied present high levels of caries compared to the rest of the Spanish population, as well as very low levels of oral hygiene. Given the lack of success of existing oral health programmes among this population, a different intervention is needed, taking into account the idiosyncrasies of the gipsy community.

Oral hygiene condition in middle-aged patients with colonic diseases before surgery

Relevance. An increasing number of patients with colonic diseases requiring hospitalization and surgical treatment, late presentation to specialists, and the gradual ageing of the population are factors, which adversely affect the treatment outcome. In this regard, intensification is necessary yet at the disease prevention stage.Materials and methods. The study included 45 patients with colonic diseases (CD) aged 46 to 59 years (26 men and 19 women) and the control group (CG) - 20 patients (10 men and 10 women) of the same age without gastrointestinal comorbidities. After the principal dental examination of the patient, we assessed the oral hygiene condition using the Oral Hygiene Index – Green – Vermillion Simplified Oral Hygiene Index (OHI-S) (1964).Results. Our analysis of the oral hygiene level, determined using the OHI-s (Green-Vermillion index), showed a higher index score among patients with colon problems than in CG. The oral hygiene assessment showed poor oral hygiene condition on average, according to the Green-Vermillion index, in the group of middle-aged patients with large-intestine diseases.Conclusion. Patients with large-intestine diseases are recommended to strengthen the complex of oral care and regularly visit a dentist to avoid untimely detection and progression of oral diseases in these patients.

Aspects of primary prevention of dental diseases in primary school children

Introduction and Aim: Oral health is a key indicator of overall health, well-being, and quality of life, which covers a number of diseases and conditions, including dental caries, periodontal disease, and tooth loss. This study evaluated the hygienic knowledge and skills of school children in oral hygiene in Kyrgyzstan. Methods: 450 school children, including 231 boys and 219 girls aged 6–11 years from school No. 4 (Bishkek – Urban city) and school No. 1 (Lebedinovka, Chui – Rural village) were included. The obtained data are presented as the mean ± standard deviation. Two levels of probability p &lt; 0.05, p &lt; 0.001, and p&lt;0.01 were calculated. Results: In a comparative analysis between schools, it was found that at school No. 4, school children are significantly more likely to brush their teeth twice a day (55.1 ± 3.3), and school children at school No. 1 once a day (52.0 ± 3.3), p&gt;0.05. In general, at school No. 4, more attention is paid to oral care (80.4 ± 2.6) than at school No. 1 (52.0 ± 3.3), p&lt;0.001. Conclusion: It is necessary to conduct regular sanitary and educational activities among school children to improve the level of oral hygiene in children.

INFLUENCE OF THE ORAL HYGIENE LEVEL ON INCIDENCE RATES OF DENTAL CARIES AND GINGIVITIS IN CHILDREN AND ADOLESCENTS OF RURAL LOCALITY OF ODESSA REGION

Dental caries and inflammatory periodontal diseases predominate in the structure of oral diseases in children and adolescents.&#x0D; The aim of the study was to determine the influence of the oral hygiene level on the incidence rates of dental caries and gingivitis in school-age children living in rural areas of the Odessa region.&#x0D; Materials and Methods. Clinical dental examination was carried out in 68 children of the secondary school of Ilyinka, Odesa district, aged 7, 12 and 15 years. We determined: state of oral hygiene by GreenVermillion index (OHI-S); prevalence (%) of dental caries and the sum of decayed, missing, and filled number of teeth (DMFT index; df+DMFT); prevalence (%) and severity of gingivitis by PMA Parma index.&#x0D; Results. It was found that a larger number of examined schoolchildren (51.5%) had an unsatisfactory oral hygiene condition. In 7-year-old children the OHI-S index was 1.39±0.10, in 12-year-old – 1.69±0.14, and in 15-year-old – 1.68±0.13.&#x0D; Dental caries prevalence in 12-year-old children corresponds to the average incidence level (58.8%) and the DMFT index 2.06±0.55 – the low intensity level by WHO gradation. In 15-year-old schoolchildren dental caries prevalence was 83.9%, and the intensity according to the DMFT index was 3.32±0.45.&#x0D; The high prevalence of gingivitis is established in 12-year-old children – 82.4% and 15-year-old children – 74.2%. The mean values of the PMA Parma index were 24.53±3.06 % in 12-year-old children and 21.46±2.54% in 15-year-old children.&#x0D; Conclusion. Significant influence (r=0.866, p&lt;0.001) of oral hygiene condition on the periodontal tissues and less pronounced effect (r=0.518, p&lt;0.05) on the intensity of dental caries in children and adolescents were found, which confirms the role of microbial biofilm in the development of gingivitis and dental caries.

Screw-retained internal connection zirconia CAD-CAM abutments in single implant reconstructions: Results of a 1-year prospective case series study.

To evaluate the clinical and radiographic outcomes of single-tooth implant restorations using one-piece, internally connected, screw-retained, computer-aided design and computer-aided manufactured monolithic zirconia restorations fabricated on regular diameter implants. Following a 2-stage surgical procedure, 22 implants placed in anterior and posterior areas in 21 partially edentulous patients (mean age of 55 years; 9 males/12 females) were evaluated in terms of plaque index, pocket probing depth, bleeding on probing, level of oral hygiene (OH), signs of mucositis/peri-implantitis, esthetic score (ES), gingival zenith position (GZP), papilla index score, the thickness of peri-implant gingiva, radiographic marginal bone loss, and technical complications. Implants and restorations were prospectively followed from the insertion of the restoration (baseline), up to 12-months post-loading. A 100% implant survival rate resulted after loading; one implant was lost before loading. Clinically, patients performed an adequate OH, and tissues were kept healthy. Probing depth showed a slightly lower value at baseline compared to any follow-up examination (2.26 [0.94] at baseline vs. 2.53 [0.66]mm at 12 months). ES, GZP, and the thickness of the peri-implant gingiva improved throughout the course of the study. Radiographically, average marginal bone level (MBL) was 0.40 (0.40)mm after 1-year follow-up with no differences in average MBL at all time points. Technically, after 1 year of clinical function, neither abutment fracture nor any other serious complications occurred. Hence, prosthetic reconstruction survival rate was 100%. Clinical outcomes of single-tooth implant restorations using internally connected, screw-retained, computer-aided design and computer-aided manufacturing monolithic zirconia abutments can be considered a reliable treatment alternative after 1-year clinical observation.

Assessment of the level of oral hygiene and the condition of the hard tissues of the teeth in ballet dancers of different age groups

The profession of ballet dancers is always associated with excessive physical exertion, which in turn leads to increased muscle tension in all parts of the body, including the muscles of the facial skeleton. This, in turn, can lead to injuries and increased abrasion of the hard tissues of the teeth and, as a result, to various occlusive disorders. Against the background of an excessively busy training schedule, a ballet dancer may lack time for oral hygiene. All of the above can affect the level of oral hygiene and the condition of the hard tissues of the teeth. The purpose of the study is to improve the efficiency and quality of dental care for ballet dancers of various age groups based on the identified features of oral hygiene and the condition of hard dental tissues and the need for dental treatment. Materials and methods: 75 ballet dancers were assessed for oral hygiene OHI-S and tooth erasability, determination of the area of occlusal contacts and registration of supracontacts. Results and conclusions: the age and work experience of a ballet dancer directly affects the level of oral hygiene and the condition of the hard tissues of the teeth. Ballet dancers have average satisfactory and high unsatisfactory indicators of the level of oral hygiene, as well as increased tooth abrasion and occlusive disorders of varying severity.

Oral Cavity Clinical Evaluation in Psychiatric Patients with Eating Disorders: A Case-Control Study

Bulimia nervosa and anorexia nervosa are not the only disorders the symptoms of which may be present in the oral cavity. The assessment of the clinical condition of patients with eating disorder symptoms was aimed at in this study. The study group consisted of 60 patients with diagnoses from categories F4.xx, F5x.x, and F6x.x ICD-10 (International Classification of Diseases, Tenth Revision). Patients were qualified for the study based on the answers provided in the symptom checklists "O". An adequate control group was selected. All patients underwent a dental examination, including the assessment of API (aproximal plaque index) and DMF (decayed missing filled index). Studies have shown that patients with eating disorder symptoms were more likely to have dental erosions (in total, 28.81% of cases). The correlation of erosion with the symptoms of eating disorders was demonstrated for several assessed symptoms present in the symptom checklists "O". Such correlations have not been demonstrated in terms of gingival recession presence. The level of oral hygiene in patients with eating disorders was assessed as sufficient or bad and indicates the need to initiate dental treatment in this group. It is important to correlate the treatment of the underlying mental disease with dental treatment and regular dental checkups.

Improvement of self-performed oral hygiene among patients with braces and micro-implants: approbation of specifically designed plaque-controlled regime

Background. Braces and micro-implants may serve as retention points for the dental plaque under the condition of insufficient everyday oral care, thus compromising oral hygiene level of orthodontic patients.&#x0D; Objective. The assess changes of oral hygiene among orthodontic patients with braces and micro-implants during the use of adapted specifically-designed plaque-controlled regime of self-performed oral hygiene measures.&#x0D; Material and Methods. Study group was formed out of 30 patients aged 18 to 50 years, who were planned to undergo orthodontic treatment with brace system and micro-implant. During the first month of orthodontic treatment patients used a toothbrush with thin bristles, during the second month – V-toothbrush, and during the third month – a two-row and monobundle toothbrush. The interdental hygiene was provided by the size-adjusted toothbrushes. Clinical assessment was provided with the use of hygienic indices (O’Leary, Green-Vermillion and Turesky).&#x0D; Results. At the period of first month after orthodontic treatment initiation O’Leary index increased abruptly to 52.6±6.4%, which stands for unsatisfactory oral hygiene level. Values of Turesky and Green-Vermillion indices increased twofold after orthodontic appliance attachment, and after first month of treatment their values were 1.98±0.31, and 2.12±0.34 points, respectively; while after third month of treatment – 0.99±0.1 and 1.19±0.14, respectively.&#x0D; Conclusions. Oral hygiene conditions were deteriorated among all patients, compared to the pre-treatment situation, which was caused by orthodontic appliances fixation. Oral hygiene of the patients with fixed orthodontic appliances should include usage of two-row toothbrush, which most efficiently clean the plaque above and under the brace arch; and a mono-bundle toothbrush for additional cleaning around brace locks, in gingival area, and around micro-implants.

Evaluation of the Oral Health Conditions and Oral Health-Related Quality of Life in a Community-Dwellers Population Aged ≥ 45 Years in the Canton of Bern: A Preliminary Pilot Study.

To evaluate oral health conditions and oral health-related quality of life in community-dwellers aged ≥ 45 years in the Canton of Bern, Switzerland. One hundred subjects (63% males; mean age: 73 years), selected randomly using a cluster procedure within the Canton of Bern, underwent a clinical oral examination after completing questionnaires on socio-economic level, medical history, oral health behaviour, and Geriatric Oral Health Assessment Index (GOHAI). Descriptive analyses and multinomial regression models were applied to investigate the association between oral health diseases (dental caries and periodontitis) and specific participant characteristics. The mean number of decayed, missing, and filled teeth (DMFT) was 0.30, 4.20, and 8.75, respectively; the mean DMFT score = 13.35. Dental caries prevalence (ICDAS > 0) was 15% and periodontitis prevalence was 46%. Logistic regression models revealed that living in an urban area was associated with lower odds (OR 0.03, 95%CI 0.00-0.36) of having periodontal disease. Male gender was associated with lower odds for dental caries (OR 0.31, 95%CI 0.09-1.01) and total lack of professional tooth cleaning was associated with higher odds for dental caries (OR 41.99, 95%CI 0.01-0.38). Ordinal logistic regression revealed that both the presence of dental caries (RR 12.80, 95%CI 1.47-111.20) and periodontal disease (RR 6.91, 95%CI 1.16-84.00) were statistically significantly associated with rheumatoid arthritis. Within the study limitations, untreated dental caries and periodontal disease are prevalent in the Swiss population, despite the high level of self-performed oral hygiene and access to the dental care system.

Does using mobile applications and social media-based interventions induce beneficial behavioral changes among orthodontic patients?

Systematic review and meta-analysis of randomized controlled trials (RCTs) and controlled clinical trials (CCTs). The protocol of the study was registered on the International Prospective Register of Systematic Reviews (PROSPERO: CRD42019157298). Seven electronic databases (MEDLINE, Web of Science Core Collection, Unpublished Clinical Trials accessed through clinicaltrials.gov, Embase, LILACS, ProQuest Database, The Cochrane Library) were searched. Additionally, the reference lists of the included studies were hand searched. Clinical trials (RCT and CCT) that assessed the impact of the interventional use of mobile applications and social media among orthodontic patients were included. The review question was defined in PICO format as follows: population (P)= patients (no age restriction) undergoing orthodontic treatment using fixed, removable, or functional appliances, or patients in the retention phase that are wearing fixed or removable retainers; intervention (I)= mobile applications and social media-based interventions; comparison (C)= control group that did not receive any adjunctive intervention; outcome (O)= behavior changes in orthodontic patients after receipt of the intervention. Two authors independently conducted literature search from inception up to March 2021. Social media-based interventions and mobile applications (or bespoke) were used in the form of reminders (WhatsApp reminders) and provision of information including YouTube videos and Instagram posts. Primary outcomes included adherence to wearing appliances or adjuncts, oral hygiene levels, oral health-related behaviors, periodontal outcomes, appointment attendance, knowledge, and related iatrogenic effects. Treatment-related experiences and patient-reported outcomes were assessed as secondary outcomes. 16 studies (14 RCTs and 2 CCTs) were included in the qualitative synthesis, of which only 7 studies were included in the quantitative synthesis (meta-analysis). Results from meta-analyses showed that the intervention was favored in relation to gingival index (GI) (number of studies = 4, standardized mean difference [SMD] = -0.81, 95% confidence interval [CI] = -1.35 to -0.28, P = 0.00, certainty of evidence = very low), plaque index (PI) (number of studies = 7, SMD = -0.91 [95% CI, -1.64 to -0.19], P = 0.01, certainty of evidence = very low), and bleeding index (BI) (number of studies = 4, SMD = -0.22 [95% CI, -0.50 to 0.05], P = 0.11, certainty of evidence = high). Sensitivity analysis was performed (including additional 3 studies for GI and 5 studies for PI), which also favored the intervention in relation to GI (number of studies = 7, SMD = -0.60 [95% CI, -1.01 to -0.18], P = 0.00, certainty of evidence = very low), and PI (number of studies = 12, SMD = -0.67 [95% CI, -1.14 to -0.19], P = 0.01, certainty of evidence = very low). Limited evidence supports beneficial behavior change among orthodontic patients when using mobile applications or social media-based interventions.

Pelayanan Screening Kesehatan Anak Usia Sekolah Di SDK Wehor Wilayah Puskesmas Haliwen Kecamatan Kakuluk Mesak

Schools are one of the targets of the Community-Based Total Sanitation program in the form of an area that is a strategy for improving PHBS. School-age children (6-10 years) are the most vulnerable to disease transmission. Schools can also be a place of learning and a threat of disease transmission if not appropriately managed. On the other hand, the number of school children who reach 30% of the total population of Indonesia is the potential as an "Agent of Change" to promote health in schools, families, and communities. Service activities were carried out at SDK Wehor, Kabuna, Kakuluk Mesak District, Belu Regency, Province of East Nusa Tenggara. Service activities for class I (one) students. Health screening was carried out by counseling and demonstration methods using a phantom/mannequin model of children's teeth, toothbrush, microtoice, scales, tuning fork (fork), and Snellen Chart. The students were very enthusiastic about participating in health counseling and screening activities from the beginning to the end of the event. The level of dental and oral hygiene of school-age children (Wehor SDK) 95% of school-age children, especially in Wehor SDK, have nutritional status with obesity category as much as 35.3% eye and ear health of all normal students.

Evaluation of Oral Hygiene and Periodontal Indices of 6–14-Year-Old Children with Insulin-Dependent Diabetes Mellitus

The purpose of the study was to evaluate oral hygiene and periodontal indices in children with type 1 diabetes mellitus. Materials and methods. 258 children aged 6-14 years were examined, including 129 children with type 1 diabetes mellitus and 129 children without concomitant somatic diseases. All patients were divided into four subgroups according to the presence of gingivitis. We determined the oral hygiene index-simplified (according to Green, Vermillion, 1964), the papillary-marginal-alveolar index in Parma modification (1960), the gingival index according to Loe, Sillness (1967). The t-test for paired samples was used to compare values. The difference was considered statistically significant at p&lt;0.05. Results and discussion. The worst level of oral hygiene was in group of children with type 1 diabetes mellitus and chronic catarrhal gingivitis because gum bleeding and pain in gums in these children did not allow them to make full efforts and carry out oral hygiene well. Our research showed a statistically significant difference between the patients with type 1 diabetes mellitus and control group in accordance with periodontal indices. Children with diabetes mellitus had the highest values of periodontal indices. The inflammatory processes in the tissues of periodontium in patients with type 1 diabetes mellitus are expanded, so it is very important to recognize them and diagnose them as early as possible. Periodontal indices in patients of the youngest age subgroup, namely, both the group of patients with diabetes mellitus and the group of children without somatic pathologies were the lowest. The totality of data on periodontal indices in children with chronic catarrhal gingivitis and type 1 diabetes mellitus indicated an average degree of severity of gingivitis, namely, the papillary-marginal-alveolar index was 42.77 ± 1.31%, the gingival index was 1.81 ± 0.05 points. Protective mechanisms in young patients with type 1 diabetes mellitus are changed. Children with this endocrine illness suffer from swelling of the gums and have extreme gum bleeding along with the development of the main endocrinological disease compared to healthy patients of the same age. According to the results we obtained, we believe that screenings of the oral cavity and preventive programs should emphasize the importance of early diagnosis of gingivitis and periodontitis even during the milk and mixed bite period, particularly in children with type 1 diabetes mellitus. Conclusion. Children with type 1 diabetes mellitus had a worse state of oral hygiene than healthy children. Children with diabetes mellitus had gum bleeding both during the period of temporary bite, and during the period of mixed bite

With Phenotypic Signs of Connective Tissue Dysplasia: Cross-Sectional Clinical Study

Background. The dental health is an integral part of a person's well-being. Students of higher educational institutions comprise a health risk group, since they experience extensive physiological changes and personal socialization. The impact of connective tissue dysplasia on dental health is a relevant research task.Objective. To analyze the correlation between dental pathology and phenotypic signs of connective tissue dysplasia in first-year students.Methods. A cross-sectional clinical study of the dental health and phenotypic signs of connective tissue dysplasia was conducted as part of routine dental examination of 263 first-year students of KubSMU, aged 18–23. All participants were divided into 2 groups: group 1 – participants with 0-2 signs of connective tissue dysplasia (n = 108); group 2 – participants with 3 or more signs of dysplasia (n = 155). Statistical analysis of the results was carried out using Microsoft Excel 2010 and Statistica 6.0.Results. Unsatisfactory and poor oral hygiene levels in the group of participants with connective tissue dysplasia outnumber these levels in the control group by 30% and 22%, with very poor level in the second group 2.3 times higher (p ≤ 0.05). The incidence of noncarious tooth pathology in individuals with dysplasia is 26% higher than in the control group. The caries intensity index in group 2 is almost 20% bigger than in the control group. As expected, the group of participants with no signs of dysplasia revealed better periodontal health, namely 51.85% versus 45.81% (p ≤ 0.05). In terms of mucosal pathology, a statistical significant difference between groups 1 and 2 was noted for traumatic injuries (16.35% and 19.35%, respectively). Dentofacial abnormalities were observed more often in individuals with 3 or more phenotypic signs of connective tissue dysplasia.Conclusion. Higher morbidity rate of caries and noncarious pathology in the group of first-year students with 3 or more phenotypic signs of connective tissue dysplasia, compared to the group with 0–2 phenotypic manifestations of dysplasia, indicated the need to create a database of the dentofacial profiles of students, develop an algorithm for regular medical check-up of students, as well as provide differentiated preventive and therapeutic measures for students with dysplasia.

КЛИНИКО-РЕНТГЕНОЛОГИЧЕСКИЙ АНАЛИЗ СТРУКТУР ПАРОДОНТА ПРИ АНАТОМО-ФУНКЦИОНАЛЬНЫХ НАРУШЕНИЯХ МУКОГИНГИВАЛЬНОГО КОМПЛЕКСА

Subject. Anatomical and functional disorders of the mucogingival complex.&#x0D; Objectives. To evaluate microcirculatory, clinical and radiological changes in periodontal tissues in various variants of mucogingival complex disorders.&#x0D; Methodology. The study was conducted at the Department of Therapeutic Dentistry of ASMU. In the course of the study, 80 patients (49 women, 31 men) aged 18 to 35 years were examined with a ratio of dentition close to orthognathic bite in the presence of maximum occlusion. Three groups were formed depending on the anatomical and functional state of the mucogingival complex. In the clinical part of the study, an objective assessment of the condition of periodontal tissues was carried out on the basis of a dental examination with a comprehensive analysis of the periodontal status. The X-ray examination included the analysis and description of cone-beam computed tomograms for patients of clinical groups. To assess microcirculation in periodontal tissues, the method of ultrasonic Dopplerography with functional probe breakdown was used.&#x0D; Results. In the studied groups, the level of oral hygiene was characterized as good, and the indicators of hygiene indices did not differ significantly, periodontal indices indicated the absence or minimal degree of inflammation in periodontal tissues. Carrying out a functional tension test made it possible to divide patients into subgroups according to the type of reaction: normal, compensated, subcompensated, decompensated. According to the results of the study of CBCT in the comparison group, pathological changes in the bone tissue of the alveolar process of the studied areas were not recorded, in patients of the first clinical group, in most cases (80.2%), pathological changes in the bone tissue of the alveolar process were not observed, in the rest (19.8%), a low level of alveolar bone was noted. In patients of the second clinical group, the phenomena of osteoporosis and an increase in the distance from the dental enamel-cement border to the edge of the outer cortical plate were recorded.&#x0D; Conclusions. X-ray changes in bone tissue most often corresponded to the already existing clinical symptoms of periodontal tissue damage against the background of mucogingival pathology. The predictors of prenosological diagnosis in anatomical and functional disorders of the mucogingival complex were changes in microcirculation indicators.

“Dental Health” preventive program as a stage of rehabilitating children with cognitive developmental disabilities

Relevance. One of the paramount directions of preventive dentistry is the development of the author's methods of organization and implementation of dental diseases prevention programs in children with cognitive developmental disabilities, allowing for prevention customization, taking into account the features of child development with disabilities, as well as the combination of many objective factors. The study aimed to increase the efficiency of mentally-retarded children's rehabilitation by improving the dental disease prevention program.Materials and methods. The study involved 140 children diagnosed with moderate mental retardation and comparatively analyzed two methods over three years. Group 1 included 71 subjects aged 8-11 years trained according to "Dental Health", the author's dental and hygiene education program, developed and adjusted to the psychophysical needs of the child development. Group 2 consisted of 69 subjects, trained according to the dental and hygiene education program provided only by the teachers during classes on household chores. We evaluated the effectiveness of the "Dental Health" prevention program introduced into the specialized educational process by the following indices DMFT, simplified oral hygiene index (OHI-S); PMA index modified by Parma assessed the condition of the gums. Statistical data were processed using the IBM SPSS Statistics 18.0 application sof tware package.Results. The effectiveness analysis of the author's program for children with moderate mental retardation revealed that the level of oral hygiene in the children increased from "poor" to "good" (2.1 ± 0.3 points to good 0.2 ± 0.1 points); gingival inflammation decreased from 24.6 ± 0.5% to 14.4 ± 0.2%. Classes on dental education and hygiene training helped children with cognitive developmental disabilities to orient better in self, time and place; helped to improve memory, increase vocabulary, form new knowledge and skills, and gradually form effective communication based on the child's intellectual deficiency severity.Conclusions. The developed educational program "Dental Health" for dental diseases primary prevention in children with cognitive developmental disabilities allowed the formation of stable oral care skills, proved by a good score of oral hygiene indices.

Assessment of some incipient caries risk factors in adolescents

Relevance. Risk assessment of carious lesion onset remains relevant due to the high incidence rate. The article presents the data on the impact of permanent dental enamel functional condition and microbial factor on incipient caries onset in adolescents.Purpose: The study aimed to investigate the etiology and pathogenesis risk characteristics of incipient caries onset in adolescents.Material and methods. The study included 90 adolescents aged 11-17 y.o. from Penza city. At the clinical stage, we studied adolescents’ permanent teeth vulnerability to caries; then, we formed the study groups according to WHO criteria (Group 1 – moderate, Group 2 – high, Group 3 – the very high intensity of caries) and Group 4 included children of the same age without caries. Vital staining and electric pulp testing with the “DentEst” device (Geosoft, Russia) detected white spot lesions. The OHI-S and enamel acid resistance test (TER-test) evaluated the level of oral hygiene. The laboratory stage determined the number of mixed saliva cells contaminated with bacterial microflora (microflora contamination coefficient) to define the bacterial load in the mixed saliva of the examined adolescents.Results. Besides high clinical rate of white spot lesions (intensity rate 3.10 ± 0.05 and demineralization degree 5.90 ± 0.08 μA) linked to poor oral hygiene level according to OHI-S (2.80 ± 0.13), the examined children of Group 3 (very high caries intensity) revealed a decrease in enamel acid resistance (TER-test 6.50 ± 0.22) and increased bacterial load of mixed saliva – microflora contamination coefficient (48.12 ± 0.80%). Differences with the same parameters in Group 4 (without caries) were statistically significant (P &lt; 0.05). The study of the statistical relationship between enamel demineralization degree and the level of mixed saliva bacterial load (microflora contamination coefficient) detected a positive correlation between the studied parameters of moderate and high power and received the following correlation coefficient values in Group 1 (R = 0.46), 2 and 3 (R = 0.73 and R = 0.78) respectively.Conclusion. Assessment of some risk factors for white spot lesion onset and monitoring of changes may include the analysis of clinical and laboratory data on the hard-dental-tissue condition and mixed saliva bacterial load determination (microflora contamination coefficient).

Оценка уровня гигиены полости рта у спортсменов-чирлидеров

Оценка уровня гигиены полости рта у спортсменов-чирлидеров

Стоматологическое просвещение пациентов, находящихся на ортодонтическом лечении

The most effective method in acquiring a beautiful smile and even dentition is the use of a non-removable orthodontic technique – a bracket system. The number of adult patients using a bracket system as an orthodontic treatment is steadily increasing every year. In the process of long-term orthodontic treatment, various complications may arise, such as decrease in oral hygiene level due to new atypical areas of plaque accumulation and further formation of dental tartar – one of the leading factors of inflammatory diseases of periodontal tissues. We study the hygienic state of the oral cavity and the level of dental education in dynamics among patients undergoing orthodontic treatment. We assess the hygienic condition of the oral cavity in patients undergoing orthodontic treatment and their motivation for proper and successful treatment. We examined 110 patients aged 18 to 35 years. The results showed that the level of hygiene during the year of treatment was unstable and decreased, and therefore it is necessary to pay special attention to the motivation of the patient and the duration of the treatment.