Morphofunctional Disorders of the Musculo of the Oral Cavity and Their Prevention in Children With Diseases of the Gastrointestinal Tract in Orthodontic Treatment

Abstract

Subject. At present, diseases of the gastrointestinal tract, with a high frequency in children aged 9―14 years, are accompanied by lesions of the oral mucosa. These conditions are aggravated with orthodontic treatment. Therefore, the development of a scheme for the prevention of complications in children with gastrointestinal diseases undergoing orthodontic treatment is an urgent task of modern dentistry.
 Purpose ― to consider the problem of the state of the oral cavity and the cytological characteristics of the mucous membrane in children with gastrointestinal diseases, physiological occlusion and malocclusion undergoing orthodontic treatment, to investigate the dynamics of inflammatory processes of the jaw mucosa under the bases of removable orthodontic appliances.
 Methodology. The study involved 60 children aged 7―15 years. The cytomorphometric method was used.
 Results. The results of the study showed the possibility of using the cytomorphometric method for diagnosing and evaluating the effectiveness of the use of various prevention programs and medicines during orthodontic treatment. Cytomorphometry revealed significant differences in the effectiveness of the proposed prophylaxis scheme in children, contributed to the improvement of cytogram parameters and normalization of the inflammatory-destructive index, however, complete recovery of all cytomorphological parameters in patients undergoing orthodontic treatment did not occur.
 Conclusions. To improve the level of oral hygiene for children undergoing orthodontic treatment, it is necessary to use not only therapeutic and prophylactic toothpastes, but also an additional amount of prophylaxis. Children with gastrointestinal tract diseases and malocclusion who are undergoing orthodontic treatment are recommended to include Lizobact drugs in the periodontal disease prevention regimen, however, the use of these drugs alone is not enough to completely eliminate the inflammatory process.