Analysis of the Dental Status of Teenagers in the Transcarpatia Region

Abstract

Dental status includes an index assessment of clusters that characterize the state of hygiene, the presence of periodontal tissue diseases, and the state of the hard tissues of the teeth. The calculation of these indicators gives a clear idea of the state of the problem and dictates the ways of preventive and therapeutic tactics both in groups and individually. The level of patient anxiety, both personal and reactive, caused by a visit to the dentist, plays a significant role during the appointment with the doctor, affects the trust during communication and affects the quality of dental services in general. The second component of high-quality dental treatment is the determination of the level of dental morbidity in groups, depending on the level of anxiety as a basic factor. Dental status includes an index assessment of clusters that characterize the state of hygiene, the presence of periodontal tissue diseases, and the state of the hard tissues of the teeth. The calculation of these indicators gives a clear idea of the state of the problem and dictates the ways of preventive and therapeutic tactics both in groups and individually.
 The aim of the research. To assess the dental status of adolescents in Transcarpathian region and establish the correlational dependence of parameters.
 Materials and methods. An assessment of the dental status of 384 adolescents aged 12-18 years who were patients of LLC "University Dental Polyclinic" was carried out. The patient's appeal was both urgent and for the purpose of rehabilitation, planned.
 Indicators of the prevalence, intensity and activity of caries (CPV index) were determined in the examined subjects according to generally accepted methods. The state of hygiene in adolescents was determined according to the OHI-S index and Fedorov-Volodkina. The condition of the periodontal tissues in the examined adolescents was determined according to the PMA index. Statistical analysis of the obtained data was carried out on a personal computer using licensed programs ˝MS Excel 7˝ for the operating system˝ Windows˝ and the standard program package "STATISTICA" v. 6.0.
 Conclusions. High personal anxiety is a factor in the formation and progression of carious lesions of hard tissues in adolescents, a direct relationship between the level of personal anxiety and the course of caries in adolescents has been established, with an increase in personal anxiety, the percentage of decompensated caries increases. That is, high personal anxiety is a factor in the progression of dental caries in teenagers. Significant differences in PMA index indicators were established between clinical groups (p<0,05). In the first group of teenagers with a high level of personal anxiety, the indicators of the index corresponded to a severe degree of gingivitis, in the second and third groups, the indicators corresponded to an average degree of gingivitis.
 When assessing the state of hygiene in adolescents of clinical groups, significant differences were established between the indicators of the first and second and the first and third groups according to the OHI-S, DI-S and CI-S indicators of the I.G. index. Green, I.R.Vermillion and indicators of the Fedorov-Volodkina index (р<0.05), the indicators in the first group were significantly higher than in the second and third groups. According to the Fedorov-Volodkina index, a significantly higher index was established in patients of the first group than in the second and third.
 A direct relationship between the level of personal anxiety and the state of hygiene in adolescents has been established, with an increase in personal anxiety, the deterioration of hygiene is noted. That is, high personal anxiety is a factor in the progression of gingivitis.