Application of Photodynamic Therapy and Phytodrug for the Prevention and Treatment of Dental Diseases in Children in Difficult Life Situation of "Social Orphans"

Abstract

Objectives. Children who find themselves in a difficult life situation are one of the neediest social groups who need help both from the state and from specialists in various fields. To improve and improve the quality of medical dental care for this social group of children, it is necessary to evaluate the effectiveness of the developed complex of therapeutic and preventive measures, taking into account the specific situation in social institutions for orphans and children left without parental care.
 Purpose. To evaluate the effectiveness of the developed complex for the prevention and treatment of major dental diseases in orphans and children in a difficult life situation with the use of photodynamic therapy and herbal medicine.
 Methodology. The article presents clinical and laboratory data after the implementation of the developed complex of therapeutic and preventive measures using photodynamic therapy and herbal medicine in orphans and children in difficult life situations in the age groups of 6–7 years, 11–13 years and 14–16 years. The dynamics of the dental and hygienic status, some physicochemical, biochemical, immunological parameters of the oral fluid and the periodontopathogenic microbiota of the periodontal sulcus are presented.
 Results. The use of the developed complex for the prevention and treatment of dental diseases using photodynamic therapy and a phytopreparation in a socially vulnerable group of children showed high efficiency: oral hygiene improved in all age groups from a poor to a satisfactory level, the indicator of cured temporary and permanent teeth increased (component "P") in the structure of KPU in children 6 years of age more than 0.5 times, in adolescents more than 2.7 times. In the mixed saliva, the pH increased, the levels of pro- and anti-inflammatory cytokines normalized, the content of lipid peroxidation products sharply decreased against the background of an increase in the activity of the main antioxidant defense enzymes, and the amount of periodontopathogenic microbiota in the periodontal sulcus decreased.
 Conclusions. The program for the comprehensive prevention and treatment of major dental diseases in orphans and children in difficult life situations leads to a decrease in the intensity of dental caries and periodontal disease, and a significant decrease in cases of tooth loss.