Dependence of Indicators of Caries in Permanent Teeth of Children From Fluoride Contentration in Drinking Water and the Presence of Fluorosis

In the period from 2020 to 2023, the dental care system in Ukraine underwent significant changes considering the effects of healthcare reforms, the COVID-19 pandemic, and the ongoing conflict. The objective of this article is to assess the changes in the provision of general dental care at the Pediatric Dental Polyclinic in Poltava City over the past five years based on a retrospective analysis of statistical reports from 2019 to 2023. In 2019, emergency dental care accounted 9.69% of all visits. Complicated caries of permanent teeth was found in 2.28% of filled teeth, with light-cured resin fillings representing 29.52% of them. Periodontal diseases were detected in 0.62% of visits. Preventive examinations comprises a significant portion of visits, 86.43% of visits; 94.66% of children who needed dental sanitation received full treatment. Preventive measures including fissure sealing, remineralizing therapy, and supervised tooth brushing played a significant role in these outcomes. In 2020, the number of visits dramatically decreased, but the share of emergency dental care increased to 11.65%, compared to 2019 (p < 0.0001). The number of filled teeth decreased, while the percentage of complicated caries of permanent teeth increased to 4.09% (p < 0.0001). The proportion of fillings made of light-cured resins rose to 40.19%, representing a 1.36-fold increase (p < 0.0001). Preventive examinations accounted for 26.47% of visits, and 88.47% of examined children in need of dental sanitation were fully treated. However, the share of preventive measures and the number of visits for children with periodontal disease dropped. In 2021, the number of preventive examinations increased to 49.49% of visits. The percentage of complicated caries of permanent teeth in the filling structure rose to 4.93% compared to 2020 (p < 0.0001). The share of fillings made of light-cured resins reached 51.19%, and the rate of children receiving treatment under anesthesia increased (p < 0.0001). Indicators of preventive measures, which received less attention during quarantine, continued to decline. In 2022, complicated caries of permanent teeth constituted 4.96% of fillings that was higher than in 2021 (p < 0.0001). The proportion of preventive examinations significantly decreased to 33.45% (p < 0.0001), and the percentage of treated children among those who needed treatment dropped to 77.5%. Pedodontists started paying more attention to periodontal disease, preventive care, and treatment under anesthesia, which increased significantly. In 2023, the share of complicated caries of permanent teeth increased to 5.53% (p < 0.0001). The number of children treated under local or general anesthesia increased by 2.5 times. The number of visits for children with periodontal disease and indicators of preventive measures also increased (p < 0.001). In 2023, the share of preventive examinations was 36.28%, and the percentage of treated children among those who needed help decreased compared to 2022 (p < 0.0001), reaching 79.29%. The closure of school dental offices due to Covid-19 significantly reduced the number of patients in the pediatric dental polyclinic in 2020, leading to a significant decline in planned sanitation for children and preventive measures. In 2021, despite further decreases in visits, planned sanitation for children improved. In 2022, due to the treatment of internally displaced persons, the quantitative performance indicators of the polyclinic improved. From 2019 to 2023, there was an increase in the number of light-cured fillings, reflecting a trend in modern dentistry. Indicators for the treatment of periodontal disease, preventive measures, and treatment with anesthesia increased since 2022. During 2020-2023, there was a growth in the number of filled permanent teeth due to complicated caries, possibly due to budget funding for such dental aid in the polyclinic or because young patients may delay seeking medical attention. In 2023, the trend of decreasing the number of patients who were completely treated during planned sanitation was overcome. Further analysis of dental aid indicators for children is necessary for planning and funding to reduce the impact of socio-economic factors on children's health.

Section: актуальні проблеми сучасної медициниunclassified

Analysis of Dental Care Indicators for Children Based on Data From the Pediatric Dental Clinic of Poltava City

Kaskova,

Yanko,

Tovma

et al. 2024

“…Рівень творчого потенціалу людини залежить від активності правої півкулі головного мозку, ділянки якої можна стимулювати й розвивати за допомогою читання літератури різного напряму (психологічна, філософська, художня). Інформатизація сучасного світу відіграє значну роль у формуванні світогляду молодого фахівця, оскільки натепер здобувачі окрім спілкування з хворими в поліклініці чи стаціонарі, можуть широко застосовувати впроваджені у медичну освіту та практичну охорону здоров'я інформаційні технології, що дозволяє студентам отримувати систематизовану інформацію, активізувати навчальний процес та сприяти більш ґрунтовному засвоєнню теоретичного матеріалу, оптимізації набуття практичних навичок, розвитку в них клінічного мислення [4].…”

Section: основна частинаunclassified

Crucial Role of Higher Education Teachers in Developing Professional Consciousness of Future Doctors

Pavlenkova,

Kaskova,

Amosova

et al. 2023

Defining the role of the teacher in ensuring the quality of professional training of students of higher education is important in any field, and especially in medicine. First of all, the teacher of a higher medical school carries an important mission the formation of a new generation of doctors responsible for the preservation of a healthy society and nation, because in modern realities and socio-economic conditions, health is the most important thing. To achieve the goal, literature and publications on similar topics were analyzed. A teacher, who clearly understands his mission, personal responsibility for the knowledge and skills of the student, continuously strives to improve his professional and personal level, will be able to achieve high pedagogical goals. The formation of a future specialist is closely related to his acquisition of theoretical knowledge and practical skills, which are instilled in him by teachers. In our opinion, the choice of a future profession and the level of education largely depend on the teacher's authority, his teaching style, the ability to arouse interest in his subject, and the ability to constantly maintain interest. That is, the teacher must possess the following qualities: dominant (humanity, intelligence, honesty, dignity) and peripheral (friendliness, wisdom, sense of humour). The main features of the pedagogical process are the cooperation of the teacher and students, aimed at achieving a single goal and the inseparability of the processes of learning and education. According to Article 41 of the Law of Ukraine "On Higher Education", the educational process in higher educational institutions is a system of organizational and didactic measures aimed at mastering the appropriate educational-professional (educational-scientific) program and ensuring patriotic, moral, spiritual, aesthetic and physical development of a person. There is no doubt that the higher school should create all the conditions for the training of future specialists, which would provide an opportunity for the formation and formation of their professional consciousness.

“…Прогресивним й масовим методом є стримінг (stream -це процес потокової передачі даних через інтернет, як правило, у якості переданих даних використовуються відео або аудіо розважального, навчального або інформаційного характеру) через YouTube або Twitch [4]. У такому форматі добре читати лекції чи проводити бесіди.…”

unclassified

Current Teaching Methods in the Distance Communication Format

Pavlenkova,

Kaskova,

Amosova

et al. 2023

Currently, the distance learning format is of great relevance. The primary objective of this mode of education is to establish a secure learning and working environment for all participants in the educational process. Within the distance learning framework, material delivery can take on either an asynchronous approach (where students engage with the material independently, without direct teacher involvement) or a synchronous one (in real-time). Asynchronous formats encompass a range of tools and platforms such as Google tools, website creation (using appropriate platforms), educational platforms (New School, Matific), recordings of educational material (video lessons, video instructions), online tests (Google Forms, LearningApps, ClassTime), interactive whiteboards (Padlet), student project activities (Google Presentations), quizzes (Kahoot, myQuiz, Quiziz), and various other forms of interactive learning. Given the current circumstances and the unexpected shift to distance learning, teachers proactively engage in planning and creating chat spaces with students. Utilizing messengers streamlines communication, with chats serving as a platform for sharing homework updates, providing consultations to applicants, and conducting surveys – essentially, planning synchronous training. In the synchronous mode, various means are employed for presenting material. Video conferences, facilitated through platforms like Meet, Zoom, Discord, Skype, and FreeConferenceCall, are the most prevalent communication method in remote conditions. Meetings are arranged using pre-established links or QR codes. This format is versatile, extending its use to online discussions, voting, and consultations. Long and boring online lessons are not the best way to teach. Therefore, teachers should use and combine different teaching methods to help learners learn effectively. Modern methods, gadgets and programs make it possible to bring the level of online learning closer to live communication with students.