An evident underestimation of the targeted prevention of dental diseases is strongly supported by alarming epidemiologic statistics globally. For example, epidemiologists demonstrated 100% prevalence of dental caries in the Russian population followed by clinical manifestation of periodontal diseases. Inadequately provided oral health services in populations are caused by multi-factorial deficits including but not limited to low socio-economic status of affected individuals, lack of insurance in sub-populations, insufficient density of dedicated medical units. Another important aspect is the “participatory” medicine based on the active participation of population in maintaining oral health: healthcare will remain insufficient as long as the patient is not motivated and does not feel responsible for their oral health. To this end, nearly half of chronically diseased people do not comply with adequate medical services suffering from severely progressing pathologies. Noteworthy, the prominent risk factors and comorbidities linked to the severe disease course and poor outcomes in COVID-19-infected individuals, such as elderly, diabetes mellitus, hypertension and cardiovascular disease, are frequently associated with significantly altered oral microbiome profiles, systemic inflammatory processes and poor oral health. Suggested pathomechanisms consider potential preferences in the interaction between the viral particles and the host microbiota including oral cavity, the respiratory and gastrointestinal tracts. Since an aspiration of periodontopathic bacteria induces the expression of angiotensin-converting enzyme 2, the receptor for SARS-CoV-2, and production of inflammatory cytokines in the lower respiratory tract, poor oral hygiene and periodontal disease have been proposed as leading to COVID-19 aggravation. Consequently, the issue-dedicated expert recommendations are focused on the optimal oral hygiene as being crucial for improved individual outcomes and reduced morbidity under the COVID-19 pandemic condition. Current study demonstrated that age, gender, socio-economic status, quality of environment and life-style, oral hygiene quality, regularity of dental services requested, level of motivation and responsibility for own health status and corresponding behavioural patterns are the key parameters for the patient stratification considering person-tailored approach in a complex dental care in the population. Consequently, innovative screening programmes and adapted treatment schemes are crucial for the complex person-tailored dental care to improve individual outcomes and healthcare provided to the population.

An evident underestimation of the targeted prevention of dental diseases is strongly supported by alarming epidemiologic statistics globally. For example, epidemiologists demonstrated 100% prevalence of dental caries in the Russian population followed by clinical manifestation of periodontal diseases. Inadequately provided oral health services in populations are caused by multi-factorial deficits including but not limited to low socio-economic status of affected individuals, lack of insurance in sub-populations, insufficient density of dedicated medical units. Another important aspect is the “participatory” medicine based on the active participation of population in maintaining oral health: healthcare will remain insufficient as long as the patient is not motivated and does not feel responsible for their oral health. To this end, nearly half of chronically diseased people do not comply with adequate medical services suffering from severely progressing pathologies. Noteworthy, the prominent risk factors and comorbidities linked to the severe disease course and poor outcomes in COVID-19 infected individuals, such as elderly, diabetes mellitus, hypertension and cardiovascular disease, are frequently associated with significantly altered oral microbiome profiles, systemic inflammatory processes and poor oral health. Suggested pathomechanisms consider potential preferences in the interaction between the viral particles and the host microbiota including oral cavity, the respiratory and gastrointestinal tracts. Since an aspiration of periodontopathic bacteria induces the expression of angiotensin-converting enzyme 2 – the receptor for SARS-CoV-2, and production of inflammatory cytokines in the lower respiratory tract, poor oral hygiene and periodontal disease has been proposed as leading to COVID-19 aggravation. Consequently, the issue-dedicated expert recommendations are focused on the optimal oral hygiene as being crucial for improved individual outcomes and reduced morbidity under the COVID-19 pandemic condition. Current study demonstrated that that age, gender, socio-economic status, quality of environment and life-style, oral hygiene quality, regularity of dental services requested, level of motivation and responsibility for own health status, and corresponding behavioural patterns are the key parameters for patient stratification considering person-tailored approach in a complex dental care in the population. Consequently, innovative screening programmes and adapted treatment schemes are crucial for the complex person-tailored dental care to improve individual outcomes and healthcare provided to the population.

Relevance. The success of medical treatment in the elderly often depends on the doctor’s ability to find an individual approach to a patient, including their personality characteristics, comorbidities and compliance level.Materials and methods. A systematic search of the literature was carried out of studies published between 2000 to 2020 in the online databases: PubMed, Google Search, and eLibrary. The articles were reviewed if the criteria for inclusion and exclusion were met.Results. The primary electronic search found 4,314 studies. Upon removing the duplicates and checking the publications for the title and abstract availability, 1,013 studies were selected, whereas the remaining 3,301 publications were excluded as not meeting the above requirements. Subsequently, in exploring the titles and abstracts, full-text of 509 studies was assessed. Of these, 455 publications were excluded for the lack of doctor-patient interaction evaluation. The systematic review included 54 studies for assessment and numerical comparison in this study.Conclusion. The success of dental treatment in the elderly depends on the patient’s personality profile, their preparedness to follow doctor’s recommendations, and dentist treatment skills and psychological competencies in approaching patients of this age group.

Relevance. Underestimation of the importance of dental disease prevention and the occurrence or complication of physical health problems are two causally related factors. Compliance with the rules of individual and professional oral care is an important constituent to prevention, often ignored by patients of all ages and different social groups.Materials and methods. A total of 706 persons, including 529 women and 172 men, participated in the study. According to the WHO age classification, the participants formed four age groups: 18-24, 25-44, 45-59, and 60-74 years old. In terms of social identity, these groups comprised dentists (216 persons), dental patients (274 persons) and non-dental healthcare professionals (216 persons). The study focused on the adherence to oral preventive measures performed by patients of different age, gender and social identity groups.Results. Despite the majority of the respondents were sufficiently aware of dental disease prevention and oral care, not all turned out to be compliant with medical advice. There were differences between age and social identity groups of patients in reasons of dental visits, use of oral hygiene products and professional oral care.Conclusion. The study confirmed the relationship between underestimation of dental disease prevention and physical pathology. Of all age groups, the lowest level of compliance with oral care practices and the highest percentage of internal diseases were in 60-74-year-old patients. Women are more adherent to oral care measures than men; healthcare professionals showed the lowest compliance with oral care measures.

РезюмеАктуальность. В настоящее время на стоматологическом рынке появилась новая профилактическая воздушно-абразивная система на основе органического вещества -углевода трегалозы. Тема исследования актуальна в связи с необходимостью изучения свойств нового продукта и проведением сравнительной оценки воздушно-абразивных средств различных поколений. Целью исследования являлось проведение сравнительной оценки клинической эффективности различных поколений воздушно-абразивных средств во время проведения профессиональной гигиены полости рта. Материалы и методы. В исследовании приняли участие 38 пациентов, которым была проведена профессиональная гигиена полости рта с использованием профилактических систем различных поколений. Предварительно полость рта была разделена на две стороны в зависимости от воздушно-абразивного средства -на основе карбоната кальция (65-70 µm) и трегалозы (65 µm). Во время проведения процедуры измеряли время, необходимое для удаления мягких зубных отложений, после -состояние полости рта с помощью стоматологических индексов. Кроме этого, чтобы оценить качество и степень удовлетворенности проведенной процедурой, использовали анкеты, специально разработанные для пациентов и врачей-стоматологов.