ORAL HYGIENE IN CHILDREN WITH DISTURBANCES IN TOOTH FORMATION WHO WERE AFFECTED AS A CONSEQUENCE OF THE ChNPP ACCIDENT

Abstract

Objective. evaluation of oral hygiene to enhance the prophylaxis of complications specifically of dental caries in children with disturbances in tooth formation (DTF) who live on radiologically contaminated territories after the Chornobyl NPP (ChNPP) accident. Materials and methods. Children aged 6–14 years (n = 1470) with DTF were the study subjects examined in 2012– 2016. Among them there were (n = 528) residents of the zones III and IV of radiological contamination after the ChNPP accident with 137Cs soil contamination density 1-15 Ci/km2. The effective radiation dose in them was not exceeding 1 mSv/year. The Green-Vermillion and Silness-Loe oral hygiene indices were assesses within clinical examination methods. Results. The worth oral hygiene was revealed in children having got the DTF, compensated chronic diseases of organs and systems, and in those with burdened radiation history. The Green-Vermilion and Silness-Loe indices were 1.7 ± 0.51 and 1.65 ± 0.46 respectively. Conclusions. A significant deterioration in oral hygiene confirmed by the highest values of the Green-Vermillion index (1.7 ± 0.51; p < 0.001 – «unsatisfactory oral hygiene» criterion) and Silness-Loe index (1.65 ± 0.46; p < 0.001 – «poor oral hygiene» criterion) was found in children with DTF aged 6-14 years being residents of contaminated areas as a result of the Chernobyl accident. The revealed deterioration may be due to a set of negative factors, including the impact of ionizing radiation in low doses and peculiarities of social status. Results of the questioning of surveyed pediatric contingents both having got an DTF and with no defects of the hard tissues of teeth indicate an insufficient level of knowledge and skills in hygienic care of oral cavity regardless of the area of residence. Development of a set of measures to prevent the DTF complications in children should be carried out taking into account the state of oral hygiene, level of knowledge and skills in oral care, and include the use of hygiene products, namely toothpastes and anti-caries mouthwashes. Key words: children, disturbances in tooth formation, systemic hypoplasia of enamel, molar-incisor enamel hypomineralization, hygienic indices, ionizing radiation, ChNPP accident.

The Latest Ideas of Medical and Biological Developments and Improvement of Psychological Sciences by Scientists

“…Diseases of the oral mucosa of both adult and children's populations occupy an important place in dental practice [107][108][109][110]. Clinical studies show that pathological changes in the oral mucosa are often manifestations of infectious diseases, allergic conditions, and consequence of disorders in the work of various organs and systems in children with concomitant pathology [111][112][113][114][115][116][117][118][119][120]. In such cases, the establishment of a final diagnosis requires consultations with doctors of various specialties, and additional research methods [121][122][123][124][125][126][127].…”

Radiation-induced pathology of the tissues of the oral cavity

“…In addition, the authors noted an increased incidence of aphthous stomatitis and recurrent herpes in the exposed population. [2] The work of other researchers noted an increase in the incidence of periodontal diseases in the population of Belarus, especially in areas affected by the Chernobyl accident. [3] In the region of the Semipalatinsk nuclear test site, dental morbidity in children and adults was also studied.…”

“…[2] The work of other researchers noted an increase in the incidence of periodontal diseases in the population of Belarus, especially in areas affected by the Chernobyl accident. [3] In the region of the Semipalatinsk nuclear test site, dental morbidity in children and adults was also studied. The most extensive comprehensive examination of the affected population of the Semipalatinsk region with the study of the course, treatment and prevention of periodontal and oral mucosa diseases is given, where it is convincingly shown that in the mechanism of development of oral mucosa candidiasis and chronic recurrent aphthous stomatitis, the leading role belongs to changes in immune parameters, salivary dysfunction and microcirculation disorders.…”

Відносини В Медичних Колективах «лікар Лікар». Аспекти Виникнення Конфлікту, Шляхи Вирішення

“…Адже лікар підвищує свою кваліфікацію все життя й непомітно для себе і для оточуючих його колег змінюється і як людина. Особливо важливі дружні доброзичливі стосунки між колегами у робочих колективах медичних працівників, які кожен день стикаються з нестандартними ситуаціями, в тому числі з наданням невідкладної допомоги пацієнтам, тощо [4][5][6][7][8][9][10][11][12].…”