State of Periodontal Tissues in Children Living in Educational and Rehabilitation Centers

Abstract

Assessment of periodontal tissues state in children from educational and rehabilitation centers aimed at further monitoring and development of therapeutic and preventive measures is an urgent task of modern dentistry.
 The purpose of the study was to determine the periodontal tissues state in children from educational and rehabilitation centers (ERC).
 Research material and methods: 182 children aged 7 to 15 from communal institutions of the Lviv Re-
 gional Council (CI LRC) and 165 children of the same age from the secondary schools (comparison group) have been examined. The periodontal tissues state was assessed on the basis of clinical examination, the Schiller-Pysarev’s test and the Papillary-Marginal-Alveolar index (PMA) (Parma, 1960).
 Research results and their discussion: It was established that chronic catarrhal gingivitis was found in the average of 71,68±4,25% of children aged 7-15 years from the ERC, which is significantly higher than the children of the comparison group – 46,75±3,51% (р<0,001). With age, the prevalence of CCG increases and in the age group of 10-12 years, accounting on average for 81,53±7,28%, which is by 1,7 times higher than in children of the comparison group (р<0,001). In children aged 13-15 years, the frequency of CCG is by 1,4 times higher than that in children of the comparison group and by 1,2 times higher than that of children aged 7-9 years.
 The analysis of the results shows that in all age groups, the children from the ERC have a mild degree of CCG and, on average, accounted for 57,83±7,28%, which is by 1,4 times lower that in the comparison group (79,76±3,79%), and the average degree of CCG is much higher – 37,89±3,68%, respectively, in children of the comparison group (18,79±3,45% (р1<0,001, р2<0,001)). The significant prevalence of a severe degree of chronic catarrhal gingivitis in children of 7-9 years old from ERC (8,33±3,25%) is revealed.
 Therefore, the findings of the study indicate a significant prevalence of inflammatory processes in the periodontal tissues of children from ERC, which must be taken into account in providing of dental care for children who are in such institutions, and should be actively implemented in treatment and prophylaxis measures to prevent the further development of pathological processes in periodontal tissues.