scholarly journals THE ANALYSIS OF THE PREVALENCE OF DENTAL ANOMALIES IN UZHHOROD SCHOOLCHILDREN

2021 ◽  
pp. 53-59
Author(s):  
V.S. Melnyk ◽  
L.F. Horzov ◽  
O.Yu. Rivis ◽  
M.E. Izay

The health of the oral cavity is an important component of the overall physical, mental and social well- being of each person. It is known that untimely detection and treatment of patients with dentoalveolar anomalies can lead not only to social maladaptation of this category of people but also to an increase in the risk of developing a carious process, periodontal diseases, as well as dysfunction of the temporomandibular joint. The presence of a dentoalveolar anomaly in a child can lead to a social disadvantage of patients among peers, as well as loss of active career growth in young and mature age. The incidence rate may vary considerably depending not only on the country of research but also on its region, as well as sex and age of the studied categories of people. The patients' parents specify the type and duration of feeding, the presence of such bad habits as sucking fingers, lips, or the tongue, respiratory features (sleeping with an open mouth), whether a child was followed up by otolaryngologist or neurologist for adenoids, sinusitis, rhinitis, as well as other diseases that can negatively affect the development of the patient's chewing apparatus. In an objective examination, attention was paid to the disturbance of nasal breathing, visually evaluated the amplitude and TMJ movement range. With an increase in age in the examined children there was a de- crease in the prevalence of deep bite, while the frequency of detecting mesial, open bite, as well as the dis- placement of dental arches from the middle line, increased. Rotated teeth, as well as disturbance of interdental gaps was detected more frequently with age while diastems were detected less frequently. The sharp decrease in the frequency of dental anomalies is observed in the transition from the II period of a variable bite (11-13 years) to the period of a constant bite (14-17 years). The study showed that regular check-ups are the most effective methods for identifying patients with tooth anomalies in schoolchildren and can significantly reduce the number of patients who need this type of treatment with an adequate orthodontic care management. The purpose of the study is to analyze the prevalence of dentoalveolar anomalies in schoolchildren of Uzhgorod. Material and methods. The study involved 339 schoolchildren in Uzhgorod. An analysis of the prevalence of dentoalveolar anomalies was carried out in three age groups: the first period of the mixed bite (6–9 years), the second period of the mixed bite (10–13 years), and the permanent bite (14–17 years). Results. It has been shown that dentoalveolar anomalies occur in the majority (78.6%) of school-age children. The most common anomalies of the teeth position (47.1%) and anomalies are the ratios of dental arches (37.3%). Anomalies in the size of the jaws (11.5%) and dentoalveolar anomalies of functional origin (4.1%) occur less often. However, 70.4% of all dentoalveolar anomalies are combined. Dentofacial anomalies were observed in children aged 10 to 13 years (II period of a shifting bite) more often. A sharp decrease in the frequency of dentoalveolar anomalies is observed during the transition from the II period of a mixed bite (11-13 years) to the I period (14-17 years) of a permanent bite. Conclusion. The study showed that medical examinations and preventive examinations are the most effective methods for identifying patients with dentoalveolar anomalies in schoolchildren and, with the adequate orthodontic care management, can significantly reduce the number of patients requiring this type of treatment.

2018 ◽  
Vol 65 (3) ◽  
pp. 133-139
Author(s):  
Marina Milinković ◽  
Tanja Ivanović ◽  
Predrag Nikolić ◽  
Ljiljana Stojanović ◽  
Željko Milosavljević ◽  
...  

Summary Introduction Caries and orthodontic anomalies in school-age children lead to disturbed aesthetics, oral functions (chewing, swallowing, and speech), predisposition to trauma and the onset of periodontal diseases. The aim was to assess dental health and frequency of orthodontic anomalies in children aged 8-9 years in the municipality of Foča. Methods The research was conducted in the primary school Sveti Sava in Foča, where the total of 112 children age 8-9 years were examined. An informed consent was obtained from parents and school director for each student. Dental examination was performed using standard dental method, a mirror and a probe under artificial lighting. Children received instructions on proper nutrition, oral hygiene, tooth protection and elimination of bad habits. Results Among 112 examined boys and girls of selected ages, very high person caries index (PCI) was found (78.57%). A total of 548 caries affected teeth were found (boys 331 (24.62%), girls 217 (16.14%) (p <0.05)). Fifty-nine children had caries lesions on permanent teeth (boys 39 (2.9%), girls 20 (1.5%) (p <0.05)). Sagital abnormalities of the bite were present in 39 (34.82%) children, while 38 (33.92%) anomalies were related to vertical bite irregularities, 10 (8.92%) of them had open bite and 28 subjects (25%) had deep bite (p> 0.05). Conclusion Large number of teeth was affected with caries lesions (548) in eighth-year-olds, while orthodontic anomalies, mostly sagital abnormalities of bite were found in 39 subjects.


2020 ◽  
pp. 75-78
Author(s):  
S.P. Yarova ◽  
О.A. Kobtseva ◽  
Yu.Yu. Yarov ◽  
K.V. Novikova ◽  
D.D. Kobtseva

Harmonious facial aesthetics, proper bite, straight teeth are an integral part of individual psychological well-being and a modern person’s professional success. According to scientific studies, orthodontic pathology occupies third place in terms of incidence among dental diseases after dental caries and periodontal diseases. Being man-made polluted, the Donetsk region also has a high prevalence of dentoalveolar anomalies. In 7-15 year old children, the incidence rate is 68-90%. The aim of the study is to research the prevalence and structure of dentoalveolar anomalies among students of a medical university in the Donetsk region. Materials and methods. To fulfill the purpose of the study we analyzed the orthodontic status of 300 Donetsk National Medical University students. Examinations of students were performed according to the generally accepted method in dentistry. The material of the clinical trial was subjected to variational-statistical analysis in accordance with the purpose of the study. Results. The analysis of the study data showed that there were abnormalities in the attachment of the oral soft tissues, namely 56,0% (168/300) of those examined had a short bridle of the tongue, 20,0% (60/300) of students – a short bridle of the upper lip, 5,3% (16/300) patients – a short frenulum of the lower lip and 17,3% (52/300) of those examined – a shallow vestibule of the mouth. The data on the orthodontic status of the examined patients showed that the prevalence of dental anomalies was 98,7% (296/300). 64% (192/300) of examined subjects had anomalies of occlusion in combination with anomalies of individual teeth. Anomalies of individual teeth without occlusion pathology were diagnosed in 34,7% (104/300) of patients. 1,3% (4/300) of students have been found to be orthodontically healthy. Moreover, the case history of those examined shows that 30,7% (92/300) of students underwent orthodontic treatment in the past, which was not always successful. The external examination revealed facial signs of dentoalveolar anomalies in 50,0% (148/296) of students, which indicates the gnathic nature of orthodontic pathology. Deep bite (54,2%) and deep occlusion in combination with distal occlusion (25,0%) were significant. Class 2 pathology was detected in 10,4% (20/192) of individuals. The examination did not reveal any cases of open bite in the subjects. The prevalence of crossbite and mesial occlusion was low and amounted to 8,3% (16/192) and 2,1% (4/192) of cases, respectively. Teeth rotation was prevalent (71,6%; 212/296) among 296 students who had anomalies of individual teeth and dentition (isolated or combined with an occlusion anomaly). The results of the study indicate that 56,6% of those examined (120/212) had lower teeth rotation, 26,4% of subjects (56/212) presented with the combination of this pathology in both jaws, and tortoanomaly of upper teeth was found in 17,0% (36/212) of cases. Crowding of the frontal mandible segment was also a common pathology (58,1%;172/296), the first degree of this pathology’s severity being prevalent (79,0%; 136/172). Examination of students showed that 51,4% of subjects had a vestibular position of individual teeth (152/296). Oral position of teeth and crowding of the frontal upper segment were less common and were observed in 43,2% (128/296) and 29,7% (88/296) cases, respectively. Among the examined students diastemata and tremata were diagnosed in 13,5% (40/296) and 25,7% (76/296) cases, respectively. It should be noted that this pathology predominantly affected the upper jaw: diastema occured in 90% (36/40), and tremata in 57,9% (44/76) of cases. The examination revealed an abnormal inclination of the students’ front teeth. The overall prevalence of protrusion of incisors was 13,5% (40/296), maxillary protrusion of teeth being most prevalent (90%; 36/40). The incidence of incisor retrusion was 10,8% (32/296). Also, this pathology predominated in the upper jaw (87,5%; 28/32). The study of dentition disorders revealed the prevalence of transversely and sagittally oriented changes in the shape of dental arches. The results revealed that the shortening of the dentition was the most common dentition deformation, being detected in 66,9% (198/296) of cases. The narrowing of the dentition was found in 51,0% of subjects (151/296). Conclusions. Such studies allow to improve the prevention principles of dentoalveolar anomalies and to organize the timely provision of specialized medical care.


2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Satheesh B. Haralur ◽  
Ali Saad Al-Qahtani

The loss of anterior teeth has serious functional, esthetic disabilities, in addition to compromising the patients' quality of life. Various etiologies can be attributed to the anterior tooth loss, including trauma, caries, and periodontal diseases. The chronic mouth breathing due to nasal adenoids is known to enhance the gingival and periodontal diseases. The dental literature proves the association of nasal breathing, tongue thrusting, and anterior open bite. Arch shape and tooth position are primarily determined by the equilibrium of the forces from tongue and perioral musculature. Increased force from tongue musculature in the tongue thrusting patient leads to flaring of anterior teeth, making them susceptible for periodontal and traumatic tooth loss. Replacement of the anterior teeth in this patient will also help in restoration of anterior guidance, which is critical for the health of temporomandibular joint, posterior teeth, and musculature.


Author(s):  
AM Sohal Mahamud ◽  
Hassan Md Rizvi ◽  
Md Anisur Rahman ◽  
MZ Hossain

Aims: To assess the pattern of deep bite of orthodontic patients.Material and methods: In this cross sectional study, a total number of 200 sets of pretreatment study cast of patients selected from model store of Orthodontics Department in Dhaka Dental College & Hospital, Mirpur-14, Dhaka-1206, Bangladesh.Results: The study finding show the percentage distribution were as follows, 1% of the sample had open bite, 38.5 % of the sample had normal value of incisor overbite, while 60%patients showed varying values of deep bite. As far as the distribution of these 121 patients in different categories of deep bite is concerned. Maximum number of patients; 50% of these were having mild degree of deep bite while only6.5% showed moderate degree of deep bite and 3.5% showed full coverage of lower incisor crowns.Conclusion: The conclusion that can be drawn from this study is that the commonest overbite relationship in the Bangladeshi sample is the mild overbite (50% patients). Moderate and severe deep bite malocclusions are less prevalent but nearly of the same percentage distribution. In all categories of deep bite, female to male ratio was higher.Ban J Orthod & Dentofac Orthop, April 2014; Vol-4 (1-2), P.16-19


2017 ◽  
Vol 13 (1) ◽  
pp. 75-80
Author(s):  
Md Tariquzzaman ◽  
Golam Mohiuddin Chowdhury ◽  
Md Liakat Ali Hyder

Introduction: Fixed dental prosthesis is becoming more popular for preservation of badly damaged crowns and endodontically treated teeth and also for replacing lost teeth around the world. Complications of fixed dental prosthesis are also becoming very common. Fixed dental prosthesis assures greater retention and stability in addition to comfort. Fixed dental prosthesis is more acceptable to patients when correctly planned and designed which provide predictable function are also enhances the esthetics and psychological well being of the patients. Objective: To assess the complications associated with tooth supported fixed dental prosthesis amongst armed forces personnel reporting to Combined Military Hospital (CMH) Cumilla and Combined Military Hospital (CMH) Dhaka. Materials and Methods: An interview based questionnaire was used for 220 patients followed by clinical oral examination of every individual in this cross sectional study conducted during September 2016 to August 2017 in Combined Military Hospital, Dhaka. Patients soft tissues were checked but the main emphasis was given on recording the information regarding the type of prosthesis being used, material of the prosthesis, location of the prosthesis and the complication present including dental caries, coronal or radicular abutment fracture, root canal treatment failure, periapical lesions, periodontal problems and mechanical failures including occlusal interference, no occlusal contact, decementation of the prosthesis, esthetic problems, porcelain and metal fractures. Periapical radiograph was made to assess mentioned complaints; more so periodontal probing was applied to measure the gingival attachment loss. Results: Approximately 183(83%) patients were using porcelain fused to metal prosthesis with 133(60%) of prosthesis being used in posterior segments of mouth. Complications like dental caries, coronal abutment fracture, radicular abutment fracture, occlusal interferences, root canal failures and decementations were more significantly associated with crowns than bridges (p=0.001). On the other hand esthetic issues, periapical lesions, periodontal problems, porcelain fractures and metal damage were more commonly associated with bridges (p=0.001). All cases of dental caries reported were associated with acrylic crown and bridges, whereas all coronal abutment fractures were associated with metal prosthesis. A significantly higher number of patients who got their fixed dental prosthesis from other sources i.e. paramedics, technicians, dental assistants or unqualified dentists had periapical lesions, decementations, esthetic issues and periodontal diseases. Conclusion: Complications associated with fixed dental prosthesis like root canal failures, decementations, periapical lesions and periodontal disease were more significantly associated with prosthesis fabricated by other sources rather than those acquired from CMHs and private dental care and also in patients using prosthesis for 5 to 10 years. Journal of Armed Forces Medical College Bangladesh Vol.13(1) 2017: 75-80


2015 ◽  
Vol 18 (3) ◽  
pp. 257-261
Author(s):  
Mimi Marina Lubis ◽  
Andira Retno Utami

Maloklusi merupakan masalah kesehatan mulut dengan prevalensi tertinggi ketiga setelah karies dan penyakitperiodontal. Distribusi maloklusi menunjukkan hasil yang berbeda-beda dengan prevalensi cukup tinggi pada setiappopulasi di dunia. Tujuan penelitian ini adalah untuk mengetahui distribusi maloklusi berdasarkan klasifikasi Angle danmelihat apakah terdapat perbedaan antara laki-laki dan perempuan. Jenis penelitian ini adalah penelitian deskriptifmenggunakan 385 rekam medik dan model studi pasien di Departemen Ortodonsia RSGMP FKG USU tahun 2009-2013. Pemilihan sampel dilakukan menggunakan metode purposive sampling berdasarkan kriteria inklusi dan eksklusi.Hasil penelitian menunjukkan 41,55 % sampel memiliki hubungan molar Klas I Angle, 26,75 % Klas II subdivisi, 18,44% Klas II divisi 1, 5,71 % Klas III subdivisi, 4,67 % Klas II divisi 2 dan 2,85 % Klas III. Bentuk maloklusi yang palingumum adalah crowding rahang bawah 49,61 %, crossbite anterior 30,90 % dan spacing rahang atas 21,55 %. Sebanyak40,25 % sampel memiliki overjet normal, 19,48 % overjet berlebih, 69,61 % overbite normal, 14,02 % deep bite, 9,35 %edge to edge dan 7,79 % open bite. Deep bite menunjukkan adanya perbedaan distribusi berdasarkan jenis kelamin.


Author(s):  
Iskander I. Zaidullin ◽  
Denis O. Karimov ◽  
Lilija K. Karimova ◽  
Milyausha F. Kabirova ◽  
Rasima R. Galimova ◽  
...  

The susceptibility to the development and progression of inflammatory periodontal diseases, which depends on genetic and external factors (smoking, stress, oral hygiene), varies widely. In the development of these diseases, an important role is played not only by the presence of periodontal pathogenic microorganisms, but also by the presence of congenital or acquired immunodeficiency, immunoregulatory defects. The immune system plays a key role in the physiological and pathological processes of periodontal tissues. In this regard, IL17, produced by CD4+ Th cells, which has both Pro-inflammatory and protective activity, is of particular interest in the pathogenesis of periodontitis. The aim of study was to identify the relationship between polymorphic loci of the IL-17A (rs2275913) and MMP-1 (rs1799750) genes and clinical manifestations of chronic periodontitis in petrochemical workers. Dental examination was performed in 92 ethylene oxide production workers with chronic periodontitis and 74 patients with chronic periodontitis who did not come into contact with chemical factors (control group). Genotyping of polymorphisms rs2275913 of the IL17A gene and rs1799750 of the MMP1 gene was performed by allele-specific real-time polymerase chain reaction (PCR). Hygienic assessment of the degree of air pollution of the working area with harmful substances was carried out by gas chromatography according to the guidelines for the determination of harmful substances in the air № 5098-89, № 3119-84. When comparing the results of studies of both groups, there were no statistically significant differences in the frequency distributions of allelic variants and genotypes of the IL-17A and MMP-1 genes. The AA/AG genotypes of the IL-17A gene were associated with an increased risk of severe disease compared to the GG genotype in workers in the main group (OR=6.1; 95% CI 1.33-28.5; p=0.021) and in the control group (OR=7.26; 95% CI 1.34-39.25; p=0.016). Carriers of the A allele in the control group increased the risk of severe chronic periodontitis by 2.4 times compared to carriers of the G allele (OR=2.41; 95% CI 1.19-4.87; p=0.014). During the dental examination of employees of the ethylene oxide plant, the clinical course of periodontal diseases was more severe in comparison with the control group, and the number of patients with severe periodontitis was twice as high. It was found that the AA/AG genotypes of the IL-17A gene and the carrier of the A allele are associated with increased susceptibility to the development of severe chronic periodontitis. The association between the MMP-1 gene polymorphism and the risk of severe forms of chronic periodontitis has not been established. A risk factor for the development of inflammatory periodontal diseases in employees of the petrochemical complex is a complex of harmful production factors.


Author(s):  
Vera Arsenyeva ◽  
Boris Martynov ◽  
Gennadiy Bulyshchenko ◽  
Dmitriy Svistov ◽  
Boris Gaydar ◽  
...  

Gliomas make up about 8 cases per 100,000 population and the number of patients with this disease is only increasing. There can be not only various types of neurological deficits among the symptoms, but also personal and emotional changes, that seriously affects the quality of life. The modern model of health care includes not only recovery of the patient’s physical functions, but also his or her psychosocial well-being. In particular, the assessment and study of the characteristics of health-related quality of life, as well as cognitive functions in patients with gliomas, is increasingly recognized as an important criterion when considering the effectiveness of treatment. To date, the features of health related quality of life and cognitive functions of patients with epilepsy and acute cerebral circulation disorders have been studied sufficiently, and, as a result, techniques have been developed that accurately assess the QOL and CF in patients with these diseases. These are QOLIE-31 and QOLIE-AD-48 questionnaires for patients with epilepsy. This is the National Institutes of Health Stroke Scale (NIHSS), Orgogozo stroke scale (OSS), World Federation of Neurological Surgeons (WFNS) scale for the clinical assessment of subarachnoid hemorrhage (SAH) for patients with acute cerebrovascular accident. At the same time, there are no generally accepted methods for assessing quality of life and neurocognitive functions that are sensitive to changes in the condition of patients with gliomas in the early postoperative period by the time of discharge from the hospital. As a result, there is no systematic information on the dynamics of the quality of life of such patients, their neurocognitive functioning. The purpose of this article was to study the literature on QOL and CF in patients affected by neurological and neurosurgical disorders for the further selection of optimal methods for assessing dynamics of the condition of patients with glial brain tumors before and after surgery. At the moment, such requirements are only partially met by the EORTC QLQ-C30 questionnaire and its application EORTC QLQ-BN20.


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