Introduction: Alcohol addiction is one of major public health concerns because rich assortment of alcohol drinks, alcohol advertising may hasten the initiation of alcohol drinking and increase consumption among children and adolescents nowadays. Cytotoxic effect of alcohol is among the leading causes of oral mucosa malignant degeneration, therefore alcohol drinkers are at risk of cancerous diseases. This should be taken into consideration by dentists during routing check-ups. The assessment of oral status in alcohol abusers is essential for making up a treatment plan and prophylaxis, and the investigation of oral manifestations in alcohol drinkers is of great clinical significance. The aim: To determine the peculiarities of oral status in underage drinkers. Materials and methods: The study involved 135 inpatients aged 14-17, who took the course of treatment at the Narcological Department, Poltava Regional Clinical Psychiatric Hospital. We assessed the condition of periodontal tissues and oral mucosa. Results: There was a tendency towards an increase in precancerous diseases depending on the age of patients and the length of alcohol addiction. The prevalence rate of the diseases in the first group of patients who had being abused alcohol for 2 years was 10,91% of cases; and in the second group of patients who had being abused alcohol for 3 years it made up 16,80%. This may be explained by adverse effect of ethanol on the oral mucosa and by no regular dental check-ups. Conclusions: Based on the results obtained, it is appropriate to recommend mandatory oral check-ups for adolescents with alcohol abuse.

No abstract

No abstract

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<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

No abstract