Enamel Caries Resistance and Dental Caries Intensity in Patients With Diabetes Mellitus

Удод, О. А.; Куліш, А. С.; Gabshydze, N. O.

doi:10.29254/2077-4214-2018-4-1-146-322-325

Cited by 3 publications

(8 citation statements)

References 3 publications

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“…На сучасному етапі все більшої актуальності набуває проблема поєднаної патології, зокрема перебігу стоматологічних захворювань на тлі патології органів системи травлення [23,25]. Збільшується зацікавленість лікарів різних спеціальностей до вивчення коморбідних станів [28,29,39,41]. Численні наукові праці вітчизняних і зарубіжних авторів неодноразово повідомляють про взаємозв'язок патологічних змін порожнини рота із загальносоматичною патологією [17,21,27].…”

Section: вступunclassified

“…Низка соматичних порушень сприяє розвитку деструктивних змін в м'яких і твердих тканинах порожнини рота. Вказані зміни зустрічаються при захворюваннях ендокринної системи, шлунково-кишкового тракту (ШКТ), крові, шкіри, гострих інфекційних хворобах [2,8,23,39]. Автори вказують на взаємоускладнювальний характер загальносоматичної та стоматологічної патології.…”

Section: вступunclassified

“…Поступово каріозне ураження призводить до виникнення ускладнень, повного руйнування зубів, може стати причиною багатьох хроніосептичних станів в організмі людини [21]. За останні роки проблема множинного ураження зубів каріозним процесом посіла одне з перших місць серед багатьох інших захворювань [12,21,39]. Особливої актуальності ця проблема набуває в дитячій стоматології через значну поширеність одонтопатології серед дітей та підлітків.…”

Section: результати обговоренняunclassified

“…Результати досліджень останніх років засвідчують взаємозв'язок інтенсивного розвитку карієсу зубів і пародонтиту з вмістом лізоциму в ротовій рідині [8,12]. За сучасними уявленнями, розвиток карієсу відбувається в результаті складної взаємодії зовнішніх та внутрішніх факторів, які реалізуються в системі "мікроорганізмслинаструктура емалі" [8,9,23,39].…”

Section: результати обговоренняunclassified

“…Водночас хвороби органів травлення впливають на стан порожнини рота шляхом змін функціональної активності слинних залоз, що сприяє порушенню динамічної рівноваги процесів де-і ремінералізації, виникненню й активному перебігу каріозного процесу [35,39]. Отже, додатковим механізмом у розвитку множинного ураження зубів каріозним процесом є негативний вплив порушень секреторної та інкреторної функції слинних залоз, пов'язаних зі змінами процесів перетравлення та всмоктування поживних речовин в ШКТ.…”

Section: результати обговоренняunclassified

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Dental diseases in patients with pathology of the gastrointestinal tract: a literature review

Poberezhna¹,

Kulygina²,

Гаджула³

et al. 2023

Rep. of Vinnytsia Nation. Med. Univ.

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Annotation. The study aimed to analyze references in the scientific literature on hard dental tissue damage and periodontal and oral mucosal diseases in patients with concomitant gastrointestinal tract pathology. We used the bibliosemantic method to identify the status of the outlined issues and analysis of the scientific research data. Based on data from national and international published literature on the topic, the prevalence, severity and structurality of changes in the organs and tissues of the oral cavity associated with gastrointestinal tract diseases were evaluated. The review was carried out using data from scientific articles for the period of 2011-2022 with search words “Digestive System Diseases”, and “Diseases of the Oral Cavity” using the MESH subject headings: dental caries susceptibility, mouth diseases, gastrointestinal diseases, malabsorption syndromes, dental caries, tooth demineralization and others. The final analysis included 75 scientific articles corresponding to the purpose of the study. Data obtained from analysis of literary sources of recent years suggests that both local and general factors are involved in the process of occurrence and course of dental pathology with concomitant involvement of the gastrointestinal tract. The nature of their interaction will determine the peculiarities of the course of dental diseases. However, the lack of convincing data on the age-related features of the occurrence and development of dental diseases, as well as the inconsistency of the results regarding the significance of risk factors for the progress of comorbid conditions complicates the methods development of their treatment and prevention. The listed features of the course of dental diseases with a combined involvement of gastrointestinal disorders indicate the mandatory complexity of treatment, taking into account concomitant pathology.

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Section: вступunclassified

Section: результати обговоренняunclassified

See 3 more Smart Citations

Dental diseases in patients with pathology of the gastrointestinal tract: a literature review

Poberezhna¹,

Kulygina²,

Гаджула³

et al. 2023

Rep. of Vinnytsia Nation. Med. Univ.

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Caries Resistance - Criterion of Dental Status of Children and Adolescents

Klitynska¹,

Zorivchak²,

Shetelya³

2021

Ukr. ž. med. bìol. sportu

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Prevention of dental caries in children is one of the current problems of modern pediatric dentistry, which is due to the high prevalence and intensity of this disease. Analysis of the results of epidemiological studies conducted among children of different ages in the regions of Ukraine shows a significant increase in caries growth in recent years, both temporary and permanent teeth, which leads to in-depth study of the hardness of dental tissues to cariogenic factors in connection with the need in the constant improvement of methods of treatment and prevention of this pathology. The purpose of the study was to analyze the value of enamel caries resistance as a detector of resistance of dental hard tissues to carious process and its complications. The subject of the research is the work of domestic and foreign researchers on this topic. In the course of the research the bibliosemantic method and structural-logical analysis were used. Today, dental caries is the most common disease in different age groups, which is confirmed by the prevalence – 90-100% and a sharp trend of increasing its intensity. Given the high rates of this pathology, it should be remembered that its untimely treatment leads to the following complications: pulpitis, periodontitis, tooth extraction. An important concept that indicates the possibility of caries is caries resistance, which indicates the level of resistance of the enamel to caries and has an informative diagnostic value for the dentist. According to modern ideas, in the pathogenesis of dental caries the leading role is played by caries-resistant enamel. Its mineral base is formed by isomorphic crystals of apatite, which contain various chemical elements, and their amount in the body is closely related to the amount in the environment. It is established that more than 40 chemical elements take part in the process of tooth mineralization, the most important of which belongs to calcium, phosphorus, fluoride. Insufficient amount or excess of certain micronutrients in the environment, especially in soils and drinking water, can change their content in the body and, consequently, in the hard tissues of the teeth, affecting their resistance to caries. It is well known that the influence of a number of adverse environmental factors leads to a decrease in the resistance of the body as a whole and, as a consequence, to a decrease in the caries resistance of the enamel of the hard tissues of the teeth. Sensitivity to the effects of adverse factors increases significantly in the prepubertal period, a time not only of intensive growth of the child and the formation of his personality, but also a period of mineralization of more than half of permanent teeth. Therefore, exactly at this time dentists should pay special attention to the prevention of caries of permanent teeth in children by improving the conditions of secondary mineralization of tooth enamel, thereby increasing their level of caries resistance

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Morphological study of hard dental tissue condition with various types of dental deposits

Arshynnikov,

Kulygina,

Drohomyretska

et al. 2024

Rep. of Morph.

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Today, it has been established that the primary factor in preventing dental caries is controlling the level and type of dental deposits. However, the literature has not yet addressed the specific morphological changes in the hard dental tissues when non-mineralized and mineralized dental plaque is present on the tooth surface. The aim of this study was to examine the microscopic structure of the cuticle and hard dental tissues and to assess the X-ray spectral changes associated with different types of dental deposits. Epimicroscopic and X-ray spectral examinations were performed on 32 teeth with various types of supragingival deposits, extracted for orthodontic and surgical indications. Each tooth was cut in the vestibulo-oral direction using a diamond bur at low speed, then one half was polished, stained with PAS-Alcian blue, and photographed at different magnifications in epiprojection. Samples were carbon-coated in a vacuum chamber, and the inorganic components in the cuticle and mineralized deposits were assessed using the Link AN 10.85s micro X-ray analyzer. Thin sections of the other tooth halves were prepared, stained with PAS-Alcian blue, and examined under the “Olympus” microscope at various magnifications. Statistical analysis was performed using standard parametric methods with “Statistica 6.0” and “Microsoft Excel 2002” software. Significant findings in the hard dental tissues included the presence of non-mineralized (soft plaque, dental biofilm), mineralized (dental calculus), and smoker's plaque. In areas with soft plaque, enamel prisms remained intact, with no changes in the enamel-dentin junction or dentin, though the cuticle was nearly absent. In areas with dental biofilm, enamel thickening, the absence of characteristic enamel prism patterns, fragmentation of the reticular layer, and formation of interglobular dentin were observed. Morphological changes in mineralized deposits included enamel thinning, prism disorganization, localized hypermineralization, destroyed enamel-dentin junctions, and “dead tracts” in the dentin. In cases with smoker's plaque, nicotine pigment accumulated in Retzius line biomineralization zones, along with thickening of the reticular layer and “dead tracts” in the deeper dentin layers. A comparison of the main inorganic components (Ca, P, Mg, Ca/P) in the cuticle and mineralized deposits showed significant differences in phosphate, magnesium, and Ca/P ratios, indicating disrupted metabolic processes at the “enamel-oral fluid” interface, promoting calculus formation. Thus, the morphological and X-ray spectral changes observed in the enamel and surrounding tissues provide an objective assessment of tissue condition with various types of deposits. These findings should be considered in selecting a scaling method.

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Enamel Caries Resistance and Dental Caries Intensity in Patients With Diabetes Mellitus

Cited by 3 publications

References 3 publications

Dental diseases in patients with pathology of the gastrointestinal tract: a literature review

Dental diseases in patients with pathology of the gastrointestinal tract: a literature review

Caries Resistance - Criterion of Dental Status of Children and Adolescents

Morphological study of hard dental tissue condition with various types of dental deposits

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